Any athlete suspected of having a concussion should be removed from play, and then seek medical evaluation.

Signs to watch for:

Problems could arise over the first 24-48 hours. You should not be left alone and must go to a hospital at once if you

  • Have a headache that gets worse
  • Are very drowsy or can't be awakened (woken up)
  • Can't recognize people or places
  • Have repeated vomiting
  • Behave unusually or seem confused, are very irritable
  • Have seizures (arms and legs jerk uncontrollably)
  • Have weak or numb arms or legs
  • Are unsteady on your feet have slurred speech

Return to play:

Athletes should not be returned to play the same day of injury. When returning athletes to play, they should follow a stepwise symptom-limited program, with stages of progression. For example:

  1. Rest until asymptomatic (physical and mental rest)
  2. Light aerobic exercise (e.g. stationary cycle)
  3. Sport-specific exercise
  4. Non-contact training drills (start light resistance training)
  5. Full contact training after medical clearance
  6. Return to competition (game play)

There should be approximately 24 hours (or longer) for each stage and the athlete should return to stage 1 if symptoms recur. Resistance training should only be added in the later stages

Medical clearance should be given before return to play.