Symptom complexGuidelineGrade1st concussion2nd concussion3rd concussion
Concussion symptoms < 15 minutes.Roberts12 “Ding”Return to play when asymptomatic for 20 minutes.Return to play when asymptomatic for 1 week.Return to play when asymptomatic for 2 to 4 weeks.
No PTA
Cantu7 1Return to play when asymptomatic.Return to play in 2 weeks when asymptomatic for 1 week.Terminate season. May return next season.
Colorado8 1Return to play when asymptomatic for 20 minutes.Return to play when asymptomatic for 1 week.Terminate season. May return in 3 months.
AAN9 1Return to play when asymptomatic for 15 minutes.Return to play when asymptomatic for 1 week. If second concussion in same day, terminate activity that day.

PTA < 30 minutes.Roberts12 1Return to play when asymptomatic for 1 week.Return to play after 2 weeks if asymptomatic for 1 week.Return to play when asymptomatic for 3 to 6 months.
No LOC
Cantu7 1Return to play when asymptomatic for 1 week.Return to play in 2 weeks when asymptomatic for 1 week. Consider terminating season.Terminate season. May return next season.
Colorado8 2Return to play when asymptomatic for 1 week.Return to play after asymptomatic for 1 month.Terminate season. May return next season.
(Concussion symptoms > 15 minutes)AAN9 2Return to play when asymptomatic for 1 week.Return to play after 2 weeks if asymptomatic.

PTA > 30 minutes, < 24 hours.Roberts12 2Return to play when asymptomatic for 1 week.Return to play after 1 month if asymptomatic for 1 week.Return to play when asymptomatic for 3 to 6 months.
LOC < 5 minutes
Cantu7 2Return to play when asymptomatic for 1 week.Return to play after 1 month if asymptomatic for 1 week. Consider terminating season.Terminate season. May return next season.
(Any LOC)Colorado8 3Transport to hospital. Return to play 1 month after injury if asymptomatic for 2 weeks.Terminate season. Discourage return.
(LOC for seconds)AAN9 3Transport to hospital. Return to play when asymptomatic for 1 week.Return to play after 1 month.

PTA > 24 hours.Roberts12 3Return to play 1 month after injury if asymptomatic for 2 weeks.Return to play after 3 to 6 months.No return
LOC > 5 minutes
Cantu7 3Return to play 1 month after injury if asymptomatic for 1 week.Terminate season.
(Any LOC)Colorado8 3Transport to hospital. Return to play 1 month after injury if asymptomatic for 2 weeks.Terminate season. Discourage return.
(LOC lasting more than a few seconds)AAN9 3Return to play after asymptomatic for 2 weeks.Return to play when asymptomatic for 1 month.