What is the appropriate initial management for a patient experiencing a concussion?

The appropriate initial management for a patient experiencing a concussion is cognitive rest. Cognitive rest refers to limiting activities that require concentration and mental effort, which can help ease symptoms and promote recovery. Since a concussion is a mild traumatic brain injury, the initial treatment aims to prevent further injury and allow the brain to heal.

During this period of cognitive rest, activities such as reading, playing video games, or using the computer should be minimized. This approach acknowledges that mental exertion can exacerbate symptoms like headaches, dizziness, and confusion.

In contrast, options like neurological surgery and immediate MRI are not typically indicated for a concussion unless there are red flags suggesting more serious injuries, such as intracranial bleeding or skull fracture. Antibiotic therapy is irrelevant in the management of concussions, as they are not caused by infections. Therefore, cognitive rest is the most appropriate and beneficial initial step in managing a concussion.