This paper is a revision and update of the Vienna consensus recommendations developed following the 1st International Symposium on Concussion in Sport.1 The Prague agreement statement is designed to build on the principles outlined in the original Vienna document and to develop further conceptual understanding of this problem. This document is developed for use by doctors, therapists, health professionals, coaches and other people involved in the care of injured athletes, whether at the recreational, elite or professional level. Background Perspective In November 2001, the 1st International Symposium on Concussion in Sport was held in Vienna, Austria. This meeting was organized by the International Ice Hockey Federation (IIHF) in partnership with the Federation Internationale de Football (FIFA) and the International Olympic Committee Medical Commission (IOC). As part of the resulting mandate for the future, the need for leadership and updates was identified. To meet that mandate the 2nd International Symposium on Concussion in Sport was organized by the same group and held in Prague, Czech Republic in November 2004. The original aims of the symposia were to provide recommendations for the improvement of safety and health of athletes who suffer concussive injuries in ice hockey, football (soccer) as well as other sports. To this end a range of experts were invited to both meetings to address specific issues of epidemiology, basic and clinical science, injury grading systems, cognitive assessment, new research methods, protective equipment, management, prevention and long term outcome. At the conclusion of the initial conference, a small group of experts were given a mandate by the conference delegates and organizing bodies to draft a document describing the agreement position reached by those in attendance at that meeting. That document was co-published in the British Journal of Sports Medicine, Clinical Journal of Sport Medicine and Physician and Sportsmedicine.1 The wider interest base resulting from the first meeting and document was reflected by the expanded representation. New groups at the second meeting included trauma surgeons, sport psychologists and others. This same group has produced the current document as an update of the original Vienna consensus document and includes a sideline assessment form with a pocket sized summary card for use by clinicians. This protocol represents a work in progress and, as with all other recommendations or proposals, it must be updated as new information is added to the current state of the literature and understanding of this injury.
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