title: The Legal Landscape of Concussion: Implications for Sports Medicine Providers.
abstract: BACKGROUND
  Concussion legislation has been enacted in all 50 of the United States, aiming to prevent mild traumatic brain injuries and the potential long-term sequelae of these injuries in youth athletics. Sports medicine providers, in addressing this major public health concern, are tasked with adhering to the established standards of medical care while also considering the legal implications.
  
  
  METHODS
  The PubMed (2011-2016) database was searched using the following search terms: concussion, sports concussion, legislation, and concussion legislation. References from consensus statements, review articles, and book chapters were also utilized.
  
  
  METHODS
  Clinical review.
  
  
  METHODS
  Level 4.
  
  
  RESULTS
  The Lystedt law and its progeny have increased awareness of the signs and symptoms of sports concussion, but adherence to state legislation can pose some challenges.
  
  
  CONCLUSIONS
  The presence of concussion legislation places a responsibility on the sports medicine provider to have a firm understanding of the legality of concussion management in the state(s) in which they practice.
authors.affiliation: Department of Family Medicine, Greenville Health System, University of South Carolina School of Medicine Greenville, Greenville, South Carolina aalbano@ghs.org.
authors.forename: Andrew W
authors.initials: AW
authors.lastname: Albano
authors.affiliation: Departments of Medicine and Orthopaedics, University of California San Francisco, San Francisco, California.
authors.forename: Carlin
authors.initials: C
authors.lastname: Senter
authors.affiliation: Principal, Adler Giersch PS, Seattle, Washington law firm and Past President and Current Board member of the Brain Injury Alliance of Washington.
authors.forename: Richard H
authors.initials: RH
authors.lastname: Adler
authors.affiliation: Departments of Rehabilitation Medicine, Orthopaedics, Sports Medicine and Neurological Surgery, University of Washington, Seattle, Washington.
authors.forename: Stanley A
authors.initials: SA
authors.lastname: Herring
authors.affiliation: Department of Family Medicine, Greenville Health System, University of South Carolina School of Medicine Greenville, Greenville, South Carolina Clemson University School of Health Research, Clemson, South Carolina.
authors.forename: Irfan M
authors.initials: IM
authors.lastname: Asif
mesh_terms: D001265:Athletic Injuries / Q000175:diagnosis* / Q000517:prevention & control; D001924:Brain Concussion / Q000175:diagnosis* / Q000517:prevention & control; D000066491:Clinical Decision-Making; D002985:Clinical Protocols; D006801:Humans; D013178:Sports Medicine / Q000331:legislation & jurisprudence*; D014481:United States
keywords: Lystedt law; concussion legislation; sports concussion; sports medicine