Performance Sports Therapy – Ottawa

What are the signs of a concussion, and when is it an emergency?

Common signs of a concussion are headache, dizziness, nausea, sensitivity to light or noise, trouble concentrating and simply not feeling right after a hit to the head or body. It is an emergency if the person loses consciousness, has a seizure, vomits repeatedly, or has a headache or confusion that keeps getting worse: call 911.

You do not have to be knocked out, or even hit on the head, to have a concussion. A blow to the body that whips the head can be enough. Symptoms can appear right away or over the following hours.

Red flags: call 911 or go to emergency

  • Loss of consciousness, or cannot be woken
  • Seizure
  • Repeated vomiting
  • Severe or worsening headache
  • Neck pain or tenderness
  • Double vision
  • Weakness, numbness or tingling in the arms or legs
  • Slurred speech or trouble walking
  • Increasing confusion, agitation or unusual behaviour
  • Fluid or blood from the ears or nose

Common symptoms

  • Physical: headache or pressure in the head, dizziness, nausea, blurred vision, balance problems, ringing in the ears, fatigue, sensitivity to light or noise
  • Thinking: feeling foggy or slowed down, confusion, trouble concentrating or remembering
  • Emotional: irritability, sadness, nervousness or anxiety
  • Sleep: sleeping more or less than usual, trouble falling asleep

What others may notice

  • Lying still or slow to get up after a hit
  • Blank or vacant look
  • Stumbling or poor coordination
  • Clutching the head
  • Slow or confused answers to simple questions

What to do

  1. Stop playing right away. When in doubt, sit them out.
  2. Do not leave the person alone, and watch for red flags over the next few hours.
  3. Get assessed as soon as possible. In Ontario, a physician or nurse practitioner should assess a suspected concussion.
  4. Do not return to play the same day, even if symptoms seem to clear.

This page is general information and cannot tell you whether you have a concussion. Once emergencies have been ruled out, our concussion management service can help guide recovery.

Need help after a suspected concussion?

Book Appointment613-742-1230

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