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Grade 3: Knocked out - Blacked out
Any loss of consciousness, no matter how brief, even if the athlete successfully completes all of the exams after he or she returns to consciousness, is a grade 3 concussion requiring immediate medical attention:
Immobilize the athlete's head and call an ambulance.
If the athlete wakes up within one minute and does not have any neck pain, call an ambulance or ask a responsible adult to take the player to an emergency room.
If the athlete is unconscious longer than one minute, or complains of neck pain after returning to consciousness, assume that a spine injury exists. Call an ambulance. While waiting for it to arrive, keep the athlete's head from being moved. Expect the athlete to be prohibited from taking part in the activity for a minimum of two weeks to one month.
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