What is the Passeport Commotion evaluation tool?

Passeport Commotion is a comprehensive concussion evaluation protocol designed for athletes. It provides a complete monitoring system with multiple assessment forms to evaluate brain injuries at different stages following a head trauma.

When should I seek emergency medical attention during a concussion evaluation?

You should immediately go to the emergency room (call 15 or 112) if severe symptoms are detected during the evaluation. The tool will alert you with an 'URGENCE MÉDICALE' warning when emergency medical attention is required.

What is the difference between NEURO1, NEURO2, and NEURO3 forms?

NEURO1 is for immediate evaluation within minutes after a head impact. NEURO2 is a comprehensive assessment with cognitive tests to be completed 1-3 hours after the incident. NEURO3 is used for return-to-activity preparation after 1-2 nights of sleep.

Which form should I start with if this is my first evaluation after a head injury?

If this is your first evaluation after the incident, you should start with NEURO1. The subsequent forms (NEURO2 and NEURO3) will be automatically suggested based on your results and the timeline of your recovery.

What does it mean if I answer 'YES' to any question in the NEURO1 form?

A single 'YES' answer to questions 1-20 in the NEURO1 form indicates a high probability of concussion. Questions marked with ⚠️ are emergency warning signs that require immediate medical attention.

What personal information is required for the concussion evaluation?

The evaluation requires your full name, age, sport practiced (cycling, rugby, football, hockey, skiing, equestrian, combat sports, or other), and the date/time of the incident. You must also certify that you are completing the questionnaire alone, calmly, and honestly.

Concussion Evaluation: Complete Assessment Guide

Which form to fill out?

Select the form appropriate to the timing of your evaluation following a head injury.

🚨

NEURO1

Immediate evaluation after the head hit

Within minutes

⏰

NEURO2

Comprehensive evaluation with cognitive tests

1 to 3 hours after

🌙

NEURO3

Preparation for return to activity

After 1-2 nights of sleep

If this is your first evaluation after the incident, start with NEURO1. The following forms will be proposed automatically based on your results.

Personal Information

Necessary for the follow-up of your evaluation

Full Name *

Age *

Sport practiced *

Date/time of the incident *

NEURO1 Form

To be completed in the minutes following the head hit

A single "YES" to questions 1-20 indicates a high probability of concussion. Questions with ⚠️ are emergency signs.

NEURO2 Form

To be completed 1 to 3 hours after the fall/incident

This form includes a symptom questionnaire and cognitive tests to assess your condition.

📋 Symptom Questionnaire

🧠 Cognitive Tests

TEST 1 Immediate Memory

Memorize these 5 words, then try to repeat them in any order. You will have 3 attempts.

FINGER CENT BLANKET LEMON INSECT

Words recalled (out of 3 attempts): / 15 points

TEST 2 Numbers Backwards

Repeat these numbers backwards. For example, if the prompt is "7-2", you should answer "2-7".

4 - 9 - 3 - 6

Success:

TEST 3 Reaction Time

Ask someone to drop a 30cm ruler. Catch it as quickly as possible. Record the distance in cm where you caught it (average of 3 trials).

Average distance: cm (normal < 20cm)

NEURO3 Form

To be completed after 1 to 2 nights of sleep

This form prepares your return to sports activity. If all symptoms have disappeared, you can start the recovery program.

📋 Current Symptom Questionnaire

🧠 Control Cognitive Tests

TEST 1 Delayed Memory

Without looking, can you recall the 5 words from the NEURO2 test?

Words recalled: / 5 words

TEST 2 Concentration Test

Recite the months of the year backwards starting with December.

Success:

SLEEP Sleep Quality

How have you been sleeping since the incident?

Quality:

Instructions for the first few days

Recommendations to follow after a concussion

🚨 Do not stay alone

The concussed athlete should not stay alone during the evening and night following the concussion.

⚠️ Signs of deterioration - Call 15 or 112

Significant or increasing neck pain
Double vision
Weakness or tingling in limbs
Significant or increasing headache
Repeated vomiting
Seizures
Abnormal drowsiness
Increasing aggression or nervousness

🚫 To avoid

Alcohol and drugs for a minimum of 72 hours
Driving vehicles for a minimum of 24 hours
Intense physical activities for 48 hours
Prolonged screen exposure
Sleeping pills or strong painkillers

✅ Recommended

Cerebral rest: limit intense cognitive activities
Light activity: walking, strolling starting 24h
Nutrition: balanced, rich in omega-3
Sleep: regular and reasonable hours
Paracetamol: if headaches (short duration)

📅 Next steps

✓

NEURO1 - Immediate

Initial evaluation completed

2

NEURO2 - In 1-3 hours

Cognitive tests and symptom monitoring

3

NEURO3 - After 1-2 nights

Preparation for return to activity

Gradual Return Program

Return to sports activity in stages

Each stage lasts at least 24 hours. If symptoms reappear, return to the previous stage.

1

Stage 1 - Relative Rest

Light daily activities, no sports. Limit screens and intense cognitive activities.

2

Stage 2 - Light Aerobic Activity

Walking, stationary cycling (10-15 min). Intensity < 70% max HR. No resistance.

3

Stage 3 - Sport-specific Exercises

Non-contact technical exercises. Running, specific movements.

4

Stage 4 - Non-contact Training

More intense training, coordination, and thinking exercises.

5

Stage 5 - Contact Training

After medical clearance. Gradual contact resumption.

6

Stage 6 - Return to Competition

Normal participation in games and competitions.

⚠️ Minimum delay

For cycling and sports with risk of falling: minimum 3 weeks (2 weekends without competition) before full return.