Dell Children’s Medical Center of Central Texas
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Post-Concussion Management

Concussion care guidelines

  1. Rest until all symptoms have resolved.
  2. See physician prior to returning to any athletic participation.
  3. If baseline testing has been done, post-injury testing must be within range of baseline.
  4. Once all signs and symptoms have resolved must complete a step-wise return to play protocol.
Physical Thinking Emotional Sleep
Headaches Sensitivity to light Feeling mentally foggy Irritability Drowsiness
Nausea Sensitivity to noise Problems concentrating Sadness Sleeping more than usual
Fatigue Numbness/Tingling Problems remembering Feeling more emotional Sleeping less than usual
Visual problems Vomiting Feeling more slowed down Nervousness/anxiety Trouble falling/staying asleep
Balance problems Dizziness

Post-concussion care guidelines:

  1. Rest is the key to quick recovery. You should NOT participate in any high risk activities (i.e., sports, PE, bike riding, hunting, etc.) that place you at risk for re-injury. Limit social outings, errands, and other recreational activity. Sometimes it is necessary to take time off of school and work.
  2. Limit activities that require thinking or concentration. This includes schoolwork, tests, and homework, as well as job-related activity. Your concussion care team or primary care physician can help with academic accommodations.
  3. Minimize screen time. Limit TV, movies, video games, computer use, or texting, until instructed by your concussion care team.
  4. Get lots of sleep. No late nights. Keep a normal bedtime on weekdays and weekends. Take naps and rest breaks when you feel tired and fatigued.
  5. Drink fluids and eat regularly. Eat carbohydrates and protein and stay hydrated.
  6. Inform the school about the injury and symptoms. The school should be aware of the concussion and provide recommended accommodations, as directed by your concussion care team. If you are a middle school or high school athlete you must inform the school nurse and/or high school athletic training staff of your injury.
  7. Immediately STOP any activity that makes your symptoms worse. Ignoring symptoms can prolong recovery time. Slowly and carefully return to normal activities, as directed by your concussion care team and/or athletic training staff.
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