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The third edition states its purpose for informing care providers and other stakeholders, while excluding self-diagnosis and use for individuals under 18. Recommendations are based on best available evidence at publication, with emphasis on clinician judgment, patient preferences, and contextual factors such as resource availability.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/guideline-for-concussionmild-traumatic-brain-injury-prolonged-symptoms-third-edition-adults-18-years-of-age/293737/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/guideline-for-concussionmild-traumatic-brain-injury-prolonged-symptoms-third-edition-adults-18-years-of-age/293737.png","ImageObject",300,407,{"name":92,"@type":93},"Connor ","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-17",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",14,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Who is this guideline intended for?","Question",{"text":113,"@type":114},"It is intended to inform and instruct care providers and other stakeholders delivering services to adults who have sustained or are suspected of having sustained a concussion/mTBI. It is not intended for patients or clients under 18 years, nor for self-diagnosis or treatment.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How should clinicians apply the recommendations?",{"text":118,"@type":114},"Recommendations are informed by the best available evidence at the time of publication. Clinicians should also use their clinical judgment, consider patient preferences, and account for contextual factors such as resource availability.",{"name":120,"@type":111,"acceptedAnswer":121},"What does the guideline cover beyond initial management?",{"text":122,"@type":114},"It includes guidance for persistent symptoms, including post-traumatic headache, sleep-wake disturbances, mental health disorders, cognitive difficulties, vestibular and vision dysfunction, persistent fatigue, and return-to-activity/work/school considerations.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},293737,1789668177,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":130,"read_time":145},687207022233,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Guideline for Concussion/Mild Traumatic Brain Injury & Prolonged Symptoms  \nHealthcare Professional Version  \nThird Edition  \nAdults (18+ years of age)  \nComplete Version  \nCOMPLETE VERSION  \nThe project team would like to acknowledge the Ontario Neurotrauma Foundation (ONF), who initiated and funded the development of the original guideline, as well as the current update. ONF is an applied health research organization with a focus on improving the quality of lives for people with an acquired brain injury or spinal cord injury, and on preventing neurotrauma injuries from occurring in the first place. ONF uses strategic research funding activity embedded within a knowledge mobilization and implementation framework to build capacity within systems of care. ONF works with numerous stakeholders and partners to achieve its objective of fostering, gathering and using research knowledge to improve care and quality of life for people who have sustained neurotrauma injuries, and to influence policy towards improved systems. The foundation receives its funding from the Ontario Government through the Ministry of Health and Long-Term Care.  \nPlease note, the project team independently managed the development and production of the guideline and,  \nthus, editorial independence is retained.  \n© Ontario Neurotrauma Foundation 2018  \nOntario Neurotrauma Foundation  \n90 Eglinton East  \nToronto, ON, Canada M4P 2Y3  \nTel.: 1 (416) 422-2228  \nFax: 1 (416) 422-1240  \nEmail: [info@onf.org](info@onf.org)  \n[www.onf.org](www.onf.org)  \nPublished May 2018  \nCover Photo Credit: Puzzle [Image: wallpaperwide.com](Image: wallpaperwide.com)  \nThe recommendations and resources found within the Guideline for Concussion/ mTBI & Prolonged Symptoms are intended to inform and instruct care providers and other stakeholders who deliver services to adults who have sustained or are suspected of having sustained a concussion/mTBI (mild traumatic brain injury) . This guideline is not intended for use with patients or clients under the age of 18 years. This guideline is not intended for use by people who have sustained or are suspected of having sustained a concussion/mTBI for any self-diagnosis or treatment. Patients may wish to bring their healthcare and other providers’ attention to this guideline.  \nThe recommendations provided in this guideline are informed by best available evidence at the time of publication, and relevant evidence published after this guideline could in luence the recommendations made within. Clinicians should also consider their own clinical judgement, patient preferences and contextual factors such as resource availability in clinical decision-making processes.  \nThe developers, contributors and supporting partners shall not be liable for any damages, claims, liabilities, costs or obligations arising from the use or misuse of this material, including loss or damage arising from any claims made by a third party.  \nTable of Contents  \nINTRODUCTION .................................................................................................................................................................... 1  \nKEY RECOMMENDATIONS ..................................................................................................................................................8  \nGUIDELINE RECOMMENDATIONS  \n1. Diagnosis/Assessment of Concussion/mTBI.................................................................................................................. 12  \n2. Initial Management of Concussion/mTBI........................................................................................................................ 18  \n3. Sport-Related Concussion/mTBI ....................................................................................................................................22  \n4.General Recommendations Regarding Diagnosis/Assessment of Prolonged Symptoms................................................. 27  \n5.General Recommenda","cbCaitAjR9Wxsiqw","https://ap.wps.com/l/cbCaitAjR9Wxsiqw","pdf",9998057,250,"English","# Introduction\n# Key Recommendations\n# Guideline Recommendations\n## Diagnosis/Assessment of Concussion/mTBI\n## Initial Management of Concussion/mTBI\n## Sport-Related Concussion/mTBI\n## General Recommendations Regarding Diagnosis/Assessment of Prolonged Symptoms\n## General Recommendations Regarding Management of Prolonged Symptoms\n## Post-Traumatic Headache\n## Persistent Sleep-Wake Disturbances\n## Persistent Mental Health Disorders\n## Persistent Cognitive Difficulties\n## Persistent Vestibular (Balance/Dizziness) and Vision Dysfunction\n## Persistent Fatigue\n## Return-To-Activity/Work/School Considerations\n# Algorithms\n## Initial Diagnosis/Assessment of Adult mTBI\n## Initial Management of Symptoms Following mTBI\n## Management of Persistent Symptoms Following mTBI\n## Assessment and Management of Post-Traumatic Headache Following mTBI\n## Assessment and Management of Persistent Sleep-Wake D","[{\"question\":\"Who is this guideline intended for?\",\"answer\":\"It is intended to inform and instruct care providers and other stakeholders delivering services to adults who have sustained or are suspected of having sustained a concussion/mTBI. It is not intended for patients or clients under 18 years, nor for self-diagnosis or treatment.\"},{\"question\":\"How should clinicians apply the recommendations?\",\"answer\":\"Recommendations are informed by the best available evidence at the time of publication. Clinicians should also use their clinical judgment, consider patient preferences, and account for contextual factors such as resource availability.\"},{\"question\":\"What does the guideline cover beyond initial management?\",\"answer\":\"It includes guidance for persistent symptoms, including post-traumatic headache, sleep-wake disturbances, mental health disorders, cognitive difficulties, vestibular and vision dysfunction, persistent fatigue, and return-to-activity/work/school considerations.\"}]","Guideline for Concussion/Mild Traumatic Brain Injury & Prolonged Symptoms - Third Edition - Adults (18+ years of age) | PDF",630]