Close Monitoring After Concussion Required

Signs of Deteriorating Mental Status Mandate Immediate Hospitalization

Injured football playerRegular post-concussion monitoring is essential in the first 24 to 48 hours after injury to check for signs of deteriorating mental status that may indicate a more serious injury requiring immediate hospitalization.

An athlete should be immediately taken to the hospital for evaluation (including neuroimaging) if he:

  • Has a headache that gets worse

  • Is very drowsy or can't be awakened (woken up)

  • Can't recognize people or places

  • Experiences repeated vomiting

  • Behaves unusually, seems confused or is very irritable

  • Experiences seizures (arms and legs jerk uncontrollably)

  • Has weak or numb arms or legs

  • Is unsteady on his feet; or

  • Has slurred speech


Source: Sport Concussion Assessment Tool 2 (SCAT2)

Revised and updated June 26, 2009