Preseason Testing	Concussion Grade/Description (American Academy Of Neurology Classification)	Sideline Management	Follow-Up Management
Players with no concussion history: consider obtaining SAC preseason baselines; if not obtained, set SAC cutoff for impairment at conservative (25 or below) level	Grade 1: Transient confusion, no loss of consciousness (LOC), all symptoms and cognitive abnormalities as measured by the SAC resolve within 15 minutes	Clinical evaluation, including SAC If player has no symptoms and performs in normal range within 15 minutes, he or she may be cleared to return to play Multiple grade 1 concussions, however, require removal from the game	Player is monitored for post-concussive symptoms Multiple grade 1 concussions suggest an increased risk of concussion In these cases, when player is several weeks post-concussion, consider obtaining baseline neuropsychological testing for future concussion management
Players with a history of multiple grade 1 or any grade 2 or 3 concussions should undergo baseline neuropsychological testing	Grade 2: Transient confusion, no LOC, symptoms and/or cognitive abnormalities as measured by the SAC fail to resolve within 15 minutes	Clinical evaluation, including SAC By definition, for this stage of concussion, player is symptomatic and/or performance has remained below normal for more than 15 minutes Remove from the game and monitor frequently for signs of evolving intracranial pathology	Formal neurological evaluation the next day if post-concussive symptoms persist If baseline testing exists, repeat the testing once the player becomes neurologically asymptomatic Player should be symptom free (including lack of identified neuropsychological impairments) for 1 week before return to play after a single Grade 2 concussion, 2 weeks after multiple Grade 2 concussions. Once player is several weeks post-concussion, obtain baseline neurocognitive testing for future concussion management

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