Date of Award


Document Type

Independent Study

Degree Name

Master of Science (MS)


Assessment of post-concussion injury and return to play (RTP) guidance are frequently used skills in the primary care setting. Whether the mechanism of injury occurred as a result of athletic participation or from other accidental injury, the adolescent's primary care provider is well-suited for post-injury management as he or she has a comprehensive knowledge of the patient's cognitive and physical histories. The case report highlights a 16-year-old female who presented unaccompanied to her primary care provider for athletic clearance following a motor vehicle accident (MV A). The crash resulted in a right sided head injury and grade I concussion. The female is vague in her historical recall and description of physical symptoms, leaving the primary care provider to rely on physical exam findings and documentation from the initial emergency room visit following the accident.

A literature review based on the relevance and benefit of required baseline concussion screening during pre-participation exams follows. For the primary care provider, a documented baseline concussion screening may complement the provider's historical knowledge of the adolescent, aid coaches and athletic personnel in sideline assessments, and facilitate better informed comprehensive post-injury management thus making RTP decisions less complicated for the primary care provider.