What is the recommended sideline management for a suspected concussion?

• A. Continue playing while monitoring symptoms.
• B. Provide rest at home without removal.
• C. Have athlete self-diagnose and return immediately.
• D. Remove from play, monitor symptoms, do not allow return, refer for medical evaluation.

Answer: (D)

Immediate removal from play is essential when a concussion is suspected. Continuing to play with potential brain injury can worsen the condition and raise the risk of serious complications, so the athlete should be pulled out, watched for symptom changes, and referred for medical evaluation promptly. Return to activity should not happen on the same day and must await medical clearance, typically guided by a gradual, stepwise return-to-play protocol. While monitoring, be alert for red flags such as loss of consciousness, repeated vomiting, severe or worsening headache, confusion, or neck pain—if any of these occur, seek emergency care. Self-diagnosis or returning to sport without professional assessment is unsafe because a clinician needs to determine the presence and severity of a concussion and guide a safe recovery.