Living Guideline Tools:
Tools and Resources for Diagnosing and Managing Pediatric Concussion
- Tool 1.1: Pediatric Concussion: The Role of School Boards, Community Sports Organizations, and Centres
- Tool 1.2: Concussion Recognition Tool 6. To help identify concussion in children, adolescents, and adults (2023)
- Tool 1.3: Manage Acute and Prolonged Symptoms Algorithm
- Tool 2.0: Living Guideline Return to Activity Sports and School Protocol (2023)
- Tool 2.1 Physical Examination
- Tool 2.2 PECARN Management Algorithm for Children after Head Trauma.
- Tool 2.3 CATCH2 Rule
- Tool 2.4: Algorithm for the Management of the Pediatric Patient ≥ 2 years with Minor Head Trauma
- Tool 2.5: “Four P’s” – Prioritize, Plan, Pace, and Position
- Tool 2.6: Post-Concussion Information Sheet (2024)
- Tool 2.7: Strategies to Promote Good Sleep and Alertness
- Tool 6.1: Post-Concussion headache algorithm
- Tool 6.2: General Considerations Regarding Pharmacotherapy
- Tool 6.3: Approved Medications for Pediatric Indications
- Tool 7.1: Managing Post-Concussion Sleep Disturbances Algorithm
- Tool 7.2: Factors That May Influence the Child/Adolescent’s Sleep/Wake Cycle
- Tool 8.1: Post-Concussion Mental Health Considerations Algorithm
- Tool 8.2: Management of Prolonged Mental Health Disorders Algorithm
- Tool 10.1: Post-Concussion Vestibular (balance/dizziness) and Vision Disturbances Algorithm
- Tool 12.1: Concussion Implications and Interventions for the Classroom
- Tool 12.2: Template: Letter of Accommodation from the Concussion Care Team to the School
- Tool 12.3: Template Letter of Accommodation from Physician to School
- Tool 12.4: Sample Letter/Email from School to Parents
- Tool 15.1: Considerations for Telemedicine and Virtual Care Algorithm
- Tool 15.2 Considerations for a virtual physical examination for medical assessment and follow-up of concussion patients
- Tool 15.3: Virtual Care Exam Training Resource. A training manual to assist front-line healthcare professionals who are caring for patients that cannot be seen in person or have already had an in-person assessment and require follow-up.
Online Tools and Resources to Consider:
Tools, Links, and Resources for Diagnosing and Managing Pediatric Concussion
- 2023 Amsterdam Consensus in Sport Group Statement (2023)
- A Road Map for Implementing Concussion Management Policies and Protocols in Sport (CASEM)
- Acute Concussion Evaluation (ACE)
- Advice for gradually resuming intellectual, physical and sports activities: Institut National d’Excellence en Santé et en Services Sociaux (INESSS- Quebec). English / French
- An Educator’s Guide to Concussions in the Classroom, 2nd Edition: Nationwide Children’s Hospital, Columbus, OH
- Balance Error Scoring System (The University of North Carolina at Chapel Hill)
- Canadian Guideline on Concussion in Sport (2024)
- Canadian Guideline on Concussion in Sport -2nd edition – Medical Assessment Letter (Parachute) (2024)
- Canadian Guideline on Concussion in Sport – 2nd Edition- Pre-Season Education Sheet (Parachute) (2024)
- CATT Concussion Resources for Coaches (handout) (2024)
- CATT: Concussion Resources for School Professionals (handout) (2024)
- CATT Online: Concussion Awareness Training Tool
- CATT: Return-to-School Strategy (2024)
- CATT: Return to Sport Strategy (2024)
- CATT: Student Return to Learn Plan (2023)
- CDC: HEADS UP Concussion and Helmet Safety App
- CDC: HEADS UP Discharge Instructions
- CDC: HEADS UP Resources for Returning to School
- CDC: HEADS UP to Health Care Professionals
- CDC: HEADS UP Schools: Helping Students Recover from a Concussion: Classroom Tips for Teachers
- CDC: HEADS-ED Tool—Screening for Pediatric Mental Health (online interactive tool)
- CDC Pediatric mTBI Guideline Checklist
- CHEO Sleep for Youth Handout (Children’s Hospital of Eastern Ontario) (2019)
- CHEO Concussion Information Sheet (Children’s Hospital of Eastern Ontario)(2023)
- Concussion & You Handbook (Holland Bloorview Kids Rehabilitation Hospital)
- Concussion Ed – Parachute Concussion Education (App)
- Concussion Recognition Tool 6
- Dix-Hallpike Test (University of Calgary)
- Dynamic Visual Acuity Test (University of Calgary)
- Epley Manoeuvre (University of Calgary)
- Functional Gait Assessment (University of Calgary)
- Generalized Anxiety Disorder scale (GAD-7)
- Headache and Medication Diary (Boston Children’s Hospital)
- Head Thrust Test and Dynamic Visual Acuity (University of Calgary)
- International Classification of Headache Disorders (ICHD-III) (2021)
- Montreal Children’s Hospital Discharge Instructions (2023)
- Ontario Ministry of Education School Board Policies for Concussion (Rowan’s Law)
- Parachute – Pan-Canadian School Concussion Protocol Template: Concussion Protocol Harmonization Project (2023)
- Parachute – Statement on Baseline Testing (2019)
- Parachute – Return to School and Return to Sport Strategies (2024)
- Parachute’s Post Concussion Information Sheet for First Nations Youth (2019)
- Parachute’s Post Concussion Information Sheet for Nunavut Youth – French (2019)
- Parachute’s Post Concussion Information Sheet for Nunavut Youth – English (2019)
- Parachute’s Post Concussion Information Sheet for Nunavut Youth – Inuktitut (2019)
- Parachute’s Post Concussion Information Sheet for Nunavut Youth – Inuinnaqtun (2019)
- Patient Health Questionnaire (PHQ-9) (A self-administered screen for depression in adults)
- pedMIDAS Headache Severity Tool for Children aged 4-18
- PHQ-SADS (somatic)
- Post-Concussion Academic Accommodation Protocol (University of Oregon)
- Post-Concussion Symptom Inventory (PCSI) Self Assessment (age 5-7, 8-12, age 13-18)
- Predicting Persistent Post-Concussive Problems in Pediatrics (5P): Score Calculator
- PROMIS Anxiety (2019)
- PROMIS Depression (2019)
- PROMIS Profile (25 questions, 37 questions, 49 questions versions are available via HealthMeasures.net) (2020)
- PROMIS Family Function (pediatric and parent versions are available via HealthMeasures.net)
- Sport Concussion Assessment Tool 6 (SCAT6 13+yrs) (2023)
- Sport Concussion Assessment Tool 6 (Child SCAT6 8-12yrs) (2023)
- Sport Concussion Office Assessment Tool (SCOAT6 13+ yrs) (2023)
- Sport Concussion Office Assessment Tool (Child SCOAT6 8-12 yrs) (2023)
- SCHOOLFirst Handbook: Enabling successful return to school for Canadian youth following a concussion (Holland Bloorview Kids Rehabilitation Hospital)
- Severity Measure for Depression- Child Age 11–17 (adapted from PHQ-9 modified for Adolescents [PHQ-A])
- Severity Measure for Generalized Anxiety Disorder-Child Age 11–17 (adapted from GAD-7)
- Sleep for Youth – CHEO Sleep Hygiene handout (Children’s Hospital of Eastern Ontario) (2019)
- Standards for post-concussion care: from diagnosis to the interdisciplinary concussion clinic (Ontario Neurotrauma Foundation) (2017)
- Understanding and Managing Concussion in Youth: 3rd Edition Concussion Kit. (Montreal Children’s Hospital) (2023)
- Visio-Vestibular Examination (The Children’s Hospital of Philadelphia)
Additional Telemedicine and Virtual Care Resource Links – Tools and Resources for Diagnosing and Managing Pediatric Concussion)