Concussion Protocol



ImPACT on-field Congnitive Test



Ask the athlete the following questions:

What stadium is this? What month is is?
What city is this? What day is it?
Who is the opposing team?  


Anterograde amnesia

Have the athlete repeat the following words:

Girl, dog, green Cat, blue, boy


Retrograde amnesia

Ask the athlete the following questions:



Ask the athlete to....


Word list memory

Ask the athlete...

Can you tell me the three words I asked you to remember earlier?




Symptoms Reported By Athlete


Headache or "Pressure" in head Nausea or vomiting
Balance problems or dizziness Double or blurry vision
Sensitivity to light and noise Feeling sluggish, hazy, foggy, or groggy
Concentration or memory problems Confusion
Does not "feel right"  


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