Concussion in sports and recreation

More than 800 sports-related concussions occur in the United Stares each da y, sometimes involving high-profile athletes whose injuries reach public aw areness through sports broadcasts and news media. Although nonphysicians ar e often present and relied upon for the detection of concussion in the spor ts setting, the proper diagnosis and management of this neurological proble m require a physician's thoughtful attention to the athlete's signs and sym ptoms, This article offers a diagnostic protocol and treatment recommendati ons as well as a useful grading scale and management strategy for return to competition.