patient is symptom free Recent reports suggest that a return to activities 24 to 48 hours after physical rest, maintaining a level of activity that does not cause symptom recurrence, may decrease the time to return to play The current consensus recommendations for return to play should follow a slow progression with light aerobic exercise, advancing to sports-specific exercise followed by noncontact drills and full-contact practice with final advancement to full participation in all sporting activities Other recommendations to improve cognitive rest should include good sleep hygiene, adequate hydration, and decreased use of electronic devices unless necessary for school performance SKULL FRACTURES CLINICAL PEARLS AND PITFALLS Linear, parietal, nondepressed skull fractures are the most common Skull fractures are common in accidental and nonaccidental trauma Most linear, nondepressed skull fractures heal without complications Goal of Treatment The primary goal of treatment is to delineate simple, linear, nondepressed skull fractures from complicated skull fractures Complicated skull fractures are more likely to be associated with intracranial injury and/or nonaccidental trauma Early injury pattern recognition and neurosurgical consultation to determine need for surgical intervention is ideal