Understanding Concussions: A Comprehensive Guide on How to Check for One
Concussions are a type of traumatic brain injury (TBI) that can occur due to a bump, blow, or jolt to the head, or a hit to the body that causes the head and brain to move rapidly back and forth. They are a serious matter, as they can lead to long-term symptoms and complications if not treated properly. This guide will walk you through how to recognize, check for, and manage concussions.
Recognizing the Signs of a Concussion
Concussions can manifest with a wide range of symptoms, which can appear immediately or hours, days, or even weeks after the injury. It's crucial to be aware of these signs, as they can help you determine if a person needs medical attention. Here are some common symptoms to look out for:
- Headache or a feeling of pressure in the head
- Confusion
- Dizziness or 'seeing stars'
- Nausea or vomiting
- Slurred speech
- Fatigue
- Difficulty concentrating, remembering, or focusing
- Blurred or double vision
- Sensitivity to light or noise
- Feeling 'foggy' or 'not right'
- Loss of consciousness (even briefly)
Checking for Concussion: The SCAT5 Test
The Sport Concussion Assessment Tool (SCAT5) is a widely used, standardized tool for evaluating athletes for concussion. It's not a diagnostic tool, but it can help you determine if an athlete needs further evaluation by a healthcare professional. Here's a simplified version of the SCAT5 test:

| Section | Questions/Tasks | Scoring |
|---|---|---|
| Symptoms | Ask the person if they have any of the symptoms listed above. Assign a score of 0-6 based on the number of symptoms reported. | 0-6 |
| Cognitive | Ask the person to perform simple mental tasks, such as remembering a series of numbers or words, or answering questions about their personal information. | 0-28 |
| Balance | Ask the person to perform a balance test, such as standing on one foot with their eyes open and then closed. Assign a score of 0-4 based on their performance. | 0-4 |
Add up the scores from each section. A higher total score may indicate a more severe concussion. If the person scores high or you're unsure, they should be evaluated by a healthcare professional immediately.
What to Do If You Suspect a Concussion
If you suspect someone has a concussion, follow these steps:
- Remove the person from the activity or situation that caused the injury.
- Check for signs of concussion using the SCAT5 test or other recognized concussion assessment tools.
- If the person is showing signs of concussion, or you're unsure, they should be evaluated by a healthcare professional immediately. Do not let them return to the activity that day.
- If the person loses consciousness, call emergency services immediately.
- Once the person has been evaluated and diagnosed with a concussion, follow their healthcare provider's advice for managing their recovery.
It's important to note that even if the person feels fine, they may still have a concussion. It's always better to err on the side of caution and have them evaluated by a professional.

Preventing Concussions
While not all concussions can be prevented, there are steps you can take to reduce the risk:
- Wear appropriate safety gear when playing sports or engaging in activities with a high risk of head injury.
- Follow the rules of the game and practice good sportsmanship.
- Ensure that playgrounds and sports facilities are well-maintained and safe.
- Never drive under the influence of drugs or alcohol.
By understanding concussions, knowing how to check for them, and taking steps to prevent them, you can help keep yourself and others safe.