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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 2023). The full SCAT-6 has multiple components — this calculator records the overall on-field decision after symptom check, balance error scoring, cognitive screen, and immediate red-flag screen. Use Child SCAT-6 for ages 5–12.

Score interpretation

Cleared from concussion concern 0

→ Continue activity if all assessments normal. Re-assess if any symptom develops within 24–72 h. 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.