Concussion

Template

Concussion, follow-up

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MonthChoose anyFirst line

StatusChoose oneFirst line

SymptomsChoose one

Return to learnChoose one

Return to playChoose one

School letterChoose any

Persistent symptomsChoose any

ReferralChoose any

Follow-upChoose one

Counseling paragraphChoose oneParagraph

Note when inserted as is

Concussion, follow-up
November 2026: Improving but not yet at goal.
• Symptoms improving and mild
• Continues school with academic adjustments
• Continue light aerobic activity that does not worsen symptoms; not yet ready for the return-to-play progression
• Follow up in 1 week

Recovery usually continues steadily, and a return of symptoms during activity means stepping back to the last step that felt fine. Recommended supportive care with an emphasis on sleep, regular meals, and light activity that does not worsen symptoms. Return precautions given including symptoms that return with activity and do not settle, worsening headache, repeated vomiting, confusion, weakness or numbness, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Month and status
Return to learn
Return-to-play stage (not ready, start, cleared)
Prolonged symptoms evaluation
Specialist, vestibular PT, neck PT, behavioral health

Return precautions in the template

symptoms that return with activity and do not settleworsening headacherepeated vomitingconfusionweakness or numbness

Sources

Sport-Related Concussion in Children and Adolescents. Clinical Report. Pediatrics 2018;142(6):e20183074. (newest AAP concussion CR found; also Early Childhood…
Early Childhood Concussion. State-of-the-art review. Pediatrics 2024;154(5):e2023065484 (not an AAP policy)

Template

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ContextChoose oneFirst line

Red flags presentChoose any

Red flags absentChoose any

HistoryChoose any

ExamChoose one

ImagingChoose one

PlanChoose any

Additional planChoose any

ReferralChoose any

DispositionChoose one

Follow-upChoose one

Follow-up reasonChoose anyJoins the line above

Counseling

Most children and teens recover within 1-4 weeks, and symptoms such as headache, trouble concentrating, and tiredness usually improve a little each day. Recommended supportive care with tylenol or motrin as needed for pain for the first few days, with an emphasis on sleep, light activity that does not worsen symptoms, and returning to school with support. Return precautions given including worsening headache, repeated vomiting, increasing confusion or sleepiness, weakness or numbness, trouble walking or talking, seizure, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

CounselingNot in the note with these choices

Discussed the need for emergency evaluation today. Caregiver expressed understanding and agreement with plan. Answered all questions.

Note when inserted as is

Concussion
• No worsening headache, repeated vomiting, increasing confusion or drowsiness, focal weakness or numbness, or seizure
• Neurologic, balance, and eye movement exam reassuring
• Head imaging not indicated given no concern for structural injury
• Relative rest for the first day or two, then light activity such as walking that does not worsen symptoms
• Return to school with academic adjustments; school letter provided
• Out of sports, PE, and contact activity until symptom-free with full school and cleared through a stepwise return-to-play progression
• Follow up in 1 week

Most children and teens recover within 1-4 weeks, and symptoms such as headache, trouble concentrating, and tiredness usually improve a little each day. Recommended supportive care with tylenol or motrin as needed for pain for the first few days, with an emphasis on sleep, light activity that does not worsen symptoms, and returning to school with support. Return precautions given including worsening headache, repeated vomiting, increasing confusion or sleepiness, weakness or numbness, trouble walking or talking, seizure, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Context (sport-related)
Red flags present or absent (worsening headache, vomiting, confusion, focal signs, seizure)
Neurologic, balance, eye movement exam
Imaging not indicated (PECARN)
Relative rest then subsymptom light aerobic activity
Return to school with adjustments; letter
No sports until symptom-free with full school and stepwise clearance
Driving, screens, neck PT, vestibular PT
Concussion specialist, neurology
ED for red flags

Return precautions in the template

worsening headacherepeated vomitingincreasing confusion or sleepinessweakness or numbnesstrouble walking or talkingseizure

Sources

Sport-Related Concussion in Children and Adolescents. Clinical Report. Pediatrics 2018;142(6):e20183074. (newest AAP concussion CR found; also Early Childhood…
Early Childhood Concussion. State-of-the-art review. Pediatrics 2024;154(5):e2023065484 (not an AAP policy)
The Cribsiders #19: Concussion
The Cribsiders #58: rapid review