Concussions are suprisingly common in sports injuries especially football, ice hockey, soccer and even volleyball. Concussions do not always involve being “knocked out” or a loss of consciousness. A concussion occurs whenever a child’s mental status is altered as a result of trauma (usually a blow to the head). A child who shows signs of mental confusion or is “dinged” by a blow to the head has suffered a concussion. Concussions often result in mental and physical symptoms such as inability to concentrate, forgetfulness, headaches, fatigue, and dizziness. Most sysptoms disappear in 10 days. Concussions are managed according to the severity of symptoms. If a child losses consciousness he should be evaluated immediately after the concussion occurs to rule out other injuries, loss of consciousness and his vital signs. REMEMBER NOT ALL BRAIN INJURIES HEAL THE SAME.