We are excited to see so many of you join our FMEP courses. Several of you have requested we continue to post more practice SAMPs, so here you go!

SAMP

Emma is a 14-year-old competitive hockey player who was involved in a collision on the ice yesterday. Her helmeted head struck the boards, and although she did not lose consciousness, she immediately felt “dazed” and required help skating off the rink. Today, she complains of a persistent headache, sensitivity to bright lights, and difficulty concentrating during school lessons. She denies vomiting or neck pain. Her neurological examination is normal, and she appears alert and oriented, but her hockey coach is eager for clearance as the provincial championship takes place this weekend. Emma expresses concern about missing the tournament but admits she doesn’t feel like herself. (8 points)

1. Provide a brief definition of concussion. (1 point)

   Answer: A functional brain injury without structural abnormalities

2. List two red-flag symptoms requiring ED-level assessment. (2 points)

   Answer: Worsening headache, repeated vomiting, seizures, focal neuro deficits, declining consciousness (any two)

3. Name one recommended assessment tool for concussion. (1 point)

   Answer: SCAT5 or Child SCAT5

4. Should she undergo a CT scan? Explain briefly. (1 point)

   Answer: No – avoid routine CT; use PECARN criteria to identify need

5. List two appropriate return-to-learn accommodations. (2 points)

   Answer: Reduced workload, shortened day, frequent rest breaks, screen reduction (any two)

6. State one requirement for return-to-play clearance. (1 point)

   Answer: Asymptomatic both at rest and with exertion