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The following should be considered at the initial assessment:
Pre-existing neurologic disorder
Learning disorders
ADD or ADHD
Pre-existing mood disorders
Sleep disorders
Migraine headaches
Alcohol or drug use
Bleeding abnormalities
Language barrier
Multiple traumas
Use of psychoactive drugs
Use of anticoagulants
History of previous concussion
Dangerous style of playing
Suspected or diagnosed cervical spine injury
ADD—attention deficit disorder, ADHD—attention deficit hyperactivity disorder, MHI—mild head injury.
Adapted from Harmon et al,1 McCrory et al,32 and the Committee on Quality Improvement of the American Academy of Pediatrics Commission on Clinical Policies and Research.34