Valuable information but it fits the "Close enough for government work" definition. It repeats many of the common mis-beliefs about concussion and mTBI i.e. With proper diagnosis and management, most patients with MTBI recover fully. The statistics are weak, likely do to poor extrapolation of the unreported concussions.

The ACE test is highly dependent on the patients own subjective responses. This can lead to a failure to properly code the medical record for 'probable concussion.' It discounts the value of ICD-9 code 850.9 Concussion, unspecified and completely ignores code 959.01 Head injury, unspecified.

More recent research suggest the need to enter these codes into the patient's medical record so that a later manifestation of PCS like symptoms can be properly identified.

Many of the weaknesses of this report could be overcome with a more conservative approach that includes adequate warning of long term vulnerability to more severe symptoms from minor impacts to the brain and the need to record the history of any noticeable impact to the head in the patient's medical record. The patient's need to be aware of their own history of a head impacts should also be mentioned.

These short comings may be due to a reliance on published articles without a review of the many valuable symposium presentations that may not have been transcribed into the written records.