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How to identify and manage sports related concussions in primary care

### What you need to know A 20 year old female amateur footballer comes to your GP practice following a head collision on the pitch two days ago. She felt unsteady at the time of the collision, has had a headache since, and is finding it difficult to concentrate. Sports related concussion (SRC) is defined as “a complex pathophysiological process affecting the brain, induced by traumatic biomechanical forces.”123 It is typically caused by a direct blow to the head, face, neck, or elsewhere on the body, with force transmitted to the head. It generally causes rapid onset transient neurological dysfunction, including presenting with headache or difficulty concentrating (however, this may be delayed in some cases) and is not associated with structural injury to the brain or pathology on neuro-imaging. One study in Canada reported an average annual incidence of one concussion per 87 residents.4 SRC is relevant to primary care because head injuries and potential SRC are common present

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