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neurology ortho-trauma emergency paediatrics

SCAT-6 — Sport Concussion Assessment Tool (6th Edition)

Standardised acute and sideline assessment for sports-related concussion (Concussion in Sport Group, Amsterdam 2022). The full SCAT6 has multiple components — this calculator records the overall decision after the red-flag screen, symptom check, cognitive screen and balance assessment. SCAT6 is for ages 13 and over; use the Child SCAT6 for ages 8–12.

Score interpretation

No Concussion Suspected on This Assessment 0

→ A normal SCAT6 does not rule out concussion. Re-assess if any symptom develops within 24–72 h and remove from play if concussion is suspected at any point. Educate athlete and family on delayed-onset symptoms.

Suspected concussion — remove from play 1

→ REMOVE from play immediately and DO NOT return same day. Initial 24–48 h relative rest then graduated return-to-learn and graduated return-to-play (6 stages, ≥24 h per stage). Medical clearance before full contact. Document initial SCAT and serial assessments.

Red flag — emergency referral 2

→ Call ambulance / transfer to ED. Cervical-spine immobilisation. CT head per NICE NG232 if indicated. Admit for neurological observation. Consider neurosurgical review. Do NOT return to play until specialist clearance.

Interpretation bands for the SCAT-6. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.