Concussion Management Protocol 7 ReCharge Principles

Our protocol is comprised of the 7ReCharge principles



Everyone involved in the game (including sideline staff, coaches, players, parents and guardians) should be aware of the signs, symptoms and dangers of concussion. In the event of a suspected concussion the injured player should be removed from play or training immediately.



Visit a concussion management provider for further assessment. If you have previously undergone baseline testing, repeat testing will demonstrate any areas that may be impaired due to the injury and will help guide management recommendations. If you have not previously undergone baseline testing, a follow-up assessment with a health care provider specialized in concussions is still highly recommended.



Schedule an appointment to see a Medical Doctor as soon as possible. It is not usually necessary to visit the emergency room unless your symptoms are severe and/or rapidly worsening.




Based on the results of the assessment, the clinician may recommend treatment. Type, duration and frequency of appointments will depend on the severity of the injury and the areas affected by the trauma.




Research has shown that the injured individual will benefit from visual, cognitive and physical rest immediately following the injury. The rest period does not generally exceed 72 hours though there are exceptions.




It is important that the student return to school timely and safely. Once symptoms have subsided, the clinician will put together accommodation recommendations to facilitate the return to learn. It is important that the process be gradual and that the student is given the support and leeway they need to return successfully. Once the athlete is symptom free, the clinician will being the exertion protocol. Once the athlete has completed the first three steps of the Return To Play protocol they will need to see a medical doctor for clearance


Baseline Testing


Currently, there is no reliable diagnostic test or marker that can be used to identify a concussion when it’s occurred, or similarly, determine when a concussion has resolved. For this reason, a growing emphasis has been placed on objective baseline testing protocols that can be used to track an athlete’s recovery and serve as a tangible measurement for return-to-play readiness. Concussions can produce a wide array of symptoms, which poses a challenge for coaches, trainers, parents, and health care professionals involved in the care of an injured athlete. The time-course for recovery also varies widely from athlete to athlete, making it impossible to employ a “cookie-cutter” approach to concussion rehabilitation and return-to-play timelines. The more comprehensive the baseline test the more useful in will be in identifying and managing the concussion.


It’s important to note that baseline testing does not protect against concussion. It is just one tool to help the health care professional evaluate and treat the injured athlete. Athletes, parents, coaches and educators must be able to recognize a potential injury, notice the often subtle signs and symptoms of a concussion and know when to seek a medical evaluation. Baseline tests should be supervised and interpreted by clinicians with experience in concussion management.