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Head injury red flags — MRCEM SBA MCQ

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HardConcussionHead injury red flagsMRCEM SBA

A footballer remains dizzy, visually sensitive and exercise-intolerant three weeks after concussion, with a normal neurological examination and no new red flags. What is the best approach?

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Correct answer: D — Arrange active multimodal assessment and targeted rehabilitation

The best answer is “Arrange active multimodal assessment and targeted rehabilitation”. Persisting symptoms after concussion benefit from active assessment for vestibular, ocular, cervical, exertional, sleep and psychological contributors, followed by targeted rehabilitation. Prolonged complete rest is not recommended. Normal structural imaging does not establish functional recovery or authorise return to collision risk.

Reference: British Journal of Sports Medicine: Amsterdam 2022 concussion consensus statement: https://bjsm.bmj.com/content/57/11/695