title: Management of Sport-Related Concussion in the Pediatric and Adolescent Population.
abstract: Concussions make up nearly 10% of all high school athletic injuries. Recent changes in concussion management guidelines and legislation aim to make concussion care more standardized and safe but simultaneously pose a challenge for the primary care and sports medicine physician. Pediatric and adolescent concussions may cause anxiety for the treating physician due to concerns over return-to-play decisions, academic issues, and the potential for second impact syndrome. Determining when to refer a patient to an emergency department acutely, to an outpatient concussion clinic, or to other subspecialists may be a difficult decision for the primary care physician. The aim of this article is to review current evidence regarding concussion treatment and return-to-school and return-to-play recommendations to provide the primary care and sports medicine physician with practical guidelines for managing concussions.
authors.forename: Aaron J
authors.initials: AJ
authors.lastname: Provance
authors.forename: Glenn H
authors.initials: GH
authors.lastname: Engelman
authors.forename: E Bailey
authors.initials: EB
authors.lastname: Terhune
authors.forename: Rachel A
authors.initials: RA
authors.lastname: Coel
mesh_terms: D000293:Adolescent; D001265:Athletic Injuries / Q000175:diagnosis / Q000628:therapy*; D001924:Brain Concussion / Q000175:diagnosis / Q000628:therapy*; D002648:Child; D006801:Humans; D010372:Pediatrics; D017410:Practice Guidelines as Topic; D011320:Primary Health Care / Q000379:methods*; D012017:Referral and Consultation; D000068958:Return to Sport; D013178:Sports Medicine; D063189:Symptom Assessment