Concussion Management TODD NELSON NYSPHSAA ASSISTANT DIRECTOR NYSPHSAA SAFETY COMMITTEE

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1 Concussion Management TODD NELSON NYSPHSAA ASSISTANT DIRECTOR NYSPHSAA SAFETY COMMITTEE

2 NYSPHSAA PHILSOPHY MINIMIZING RISK 1. Equipment Eyewear FH/GLax 2. Rules and Regulations Contact Limits - Football 3. Official and Coaches Education Heads Up Program Girls Lax Officials Avoid term SAFER This Photo by Unknown Author is licensed under CC BY-SA

3 MISCONCEPTION

4 Concussion Management Law NYSPHSAA worked with many legislators Educationally sound legislation Senator Hannon and Assemblywoman Nolan Law in effect July 1, 2012 public/charter schools NYSPHSAA approves Law for ALL member schools

5 Requirements for Member Schools Education Information Removal from athletics

6 Recommendations Board of Education Policy Post Concussion Management Concussion Management Team

7 Updated Guidelines NYSPHSAA worked with BIANYS SED just released updated guidelines

8 Education All coaches, physical education teachers, school nurses, and certified athletic trainers Coaches and physical education teachers (coaches only) School nurses and athletic trainers Courses approved by SED New NFHS Student Concussion Course

9 Information Parental permission forms sign off Concussion Management information or SED website must be on school website, if one exists ices/

10 NYSPHSAA Student/Parent information

11 Removal from Athletics Immediate removal from athletics any student with a concussion or suspected of a concussion No resumption of athletic activity symptom free for 24 hours and evaluated and cleared by a licensed physician ***** Updated Interscholastic athletics school medical director

12 Board of Education Policy Schools advised to develop written policy Should include: A commitment to reduce the risk of head injuries A procedure and treatment plan school medical director A procedure to ensure proper education school nurses, coaches, athletic trainers, PE teachers A procedure for a coordinated communication plan A procedure for periodic review of Concussion program Draft Policy and Guidelines

13 Post Concussion Management Cognitive Rest *** Updated Avoid activities that require mental stimulation/concentration Physical Rest Adequate sleep Rest periods Avoid physical exertion Return to School *** Updated Accommodations to schedule and work load Brain Injury Association

14 Return to Play Protocol Must be symptom free for 24 hours and cleared by School Medical Director. *** Updated Phase 1 low impact, non strenuous, light aerobic activity Phase 2 higher impact, moderate aerobic activity, no resistance training Phase 3 sport specific non-contact activity, low resistance weight training with spotter Phase 4 sport specific activity, non-contact drills, higher resistance weight training with spotter Phase 5 full contact drills, intense aerobic activity Phase 6 return to full activities w/ clearance SMD

15 School Concussion Management Team CMT can help implement and monitor concussion management policy and program Members include, but not limited to: School medical director School nurse Certified athletic trainer Athletic director Physical education teachers/coaches Parents and Students Private physicians Classroom teachers

16 NYSPHSAA Resources and Materials More information on 2 nd Edition of Concussions The Invisible Injury (release August of 2012) NYSED Guidelines for Concussion Management Summary of CM and Awareness Act Student/Parent information sheet CDC/NFHS links to courses for nurses, coaches, PE teachers, athletic trainers Draft BOE Policy and Guidelines and Procedures Concussion Checklists Concussion Management Support Materials

17 Further Questions and Clarifications Todd Nelson NYSPHSAA Assistant Director Phone: (518) Darryl Daily SED Phone: (518) Karen Hollowood SED Phone: (518)

18 Thank you

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