CCC Concussion Resources
Disclaimer: Although this webpage proposes specific elements of information from several sources that were considered current as of July 2016, the Canadian Concussion Collaborative (CCC) acknowledge that the most current emerging research may add to, replace or require a revision of any of these documents. Therefore, the information found on this webpage is not intended to replace seeking help from a trained medical professional with adequate concussion expertise in the process of implementing concussion prevention and management protocols and policies.
About the date of publication of concussion resources: The body of knowledge about concussion is developing rapidly. As a consequence, the date of release of any concussion resource is a very important consideration. Currently, any resource that was released prior to 2013 has a higher risk of not reflecting all the recommendations found in the latest Concussion In Sport Group recommendations published in 2013 (see below). The next iteration of the recommendations from the Concussion In Sport Group are expected are expected in 2017 following the Berlin consensus conference in October 2016.
The resources are arranged in the following categories:
1) Recommendations and Tools from Concussion In Sport Group (CISG)
2) CCC Publications and Tools
3) Concussion Publications and Tools from the CCC Member Organisations
4) Documentation, Guidelines and Tools from other Canadian Organisations (other than the CCC member organisations)
5) Government Policies and Legislation about Concussion in Canada
Recommendations and Tools from Concussion In Sport Group (CISG)
Medical expert and researchers on concussion periodically review the available research on concussion and produce recommendations that constitute the basis of subsequent efforts to implement best practices on concussion. The CISG is the main international group of experts that has provided such periodic updates of concussion recommendations since 2001.
The most current of these recommendations was published online on April 26, 2017 following the Berlin consensus conference held in October 2016 :
Practical tool developed as part of the CISG recommendations :
Sport Concussion Assessment Tool – version 5 (SCAT5) : For individuals 13 years and older.
ENGLISH
FRANÇAIS (Le SCAT3 sera remplacé par le SCAT5 dès que la traduction sera disponible)
Child SCAT5
ENGLISH
FRANÇAIS (Le SCAT3 pour enfants sera remplacé par le SCAT5 pour enfnats dès que la traduction sera disponible)
Concussion Recognition Tool 5 (CRT5)
ENGLISH
FRANÇAIS (Le CRT sera remplacé par le CRT5 dès que la traduction sera disponible)
The next iteration of the CISG consensus conference is expected to occur before December 31, 2020.
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CCC Publications and Tools
1.The Top 5 Key Messages from the 5th International Consensus Statement on Concussion in Sport (June 2017) NEW!
ENGLISH
FRANCAIS
2. Four Characteristics of a Good Concussion Clinic (available soon)
3. Road map for Implementing Concussion Management Policies and Protocols in Sport NEW!
ENGLISH
FRANCAIS
4. Recommendations for Policy Development Regarding Sport-Related Concussion Prevention and Management in Canada
(British J Sport Med 2015; 49: 88–9)
ENGLISH
FRANÇAIS
News Release (August 21 2014) – Leading Canadian Health Organizations’ New Recommendations Call for Concussion Protocols to Protect all Canadians Participating in High Risk Sports
5. Five things to know about … Concussion. (CMAJ 2013)
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Concussion Publications and Tools from the CCC Member Organisations (in alphabetic order):
Active and Safe Initiative (CCES and Parachute) :
A collaboration to develop educational material on concussion involving 2 of the CCC member organisations, the Canadian Center for Ethics in Sport (CCES) and Parachute Canada. Several practical tools (ex : posters, videos, etc.) in ENGLISH and FRENCH were developed as part of this initiative and can be found on the following webpages:
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Active and Safe webpage on Parachute Canada (2011)
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Active and Safe webpage on CCES (2011)
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Mike Evan’s Educational Videos on Concussion:
Concussion 101, a Primer for Kids and Parents (2011)
Concussion Management and Return to Learn (2014)
Canadian Athletic Therapists Association:
- « Concussion: Signs, Symptoms, and Management » poster (published after CISG recommendations in 2012)
ENGLISH
FRANÇAIS
Canadian Center for Ethics in Sports:
- See « Active and safe » above.
Canadian Medical Association (CMA) :
Canadian Paediatric Society :
- Position statement on sport-related concussion (2014)
ENGLISH
FRANÇAIS - Sport-related concussion: Information for parents, coaches and trainers (2014)
ENGLISH
FRANÇAIS
College of Family Physicians of Canada :
- Position Statement – The Role of Family Physicians in the Management of Concussions. (2012)
ENGLISH
FRANÇAIS
OMA Sport Med :
- Sport Related Concussions for Physicians – Handout (2016)
Parachute Canada:
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See « Active and safe » above.
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The « Concussion Ed » App is designed to give youth, parents and educators, free access to critical concussion resources. (2016)
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The Parachute concussion webpage contains concussion information and tools organised for the following target audience categories : parents, educators, coaches, athletes, health care professionals and researchers.
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Documentation, Guidelines and Tools from other Canadian Organisations:
Alberta Concussion Alliance
The « Concussion Recommendations and Strategy » webpage provides a tool kit to support the implementation of « easily accessible research driven concussion prevention and management practices that are simple and safe to use » (2016)
Association Québeçoise des Médecins du Sport (AQMS)
L’AQMS propose un « coffret à outils sur les commotions cérébrales » (in FRENCH ONLY) qui comporte notamment des versions du protocole de retour au sport adaptées à différent sports.
BC Injury Research and Prevention Unit
Concussion Awareness Training Tool (CATT): The CATT includes three toolkits providing training in the recognition, treatment and management of concussion for: 1) Medical Professionals; (2) Parents, Players, and Coaches; and (3) School Professionals.
Canadian Coaches Association
« Making headway » : Online learning modules designed to help coaches (requires a National Coaching Certification Program (NCCP) registration #) gain the knowledge and skills required to ensure the safety of athletes. (Date not available ; currently under revision)
Corporation des thérapeutes du sport du Québec
Concussion Management Guidelines 2016:
ENGLISH
FRANCAIS
Institut National d’Excellence en Santé et Services Sociaux (INESSS)
Brochures d’information à l’attention des personnes ayant reçu un diagnostic de commotion cérébrale (FRENCH only) :
Montreal Children Hospital (MCH)
The MCH Trauma Concussion KiT (last complete revision: 2011) includes sport-specific return-to-play protocols that were recently updated (2016).
ENGLISH
FRANÇAIS
Ontario Neurotrauma Foundation :
- Guidelines Diagnosing and Managing Pediatric Concussion (ENGLISH) (June 2014)
- Lignes directrices pour le diagnostic et la gestion des commotions cérébrales pédiatriques (FRANÇAIS) (translation of June 2014 guideline ; released August 2015)
- Guidelines for Concussion/ Mild Traumatic Brain Injury and Persistent Symptoms in adults : 2nd Edition (2013)
Ontario Physical and Health Education Association (OPHEA)
OPHEA produced « concussion packages » adapted for school-based (elementary and secondary) environments (2014).
Université Laval
Formation en ligne ouverte à tous sur les Commotions cérébrales. (FRANÇAIS seulement)
MOOC on concussion from Laval University (FRENCH only) : Surveillez l’annonce de la date de la prochaine itération de cette formation à l’hiver 2017
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Government policies and legislation about concussion in Canada
Ministry of Education of Ontario:
Policy/Program Memorendum #158 was the first formal requirement by a Canadian province for the implementation of concussion prevention and management protocols in Canada. (2014)
ENGLISH
FRANÇAIS
Government of Ontario:
Bill 149: An Act to establish an advisory committee to make recommendations on the jury recommendations made in the inquest into the death of Rowan Stringer (2016)
ENGLISH / FRANÇAIS
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