Revista de Medicina Desportiva Informa Janeiro 2019 - Page 12

CONCUSSION RECOGNITION TOOL 5 © To help identify concussion in children, adolescents and adults Supported by RECOGNISE & REMOVE Head impacts can be associated with serious and potentially fatal brain injuries. The Concussion Recognition Tool 5 (CRT5) is to be used for the identification of suspected concussion. It is not designed to diagnose concussion. STEP 1: RED FLAGS — CALL AN AMBULANCE If there is concern after an injury including whether ANY of the following signs are observed or complaints are reported then the player should be safely and immediately removed from play/game/activity. If no licensed healthcare professional is available, call an ambulance for urgent medical assessment: • • • Neck pain or tenderness • Double vision • Weakness or tingling/ burning in arms or legs • Remember: • Severe or increasing headache Seizure or convulsion Loss of consciousness • In all cases, the basic principles of first aid (danger, response, airway, breathing, circulation) should be followed. • Assessment for a spinal cord injury is critical. • • Deteriorating conscious state Vomiting Increasingly restless, agitated or combative • Do not attempt to move the player (other than required for airway support) unless trained to so do. • Do not remove a helmet or any other equipment unless trained to do so safely. If there are no Red Flags, identification of possible concussion should proceed to the following steps: STEP 2: OBSERVABLE SIGNS Visual clues that suggest possible concussion include: • Lying motionless on the playing surface • Slow to get up after a direct or indirect hit to the head • Disorientation or confusion, or an inability to respond appropriately to questions • Balance, gait difficulties, motor incoordination, stumbling, slow laboured movements • Blank or vacant look • Facial injury after head trauma © Concussion in Sport Group 2017 BJSM Online First, published on April 26, 2017 as 10.1136/bjsports-2017-097508CRT5 10 janeiro 2019 www.revdesportiva.pt