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 (updated Sept 2023)
• Tool 1.3: Manage Acute and Prolonged Symptoms Algorithm
• Tool 2.0: Living Guideline Return to Activity Sports and School Protocol (UPDATED SEPT 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 (Updated Sept 2023)
• 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 (June 2023)
• 6th Consensus Statement on Concussion in Sport definition of sport-related concussion (Updated Sept 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 – 2nd edition 2024 (Updated March 2024)
• Canadian Guideline on Concussion in Sport -2nd edition – Medical Assessment Letter (Parachute) (Updated March 2024)
• Canadian Guideline on Concussion in Sport – 2nd Edition-  Medical Clearance Letter (Parachute)  (Updated March 2024)
• Canadian Guideline on Concussion in Sport – 2nd Edition- Pre-Season Education Sheet (Parachute)  (Updated March 2024)
• CATT Concussion Resources for Coaches (handout)
• CATT: Concussion Resources for School Professionals (handout)
• CATT Online: Concussion Awareness Training Tool
• CATT: Return-to-School Strategy 
• CATT: Return to Sport Strategy
• CATT: Student Return to Learn Plan
• 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)
• CHEO Concussion Information Sheet (May 2023 update)
• Concussion & You Handbook (Holland Bloorview Kids Rehabilitation Hospital)
• Concussion Ed – Parachute Concussion Education (App)
• Dix-Hallpike 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)
• Montreal Children’s Hospital Discharge Instructions
• Ontario Ministry of Education School Board Policies for Concussion
• Pan-Canadian School Concussion Protocol Template: Concussion Protocol Harmonization Project
• PAR Concussion Recognition & Response. (COMING SOON- LINK TO BE UPDATED EARLY IN 2021) Concussion symptom recognition tool for coaches and parents (app)
• Parachute Statement on Baseline Testing (2018)
• Parachute – Return to School and Return to Sport Strategies (Parachute) (Updated March 2024)
• Parachute’s Post Concussion Information Sheet for First Nations Youth
• Parachute’s Post Concussion Information Sheet for Nunavut Youth – French
• Parachute’s Post Concussion Information Sheet for Nunavut Youth – English
• Parachute’s Post Concussion Information Sheet for Nunavut Youth – Inuktitut
• Parachute’s Post Concussion Information Sheet for Nunavut Youth – Inuinnaqtun
• 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 (pediatric and parent versions are available via HealthMeasures.net)
• PROMIS Depression (pediatric and parent versions are available via HealthMeasures.net)
• PROMIS Profile (25 questions, 37 questions, 49 questions versions are available via HealthMeasures.net)
• PROMIS Family Function (pediatric and parent versions are available via HealthMeasures.net)
• Sport Concussion Assessment Tool 6 (SCAT6 13+yrs and Child SCAT6 8-12yrs) (Updated Sept 2023)
• Sport Concussion Office Assessment Tool (SCOAT6 13+ yrs and Child SCOAT6 8-12 yrs) (Updated Sept 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 (CHEO)
• Standards for post-concussion care: from diagnosis to the interdisciplinary concussion clinic 2017 (Ontario Neurotrauma Foundation)
• Understanding and Managing Concussion in Youth: 3rd Edition Concussion Kit. Montreal Children’s Hospital
• 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)

• Canadian Medical Association. Scaling up virtual care in Canada: CMA a key player in new national task force. February 2020. https://www.cma.ca/scaling-virtual-care-canada-cma-key-player-new-national-task-force
• American Medical Association.TeleHealth Quick Guide September 2020.
• Canadian Medical Association. Virtual Care Guide for Patients. June 2020.