Recommendations for the Emergency Department Prevention of Sport-Related Concussion. Annals of emergency medicine Bazarian, J. J., Raukar, N., Devera, G., Ellis, J., Feden, J., Gemme, S. R., Hafner, J., Mannix, R., Papa, L., Wright, D. W., Auerbach, P., American College of Emergency Physicians Sport-Related Head Injury Prevention Task Force 2019


Sport-related concussion refers to the subset of concussive injuries occurring during sport activities. Similar to concussion from nonsport mechanisms, sport-related concussion is associated with significant morbidity, including migrainous headaches, disruption in normal daily activities, and long-term depression and cognitive deficits. Unlike nonsport concussions, sport-related concussion may be uniquely amenable to prevention efforts to mitigate these problems. The emergency department (ED) visit for sport-related concussion represents an opportunity to reduce morbidity by timely diagnosis and management using best practices, and through education and counseling to prevent a subsequent sport-related concussion. This article provides recommendations to reduce sport-related concussion disability through primary, secondary, and tertiary preventive strategies enacted during the ED visit. Although many recommendations have a solidevidence base, several research gaps remain. The overarching goal of improving sport-related concussion outcome through enactment of ED-based prevention strategies needs to be explicitly studied.

View details for DOI 10.1016/j.annemergmed.2019.05.032

View details for PubMedID 31326205