Athletic trainers are increasingly utilized in non-traditional settings, such as in law enforcement, where they can contribute to healthcare management, including concussion management of law enforcement officers (LEOs). Despite the prevalence of concussions among LEOs, there is a notable gap in concussion management guidelines for this population. LEOs may lack the education and resources necessary for concussion recognition and proper management. Drawing on advancements in concussion management in athletes and military personnel, here we present a comprehensive framework for concussion management in LEOs encompassing concussion education, a graduated return to duty (RTD) protocol, and considerations for implementation and documentation specific to law enforcement. We also present several barriers and facilitators to implementation. Due to job requirements, it is critical for law enforcement organizations and their medical providers to adopt a concussion management strategy. Without proper concussion management, LEOs may risk subsequent injury and/or suffer from prolonged recovery and adverse long-term outcomes.

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Author notes

Authorship: All authors provided (1) substantial contributions to conception and design of this work; (2) substantial contributions to drafting the article or revising it critically for important intellectual content; and (3) final approval of the version to be published.

Financial Disclosures: This work was supported by the Assistant Secretary of Defense for Health Affairs endorsed by the Department of Defense, through the Traumatic Brain Injury and Psychological Health Research Program under Award No. HT9425-23-1-0520 and HT9425-23-1-0521 and by Ohio State’s Chronic Brain Injury (CBI) Pilot Award Program. Opinions, interpretations, conclusions and recommendations are those of the author and are not necessarily endorsed by the Department of Defense or by Ohio State’s CBI Program.

Conflicts of Interest: All authors declare that they have no competing interests.