Ace concussion evaluation form 2025

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The document outlines the Acute Concussion Evaluation (ACE) protocol, designed for assessing and diagnosing mild traumatic brain injuries (MTBI) in patients. It includes sections on injury characteristics, symptom checklists, risk factors for prolonged recovery, red flags for emergency management, diagnostic codes, and follow-up action plans. The ACE aims to provide a structured approach to evaluate concussion symptoms and guide appropriate medical responses.

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Click ‘Get Form’ to open the ace concussion evaluation form in the editor.
Begin by entering the patient’s name, date of birth, and date at the top of the form. This information is crucial for identifying the individual being evaluated.
In section A, Injury Characteristics, provide details about the injury including date/time, age, and reporter. Answer questions regarding evidence of a forcible blow and any loss of consciousness.
Move to section B, Symptom Check List. Indicate whether symptoms such as headache or dizziness have been experienced since the injury by marking '0' for No or '1' for Yes.
In section C, check all applicable risk factors that may affect recovery. This includes concussion history and psychiatric conditions.
Review section D for any red flags that require immediate attention and ensure they are documented appropriately.
Finally, complete sections E and F for diagnosis codes and follow-up action plans based on your findings.

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What is the concussion scoring tool?

SCAT stands for Sports Concussion Assessment Tool 5. Its a concussion evaluation tool used for people 13 years and older. It includes the SAC test and much more a neck evaluation and balance assessment, yes/no symptom checklist and other information on injury and conditions associated with concussion.

What is the grading scale for concussions?

A grade I concussion consists of just confusion, A grade II concussion includes confusion and post-traumatic amnesia, and. Grade III and IV concussions imply a loss of consciousness (grade III in seconds and grade IV in minutes).

What are the 4 Ps of a concussion?

The Military Acute Concussion Evaluation (MACE) is an American medical screening and documentation measure that is used to gauge the severity of symptoms and cognitive deficits after a diagnosis of a concussion has been made.

What is the initial concussion evaluation?

Concussion tests assess your brain function after a head injury. Most concussion tests consist of questionnaires or symptom checklists. Concussion tests check for things like alertness, memory, focus, how fast you think and your ability to solve problems. They also check your balance and coordination.

What is the ACE evaluation for concussions?

The ACE is intended to provide an evidence-based clinical protocol to conduct an initial evaluation and diagnosis of patients (both children and adults) with known or suspected MTBI. The research evidence documenting the importance of these components in the evaluation of an MTBI is provided in the reference list.

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What does a concussion evaluation consist of?

Concussion screening tools measure physical skills such as balance. They also measure mental skills such as memory, concentration, attention, and how quickly you can think and solve problems. These are some of the tools health care professionals use to check and manage your health after a blow to the head.

What are the 5 steps of the scat exam?

The SCAT5 scoring summary includes the following sections: Red flags. Memory assessment Maddocks Questions. Glasgow Coma Scale (GCS) examination. Cervical spine assessment. Symptom evaluation. Cognitive screening. Neurological screening. Balance examination.