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patient guideJanuary 15, 2025

I Think I Have a Concussion — What Should I Do?

A step-by-step guide to what to do after a suspected concussion, from the first moments through recovery. Learn when to seek emergency care, when routine medical assessment is appropriate, and how to support optimal recovery.

Shift Concussion Management•4 min read

Quick Answer

If you suspect that you have sustained a concussion, stop your activity immediately, inform someone you trust, and reduce physical and cognitive demands for the first 24–48 hours. Arrange an appointment with your Family Physician or Nurse Practitioner within the first few days for assessment. Most concussions do not require emergency care; however, urgent medical attention is needed if you develop red flag symptoms such as repeated vomiting, seizures, worsening neurological symptoms, or prolonged loss of consciousness.


Step-by-Step: What to Do After a Suspected Concussion

Step 1: Stop Activity and Tell Someone

Immediately after a suspected concussion:

  • Stop what you are doing — Remove yourself from sport, work, or other activities.
  • Tell someone — Inform a parent, partner, coach, teacher, teammate, or coworker.
  • Avoid being alone — Have someone stay with you for the first several hours.
  • Reduce stimulation — Move to a quiet, low-demand environment.

Why this matters: Continuing physical or cognitive activity immediately after a concussion can worsen symptoms and prolong recovery. Early recognition and removal from activity are key protective steps.


Step 2: Monitor for Red Flag Symptoms

During the first 24–48 hours, watch closely for emergency warning signs, including:

  • Worsening or severe headache
  • Repeated vomiting
  • Seizures or convulsions
  • Loss of consciousness lasting more than a brief moment
  • Slurred speech or difficulty speaking
  • Weakness, numbness, or coordination problems
  • Unequal pupil size
  • Extreme drowsiness or difficulty waking
  • Increasing confusion, agitation, or unusual behaviour
  • Severe or worsening neck pain

If any of these occur: Call 911 or go to the emergency department immediately. These symptoms may indicate a more serious brain or cervical injury requiring urgent medical evaluation.


Step 3: Get a Medical Check-up

Within the first few days after your injury, arrange an assessment with your Family Doctor or Nurse Practitioner.

  • Emergency care is not usually required unless red flags are present.
  • A family physician, walk-in clinic doctor, or sports medicine physician can assess suspected concussion.
  • Imaging (CT or MRI) is typically not required for concussion, as concussions do not appear on standard scans. Imaging is used only when there is concern for bleeding, fracture, or other structural injury.
← Back to Concussion Hub

What to expect: The physician will review symptoms, assess for red flags, provide a diagnosis when appropriate, and offer initial management guidance.


Step 4: Obtain a Specialized Concussion Assessment

Why specialized care matters:

Concussion is a complex injury that can affect multiple systems. A clinician trained in concussion management or a dedicated concussion clinic can provide a more comprehensive evaluation, including:

  • Standardized symptom and functional testing
  • Identification of affected systems (e.g., vestibular, visual, cervical, cognitive, autonomic)
  • Review of prior concussion history and risk factors
  • Development of an individualized rehabilitation and recovery plan

When to book: Ideally within the first week of injury, or sooner if symptoms are significant or interfering with daily function.


Step 5: Follow a Structured Recovery Plan

Recovery plans are individualized and may include:

  • Graduated return to activity — Stepwise return to school, work, and sport
  • Symptom management strategies — Addressing headaches, sleep disruption, dizziness, and cognitive fatigue
  • Targeted rehabilitation — Vestibular, vision, cervical, or exertion-based therapy as indicated
  • Activity modification — Temporary academic or workplace accommodations
  • Aerobic exercise — Controlled, symptom-limited exercise introduced early under guidance

Key principle: Recovery should be active and guided, not passive. Research consistently shows that appropriately dosed activity leads to better outcomes than prolonged rest.


Step 6: Attend Follow-Up Appointments

Ongoing monitoring is essential to ensure safe progression:

  • Track symptom trends over time
  • Report any new, worsening, or persistent symptoms
  • Adjust rehabilitation as needed
  • Obtain medical clearance before returning to contact sports or high-risk activities

Typical recovery timeline: Most concussions resolve within 2–4 weeks with appropriate management. Some individuals may take longer, particularly if risk factors or multiple systems are involved.


The First 24–48 Hours: What to Focus On

During the early recovery phase, aim for relative rest:

  • Limit screen time and cognitively demanding tasks
  • Avoid loud, bright, or highly stimulating environments
  • Prioritize sleep and regular rest
  • Stay well hydrated
  • Avoid alcohol
  • Do not drive if experiencing high symptom levels

Important: Complete isolation or prolonged "dark room rest" is no longer recommended. Light activity that does not significantly worsen symptoms is appropriate and often beneficial.


Common Mistakes to Avoid

  • Pushing through symptoms over the first 24-48 hours
  • Complete inactivity or isolation for days
  • Delaying medical assessment because symptoms seem mild
  • Returning to sport or full activity too quickly
  • Assuming there are no treatment options for concussion

Key Takeaways

  • Stop activity immediately and inform someone if you suspect a concussion
  • Monitor carefully for red flag symptoms requiring emergency care
  • See a physician within the first few days
  • Seek specialized concussion care for individualized management
  • Follow an active, structured recovery plan
  • Obtain proper clearance before returning to high-risk activities

When to Seek Care

SituationWhere to Go
Red flag symptoms presentEmergency department (call 911)
Suspected concussion, no red flagsPhysician or Nurse Practitioner within first few days
Symptoms not improving after 1 weekConcussion care provider or clinic
Return-to-sport clearanceConcussion clinic in collaboration with Physician/Nurse Practitioner

Need a concussion assessment? Book with our team at Shift Concussion Management in Guelph, Ontario for comprehensive evaluation and personalized recovery planning, or find a trained Shift Provider near you.

Related Resources:

  • What is a concussion?
  • What are the common symptoms of a concussion?
  • How long does it take to recover from a concussion?

Article authored by Shift Concussion Management. Last updated January 2025.