• Immediate or acute assessment of suspected sport-related concussion in children.
• Target Age: 8 to 12 years (children aged 5–7 use the lower age-specific checklists).
• Intended for use within the first 72 hours (up to 7 days) post-injury.

• Simplified Instructions: Vocabulary tailored for pediatric understanding.
• Parental Involvement: A separate parent-report symptom inventory is included for scoring.
• Maddocks Questions: Simplified orientation questions (e.g., "What is the name of your school?", "What is your teacher's name?").
• Symptom Scale: 0–3 or smiley-face visual scales are often used in younger patients (though the formal SCAT6 uses 0–6).

Children may exhibit delayed symptom onset compared to adults. A "day of" negative screen does not guarantee safety; serial monitoring over 24–48 hours is mandatory.

• Recovery in children generally takes longer (up to 4 weeks).
• Return-to-School must precede Return-to-Sport.
• Parent observations of "not acting like themselves" are high-value clinical indicators.

• Immediate removal from play: Mandatory for any suspected pediatric concussion.
• Return-to-School: Prioritizes academic adjustments (e.g., shorter days, no exams).
• Physical activity: "Symptom-limited" light activity (e.g., walking) is encouraged after 24–48 hours.