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Guidelines diagnosing and Managing Pediatric Concussion First edition, June 2014, v1.1This document is intended to guide health care professionals in diagnosing and managing pediatric not adult concussion.
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To fill out a pediatric concussion form, follow these steps:
02
Start by providing the patient's personal information, including their name, date of birth, and contact details.
03
Specify the date and time of the concussion injury.
04
Document the circumstances surrounding the injury, such as the type of activity or event that caused the concussion.
05
Describe the symptoms experienced by the child after the injury, including any physical, cognitive, or emotional symptoms.
06
Provide details about any previous concussions or head injuries the child has had.
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Note any medical interventions or treatments the child has received for the concussion.
08
Include information about any additional healthcare professionals who have evaluated or treated the child for the concussion.
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Finally, sign and date the form to attest to its accuracy and completeness.

Who needs pediatric concussion?

01
Pediatric concussion forms are needed for children who have experienced a head injury and are suspected to have a concussion.
02
They are typically required in medical settings, schools, athletic organizations, and other institutions that deal with child health and safety.
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These forms help to gather relevant information about the child's concussion history, symptoms, and treatments to ensure appropriate care and management.
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Pediatric concussion is a type of head injury that occurs in children and adolescents, typically due to a blow to the head or body that causes the brain to move within the skull.
Healthcare professionals, coaches, and parents are required to file pediatric concussion if a child or adolescent experiences a head injury that may result in a concussion.
To fill out a pediatric concussion report, one must provide details about the injury, symptoms experienced, medical history, and any treatments or interventions administered.
The purpose of pediatric concussion reporting is to track and monitor head injuries in children and adolescents, ensure proper medical care is provided, and prevent long-term complications.
Information such as the date and time of injury, symptoms experienced, medical history, treatments administered, and follow-up care must be reported on pediatric concussion.
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