STEP 2: Concussion Live Course - November 5-6, 2024, in San Diego, CA-Performing an On the Field Assessment

Pdf Summary

This document outlines the procedures and guidelines for performing an on-field assessment for sports-related concussions, led by Bryan Murtaugh, MD, a specialist in sports medicine. It emphasizes the importance of pregame preparation, especially the Emergency Action Plan (EAP), which should be rehearsed annually. The EAP covers roles, protocols, emergency response times, communication, equipment, and transport logistics.<br /><br />Key components for game day include a pregame medical huddle, identification of responsibilities, a communication plan, checking medical equipment, and an evacuation plan. Proper positioning with full visibility of the field is essential for promptly responding to emergencies and assessing injuries.<br /><br />The document highlights the use of the Sport Concussion Assessment Tool 6 (SCAT6) for concussion evaluation, noting that it is not a stand-alone diagnostic tool but part of a broader clinical diagnosis. SCAT6 assessments are divided into immediate on-field evaluations and more detailed off-field assessments.<br /><br />On-field assessments focus on observable signs (e.g., lying motionless, motor incoordination), and include the evaluation of red flags, the Glasgow Coma Scale, cervical spine status, and other screens. Disposition decisions are made based on whether the athlete requires hospital transport or further sideline evaluation.<br /><br />Off-field assessments allow for a thorough evaluation in a distraction-free environment, including athlete background, symptom severity, cognitive screening, and balance exams.<br /><br />The document advises monitoring specific signs that require further medical attention, recommending initial rest, and avoiding certain activities during recovery. The SCAT6 is highlighted as a key component of the overall diagnostic process, but ultimately, concussion diagnosis is clinical and considers numerous personal and external factors. These guidelines aim to ensure the safety and proper management of athletes who may experience concussions during sports activities.

Asset Subtitle

Bryan T. Murtaugh, MD

Keywords

sports-related concussions

on-field assessment

Emergency Action Plan

SCAT6

Bryan Murtaugh MD

pregame preparation

concussion evaluation

medical huddle

injury assessment

athlete safety