Concussions obtained during sport activities are coming into focus. Approximately 44 million children and teens participate in sporting activities in schools and communities. Football, Soccer and Hockey are among those with the highest incidence of head injury resulting in concussion. If a concussion is suspected, then the first priority is to remove the athlete from play and do a quick exam to determine the extent of the head injury. Evaluation should occur on the sidelines to determine the extent of injury and if immediate evaluation is necessary. A secondary exam should take place within the next 24-48 hours. It is important to the provider to know the extent of injury and type of impact occurred along with any symptoms that may have or currently occurring. These symptoms can include: Headache, Dizziness, Light/Noise sensitivity, Difficulty with sleeping or concentrating, Varied emotions (yeah I know, their teens) Imbalance,Amnesia, Confusion or Fatigue. The first key to managing a concussion is removal from activity and rest as much as possible. If the athlete is driving, then restrictions should be placed on that as well. The provider will give further education to both the athlete and parents in regards to returning to school or sport activities as the symptoms resolve. The younger the athlete the longer the time of recovery may be. Initial Be save and use caution in all sporting events. A win for the team can be a loss of a brain.