What is the preferred management plan for patients diagnosed with a concussion in the acute setting?

For acute concussion, if sports related, they should be removed from play immediately and not allowed to return for the duration of the game. For any cause of concussion, it is generally accepted to avoid NSAIDs and use acetaminophen for the first 24 hours if needed for headache. After the initial 24 hours, I typically recommend a course of Aleve BID for 3 days to break the intractable headache and neck strain (if present) and address inflammation. If any progressive worsening of symptoms or mental status, they should go to an ED or urgent care for evaluation and possible CT scan of the head, particularly if any focal findings or LOC. The patient should be assessed ideally within the first 1-2 days from the injury and again, within a week a...