Concussion Sideline Management :: Nationwide Children's Hospital

Sideline Management of a Concussion

Did a concussion take place?

Assume an athlete has suffered a concussion if there was a blow to the head or the athlete was knocked down and even the mildest of concussion symptoms are present, even if no loss of consciousness occurs.

Does the athlete need immediate referral for emergency care?

If an athlete suffers loss of consciousness, displays decreased responsiveness, disorientation or unusual behavior, develops rapidly worsening symptoms, or if there is any concern about a neck or spine injury, the athlete should be referred at once for emergency care.

If no emergency is apparent, how should the athlete be monitored?

Every 5 - 10 minutes, mental status, attention, balance, behavior, speech and memory should be examined until stable over a few hours. If appropriate medical care is not available, an athlete even with mild concussion symptoms should be sent for medical evaluation.

If symptoms clear, can the athlete return to play?

No athlete suspected of having a concussion should return to the same practice or contest, even if symptoms clear in 15 minutes.

What happens after medical clearance?

After medical clearance, return to play recommendations should follow a step-wise protocol with provisions for delay based on return of any signs or symptoms.

How do I request an appointment?

Nationwide Children’s Sports Medicine offers clinics dedicated to treating concussions each day of the week. Request a concussion clinic appointment or call (614) 355-6200.
Nationwide Children's Hospital
700 Children's Drive Columbus, Ohio 43205 614.722.2000