Mild Traumatic Brain Injury Concussion Assessment

Mild Traumatic Brain Injury Concussion Assessment

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  1. Definition of TBI should include one of the following
    • Direct blow to the head or acceleration/deceleration mode of injury
    • Any head related injury (facial #s, mandible #, broken nose)
    • Significant mechanism (pedestrian vs car, bicycle struck or collision, RTC high speed – rollover, ejection, fall from height > 1m, thrown, head trampled on)
    • Patient has other major trauma injuries
    • Decreasing level of conscious at any time
    • Assault
    • Vague or no recollection of events pre or post injury
    • Active symptoms of concussion such as headache, blurred vision, sensitivity to light or noise, drowsiness, balance problems, nausea/vomiting, poor concentration, fatigue, poor sleep
  1. **Discharge home criteria
    • No ongoing clinical indication for prolonged observation e.g no abnormal behaviour, severe post-concussive symptoms, no drugs and/or alcohol intoxication.
    • GCS 15/15
    • if has been tested A-WPTS 18/18
    • Responsible person at home
    • Patient or responsible person understands head injury instructions (provide printout MIDAS document 65632)
  1. During assessment
    • Treat symptoms, hydrate and encourage rest and sleep between assessments
  1. Referral to Concussion Clinic
    • Attach large patient sticker and patient’s ACC number to concussion clinic form (ACC883)
    • Sign and date form
    • Print clinical notes from EDIS
    • Email ACC883 form, clinical notes and Rivermead symptom evaluation to This email address is being protected from spambots. You need JavaScript enabled to view it.
  1. Patients admitted to a ward prior to their concussion evaluation (eg for other significant injuries or illnesses)
    • These should have their assessment as an inpatient. Please document the need for this in patient’s notes and if possible let the admitting team know.

Specifications

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