and 70 in the NHL each year. . The American Academy of Neurology has adoptedrecommendations for the management of concussion in sports that are designedto prevent second impact syndrome and to reduce the frequency of othercumulative brain injuries related to sports. These recommendationsdefine symptoms and signs of concussion of varying severity and indicateintervals during which athletes should refrain from sports activity followinga concussion. Following head impact athletes with any alterationin mental status, including transient confusion or amnesia with or withoutloss of consciousness, should not return to activity until examined bya health -care provider familiar with these guidelines.


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