Standardized assessment of concussion addendum^[1,2]

Graded symptom checklist
Symptom (Likert scale 0 to 6)	None	Mild	Moderate	Severe
Headache	0	1 to 2	3 to 4	5 to 6
Nausea	0	1 to 2	3 to 4	5 to 6
Vomiting	0	1 to 2	3 to 4	5 to 6
Dizziness	0	1 to 2	3 to 4	5 to 6
Poor balance	0	1 to 2	3 to 4	5 to 6
Blurred/double vision	0	1 to 2	3 to 4	5 to 6
Sensitivity to light	0	1 to 2	3 to 4	5 to 6
Sensitivity to noise	0	1 to 2	3 to 4	5 to 6
Ringing in the ears	0	1 to 2	3 to 4	5 to 6
Poor concentration	0	1 to 2	3 to 4	5 to 6
Memory problems	0	1 to 2	3 to 4	5 to 6
Not feeling "sharp"	0	1 to 2	3 to 4	5 to 6
Fatigue/sluggish	0	1 to 2	3 to 4	5 to 6
Sadness/depression	0	1 to 2	3 to 4	5 to 6
Irritability	0	1 to 2	3 to 4	5 to 6
Amnesia
Post-traumatic amnesia	Yes	No	Length:
Retrograde amnesia	Yes	No	Length:
Strength
Right arm	Normal		Abnormal
Right leg	Normal		Abnormal
Left arm	Normal		Abnormal
Left leg	Normal		Abnormal
Sensation	Normal		Abnormal
Coordination of limbs/gait	Normal		Abnormal

The unscored portion of the Standardized Assessment of Concussion (SAC) includes a graded symptom checklist, a brief neurologic examination, and records the presence of post-traumatic and retrograde amnesia.

References:

McCrea M, Kelly JP, Randolph C, et al. Standardized assessment of concussion (SAC): on-site mental status evaluation of the athlete. J Head Trauma Rehabil 1998; 13:27.
Guskiewicz KM, Bruce SL, Cantu RC, et al. National Athletic Trainers' Association Position Statement: Management of Sport-Related Concussion. J Athl Train 2004; 39:280.

Graphic 67396 Version 6.0

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Standardized assessment of concussion addendum[1,2]

Standardized assessment of concussion addendum^[1,2]