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Sport Concussion Assessment Tool
Aka: Sport Concussion Assessment Tool, SCAT5
- See Also
- Concussion
- Indications
- Sideline Concussion evaluation in age over 10 years
- Advantages
- Most comprehensive Concussion sideline assessment tool
- Widely used
- Disadvantages
- Not validated
- Components: Initial, Immediate Evaluation (on Field)
- Red Flags
- Neck Pain/tenderness
- Diplopia
- Extremity Paresthesias
- Severe or increasing Headache
- Seizure
- Loss of consciousness
- Deteriorating mental status
- Vomiting
- Increasingly restless, agitated or combative
- Observable signs
- Lying motionless on playing field
- Balance or gait difficulties, motor Incoordination, stumbling or slow, labored movements
- Disorientation or confusion, or inability to respond appropriately to questions
- Blank or vacant look
- Facial injury after Head Trauma
- Cervical Spine Assessment
- Neck Pain at rest
- Abnormal active neck range of motion (if no pain at rest)
- Abnormal Limb strength and sensation
- Other immediate tests
- Glasgow Coma Scale (15 points)
- Maddocks Score (5 points)
- Components: Additional Evaluation (on Field, office or emergency department)
- Concussion Symptom Checklist (22 points)
- Modified Balance Error Scoring System or MBess (30 points)
- Cognitive Screening (Standardized Assessment of Concussion)
- Orientation (5 points)
- Immediate Memory (5 or 10 points)
- Delayed Recall (5 or 10 points)
- Concentration with Digits Backwards and Months in Reverse (5 points)
- Neurologic screening exam
- Read aloud
- Cervical Neck passive range of motion
- Finger-to-Nose Test
- Diplopia
- Tandem gait
- Resources: SCAT5
- Age 13 years old and older (SCAT5)
- https://bjsm.bmj.com/content/bjsports/early/2017/04/26/bjsports-2017-097506SCAT5.full.pdf
- Age 5 to 12 years old (Child-SCAT5)
- https://bjsm.bmj.com/content/bjsports/early/2017/04/28/bjsports-2017-097492childscat5.full.pdf
- Resources: Other Tools
- Computer based Neuropsychological Testing (e.g. ImPACT)
- In some sports, baseline testing is performed
- Baseline testing is not recommended in young children (high variability)
- Postconcussive Symptom Scale
- http://www.hawaiiconcussion.com/pdf/post-concussion-symptom-scale.aspx