USA Softball of Southern California Post Office Box 5028 Oceanside, California
|
|
- Gary Merritt
- 6 years ago
- Views:
Transcription
1 USA Softball of Southern California Post Office Box 5028 Oceanside, California To: USA Softball of Southern California Leagues and Teams Assembly Bill No. 2007, Youth Athletics: Youth Sports Organizations: Concussions or other Head Injuries. Prior to January 1, 2017, law required a school district, charter school or private school, that offered an athletic program to immediately remove an athlete from an athletic activity for the remainder of the day if the athlete was suspected of sustaining a concussion or head injury, and prohibited the athlete from returning to the athletic activity until the athlete was evaluated by a licensed health care provider, trained in the management of concussions, and acting within the scope of their practice, and the athlete received written clearance from the licensed health care provider to return to the athletic activity. The law also required, on a yearly basis, that a concussion and head injury information sheet be signed and returned by the athlete and the athlete s parent/guardian before the athlete s initiating practice or competition. On September 23, 2016, The Governor signed into law Assembly Bill 2007, which, on January 1, 2017, applied the above-mentioned provisions to athletes participating in youth sports organizations. The youth organizations are defined to include organizations, businesses, nonprofit entities, or local governmental agencies that sponsor or conduct amateur sports competitions, training, camps, or clubs in which persons 17 years of age and younger participate in any of the 27 designated sports. One of the designated sports is Softball. Therefore, youth softball organizations are now required to notify the parents or guardians of athletes 17 years of age or younger who have been removed from athletic activities due to suspected concussions, as specified in the following pages. The law requires youth softball organizations to offer concussion and head injury education, or related educational materials, or both, to each coach and administrator on a yearly basis, as prescribed in the following pages. The law further requires each coach and administrator to successfully complete the concussion and head injury education at least once annually either online or in person. Additionally, the law requires youth softball organizations to identify procedures for ensuring compliance with the law s requirements for providing concussion and head injury education and a concussion and head injury information sheet. The law further requires youth softball organizations to identify procedures to ensure compliance with the athlete removal provisions and the return-toplay protocol, as specified. This law applies to all persons participating in youth softball, regardless of age. Youth softball organizations may adopt and enforce rules intended to provide a higher standard or safety for athletes than the standard established by this law. To assist the youth softball leagues and teams affiliated with USA Softball of Southern California comply with AB 2007, information, materials and online links can be found in the following pages as listed below. Youth Sports and Concussions (Assembly Bill 2007) Concussion Information Sheet, or Parent and Athlete Concussion Policy Statement Sheet Graded Concussion Symptom Checklist Acute Concussion Notification Form for Parents/Guardians Concussion Return-to-Play (RTP) Protocol Concussion Certification for Coaches and Administrators Physician Letter to League/Team (Concussion) Please contact our Junior Olympic Commissioner or any other member of our Junior Olympic Staff should you require assistance or more information.
2 Youth Sports and Concussions (Assembly Bill 2007) Since 2012, per Assembly Bill 25, all schools with sports programs have been required to immediately remove an athlete from an athletic activity for the remainder of the day if the athlete is suspected of sustaining a concussion or head injury, and prohibits the athlete from returning to the athletic activity until the athlete is evaluated by a licensed health care provider, trained in the management of concussions, and acting within the scope of his or her practice, and the athlete receives written clearance from the licensed health care provider to return to the athletic activity. This law also requires, on a yearly basis, a concussion and head injury information sheet to be signed and returned by the athlete and athlete's parent or guardian before the athlete's re-initiating practice or competition. A new law went into effect on January 1, Assembly Bill 2007 now applies these same regulations to athletes participating in youth sports organizations. Softball is one of the 27 youth sports now required to: Remove an athlete who may have a concussion during a practice or game to be removed from the activity for the remainder of the day. Any athlete removed for this reason must receive a written clearance note from a medical doctor trained in the management of concussion before returning to practice, and after completion of the Return to Learn and Return to Play Protocols. Before an athlete can start the season and begin practice in a sport, a concussion information sheet must be signed and returned to the league by the parent/guardian. Provide all coaches and administrators with training on concussions, and document completion and understanding of this training. However, AB 2007 has not yet provided specific educational material, tools, information sheets or protocols for youth sports organizations. Until such material is provided, USA Softball of Southern California used the material currently available by the California Interscholastic Federation to all schools as part of AB 25, which fulfills all areas of this new law, to put together the information contained in the following pages dealing with concussions. In addition to the information provided as stated above, please visit the links below for a free information available on concussions
3 Concussion Information Sheet Why am I getting this information Sheet? You are getting this information sheet about concussions because of California state law AB 2007 (effective January 1, 2017), which applies to 27 youth sports organizations, including softball: 1. The law requires an athlete who may have a concussion during a practice or game to be removed from the activity for the remainder of the day. 2. Any athlete removed for this reason must receive a written note from a medical doctor trained in the management of concussion before returning to practice. 3. Before an athlete can start the season and begin practice in the sport of softball, a concussion information sheet must be signed by the athlete and parent/guardian and returned to their league/team. All coaches are required to receive training about concussions annually. What is a concussion and how would I recognize one? A concussion is a kind of brain injury. It can be caused by a bump or hit to the head, or by a blow to another part of the body with the force that shakes the head. Concussions can appear in any sport, and can look differently in each sport. Most concussions get better with rest and over 90% of athletes fully recover. However, all concussions should be considered serious. If not recognized and managed the right way, they may result in problems including brain damage and even death. Most concussions occur without being knocked out. Signs and symptoms of concussions (see following page) may show up right after the injury or can take hours to appear. If your child reports any symptoms of concussion or if you notice some symptoms and signs, seek medical evaluation from a medical doctor trained in the evaluation and management of concussion. If your child is vomiting, has a severe headache, or is having difficulty staying awake or answering simple questions, call 911 to take him/her immediately to the emergency department of your local hospital. On the USA Softball of Southern California website is a Graded Concussion Symptom Checklist. If your child fills out this checklist after having had a concussion, it helps the doctor, trainer or coach understand how he/she is feeling and hopefully shows improvement. We ask that you have your child fill out the checklist at the start of the season even before a concussion has occurred to document if some symptoms such as headaches might be a part of his/her everyday life. This is called a baseline to understand what symptoms are normal and common for your child. Keep a copy for your records, and turn in the original to your league/team. If a concussion occurs, the child should fill out this checklist daily. This Graded Symptom Checklist provides a list of symptoms to compare over time to make sure the athlete is recovering from the concussion. What can happen if my child keeps playing with concussion symptoms or returns too soon after getting a concussion? Athletes with the signs and symptoms of concussion should be removed from play immediately. There is NO same day return to play for a youth with s suspected concussion. Youth athletes may take more time to recover from concussion and are more prone to longterm serious problems from a concussion. Even though a traditional brain scan (e.g., MRI or CT) may be normal, the brain has still been injured. Animal and human research studies show that a second blow before the brain has recovered can result in serious damage to the brain. If your athlete suffers another concussion before completely recovering from the first one, this can lead to prolonged recovery (weeks to months), or even to severe brain swelling (Second Impact Syndrome) with devastating consequences. There is an increasing concern that head impact exposure and recurrent concussions may contribute to long-term neurological problems. One goal of this concussion program is to prevent a too early return to play so that serious brain damage can be prevented.
4 Signs observed by teammates, parents and coaches include: Looks dizzy Looks spaced out Confused about plays Forgets plays Is unsure of game, score or opponent Moves clumsily or awkwardly Answers questions slowly Symptoms may include one or more of the following: Headaches Pressure in head Nausea or throws up Neck pain Has trouble standing or walking Blurred, double or fuzzy vision Bothered by light or noise Feeling sluggish or slowed down Feeling foggy or groggy Drowsiness Change in sleep patterns Slurred speech Shows a change in personality or way of acting Can t recall events before or after the injury Seizures or has a fit Any change in typical behavior or personality Passes out Loss of memory Don t feel right Tired or low energy Sadness Nervousness or feeling on edge Irritability More emotional Confused Concentration or memory problems Repeating the same question/comment What is Return to Play (RTP) determined? Following a concussion, athletes may have difficulties with short and long-term memory, concentration and organization. They will require rest while recovering from injury (e.g., avoid reading, texting, video games, loud movies), and may even need to stay home for a few days. As the athlete returns to normal they may benefit from a reduced schedule, depending on how they feel. If recovery from the concussion is taking longer than expected, they may also benefit by a more reduced activity and may require further assessment by a medical doctor trained in the management of concussion. If the athlete is in school at time of the concussion, the California Interscholastic Federation Return to Learn guidelines should be completed and return to complete school before beginning any sports or physical activities, unless your doctor makes other recommendations. Go to the CIF website (cifstate.org) for more information on Return to Learn. Concussion symptoms should be completely gone before returning to competition. A RTP progression involves a gradual, step-wise increase in physical effort, sports-specific activities and the risk for contact. If symptoms occur with activity, the progression should be stopped. If there are no symptoms the next day, exercise can be restarted at the previous stage. RTP after concussion should occur only with medical clearance from a medical doctor trained in the evaluation and management of concussions, and a step-wise progression program monitored by an athletic trainer, coach or other authorized person. (As a guide, California state law AB2127, effective 1/1/15, which deals with schools, states that return to play (e.g., full competition) must be no sooner than 7 days after the concussion diagnosis has been made by a physician.) Final thoughts for Parents/Guardians: It is well known that athletes will often not talk about signs of concussions, which is why this information sheet is so important for review with them. Teach your child to tell the coaching staff if he/she experiences such symptoms, or if he/she suspects that a teammate has had a concussion. You should also feel comfortable talking to the coaches or trainer about possible concussion signs and symptoms that you may be seeing in your child. References: American Medical Society for Sports Medicine position statement: concussion in sport (2013) Consensus statement on concussions in sport: the 4 th International Conference on Concussions in Sport held in Zurich, November
5 Concussion Information Sheet League/Team: You are receiving this information sheet about concussions because of California State Law AB 2007 (effective January 1, 2017): 1. The law requires an athlete who may have a concussion during a practice or game to be removed from the activity for the remainder of the day. 2. Any athlete removed for this reason must receive a written note from a medical doctor trained in the management of concussion before returning to practice. 3. Before an athlete can start the season and begin practice in a sport, a concussion information sheet must be signed and returned to the league/team by the athlete and the parent/guardian. Every year all coaches are required to receive training about concussions. For current and up-to-date information on concussions you can visit: I acknowledge that I have received and read the USA Softball of Southern California Concussion Information Sheet. Athlete Name (Printed) Athlete Signature Date Parent/Legal Guardian (Printed) Parent/Legal Guardian Signature Date
6 Year: Parents and Athlete Concussion Policy Statement Sheet Team Name: What is a Concussion? A concussion is a type of traumatic brain injury that changes the way the brain normally works. A concussion is caused by a bump, blow or jolt to the head or body that causes the head and brain to move quickly back and forth. Even or what seems to be a mild bump or blow to the head can be serious. Symptoms Reported by Athletes: Headache or pressure in head Confusion Nausea Sensitivity to light Balance problems or dizziness Sensitivity to noise Double or blurry vision Feeling sluggish, hazy, foggy or groggy Concentration or memory problems Just not feeling right or feeling down What are the signs and symptoms of Concussion? Signs and symptoms of concussion can show up right after the injury or may not appear or be noticed until days or weeks after the injury. If an athlete reports one or more symptoms after a bump, blow or jolt to the head or body, the athlete should be kept out of play the day of the injury. The athlete should only return to play with permission from a health care professional experienced in evaluating for concussion. Concussion Danger Signs: In rare cases a dangerous blood clot may form on the brain in a person with a concussion and crowd the brain against the skull. An athlete should receive immediate medical attention if after a bump, blow or jolt to the head or body they exhibit any of the following danger signs: One pupil larger than the other A headache that gets worse Repeated vomiting or nausea Convulsions or seizures Has unusual behavior Becomes increasingly confused, restless or agitated Is drowsy or cannot be awakened Weakness, numbness or decreased coordination Slurred speech Cannot recognized people or place Loses consciousness, even briefly Why should an athlete report their symptoms? If an athlete has a concussion, their brain needs time to heal. While an athlete s brain is still healing, they are much more likely to have another concussion. Repeat concussions can increase the time it takes to recover. In rare cases, repeat concussions in young athletes can result in brain swelling or permanent damage to their brain, and can even be fatal. Signs Observed by Coaching /Administrative Staff: Appears dazed or stunned Is confused about assignment or position Forgets an instruction Is unsure of game, score or opponent Moves clumsily Answers questions slowly Loses consciousness, even briefly Can t recall events prior to hit or fall Can t recall events after hit or fall Shows mood, behavior or personality change Athlete Name (Printed) Athlete Signature Date Parent/Guardian Name (Printed) Parent/Guardian Signature Received Fact Sheet (Initial) Date
7 Graded Concussion Symptom Checklist Today s Date: Time: Hours of Sleep: Date of Diagnosis: Baseline Score Grade the 22 symptoms with a score of 0 through 6. Post-Concussion Score o Note that these symptoms may not all be related to a concussion. You can fill this out at the beginning of the season as a baseline (after a good night s sleep) If you suffer a suspected concussion, use this checklist to record your symptoms daily. o Be consistent and try to grade either at the beginning or end of each day. There is no scale to compare your total score to; the checklist helps you follow your symptoms on a day-to-day basis. o If your total scores are not decreasing, see your physician right away. Show your baseline (if available) and daily checklists to your physician. None Mild Moderate Severe Headache Pressure in Head Neck Pain Nausea or Vomiting Dizziness Blurred Vision Balance Problems Sensitivity to light Sensitivity to noise Feeling slowed down Feeling like in a fog Don t feel right Difficulty Concentrating Difficulty Remembering Fatigue or low energy Confusion Drowsiness Trouble falling asleep More emotional than usual Irritability Sadness Nervous or Anxious Total Sum of Each Column 0 Total Symptom Score (Sum of all column totals) Athlete s Name: League/Team: D.O.B. Physician (MD/DO) Date:
8 Acute Concussion Notification Form for Parents/Guardians Your child has symptoms consistent with a concussion. At the time of evaluation, there was no sign of any serious complications. He/she will need monitoring for a further period by a responsible adult, and should not be left alone over the next hours. Call 911 and go to the nearest Hospital Emergency Department for the following: o Headache that worsens o Can t recognize people or places o Seizure (uncontrolled jerking of arms/legs) o Looks very drowsy/can t be awakened o Weakness or numbness of arms/legs o Increased confusion and/or irritability o Repeated vomiting o Unusual behavior o Loss of consciousness o Slurred speech o Lack of balance/unsteadiness on fee o Drainage of blood/fluid from ears or nose o Changes in vision (double, blurry vision) o Loss of bowel and/or bladder control Recommendations: AVOID medications like ibuprofen (Motrin, Advil) or aspirin for the next 48 hours due to the potential of increased bleeding risk in the brain. Acetaminophen (Tylenol) can be tried but often won t take away a concussion headache. DO NOT give narcotic pain medication like codeine. Check for normal breathing every few hours while sleeping but DO NOT wake your child up unless you are concerned. If he/she can t be aroused, call 911 immediately. Make an appointment to see a physician within 72 hours. Inform your child s coaches about the injury. Keep your child at home if symptoms are severe or worsen through normal activity. Track your child s symptoms using the Graded Concussion Symptoms Checklist. Bring these checklists to your physician. No activities like other sports and no physical exertion until your child is evaluated and cleared by a physician (MD/DO) trained in the diagnosis and management of concussions. Refer to the other concussion materials/protocols provided and available online.
9 Concussions Return to Play (RTP) Protocol California State Law AB 2117, which applies to the California Interscholastic Federation, states that to return to play (i.e., Competition) cannot be sooner than 7 days after evaluation by a physician (MD/DO) who has made the diagnosis of concussion, and ONLY after completing a Graduated Return to Play Protocol. Since the State of California, in implementing AB 2007 (Concussion Law), has including softball organizations outside of the CIF, the following protocol should be followed before an athlete returns to full competition after suffering a concussion. Instructions: This is an example of a graduated return to play protocol that MUST be completed before you can return to full competition. o A certified athletic trainer (AT), physician, or identified concussion monitor (e.g., coach) must initial each stage after you successfully pass it. o You should be back to normal activities before beginning Stage II, unless otherwise instructed by your physician. After Stage I, you cannot progress more than one stage per day (or longer if instructed by your physician). If symptoms return at any stage in the progression, IMMEDIATELY STOP any physical activity and follow up with your AT, other identified monitor or your physician. In general, if you are symptoms-free the next day, return to the previous stage where symptoms had not occurred. Seek further medical attention if you cannot pass a stage after 3 attempts due to concussion symptoms, or if you feel uncomfortable an anytime during the progression. Date & Initials You must have written physician (MD/DO) clearance to begin and progress through the following Stages as outlined below, or as otherwise directed by your physician. Minimum of 6 days to pass Stage I and II. Stage Activity Exercise Example Objective of the Stage I No physical activity for at least 2 full symptoms-free days No activities requiring exertion (weight Lifting, jogging) Recovery and elimination of symptoms II-A Light aerobic activity minutes (min) of walking or stationary biking. Must be performed under direct supervision by designated individual Increase heart rate to no more than 50% of perceived maximum (max) exertion (e.g., <100 beats per min (bpm)) Monitor for symptom return II-B Moderate aerobic activity (Light resistance training) min jogging or stationary biking Body weight exercises (squads, push-ups), max 1 set of 10, no more than 10 min total Increase heart rate to 50-75% max exertion (e.g., bpm) Monitor for symptom return II-C Strenuous aerobic activity (Moderate resistance activity) min running or stationary biking Weight lifting 50% of max weight Increase heart rate to > 75% max exertion Monitor for symptom return II-D Non-contact training with drills (No restrictions for weightlifting) Non-contact drills, sport activities (cutting, jumping, sprinting) Add total body movement Monitor for symptom return Prior to beginning Stage III, make sure that written physician (MD/DO) clearance for return to play, after successful completion of Stages I and II, has been given to your league/team concussion monitor. III Limited practice Full unrestricted practice Controlled practice drills allowed Return to normal training Return to normal unrestricted training Increase training drills Restore confidence, assess readiness for return to play Monitor for symptom return MANDATORY: You must complete at least ONE unrestricted practice before return to competition. Return to full sports activity without IV Return to Play (competition) Normal game play (competitive event) restrictions Athlete s Name: Date of Concussion Diagnosis:
10 Concussion Certification for Coaches California law, per Assembly Bill 2007 (effective January 1, 2017), mandates that all coaches receive training on concussions. The training requirement may be fulfilled through the free, online course through the National Federation of High Schools (NFHS). NFHS Learning Center: Concussion in Sports Complete this 20-minute online class for FREE from the NFHS. Coaches should download and print their certificate at the completion of the course. Coaches shall remove from practice or game competition any athlete who is suspected of sustaining a concussion or head injury and remain out of practice or play for the rest of the day. Coaches shall not allow an athlete who has been removed from practice or play because of a suspected concussion/brain injury to return to practice or play until the athlete has received written clearance from a licensed health care provider trained in the evaluation and management of brain injuries. Additional Resources CDC Heads up: Concussion in High Schools Sports
11 Physician Letter to League/Team (Concussion) To Whom It May Concern: Patient s Name: DOB: Date of Concussion Diagnosis by MD/DO: Injury Status Has been diagnosed by a MD/DO with a concussion and is currently under our care. Medical follow-up evaluation is scheduled for (date): Was evaluated and did not have a concussion injury. There are no limitations on softball physical activity. Physical Activity Status (Please mark all that apply) This athlete is not to participate in physical activity of any kind. This athlete is not to participate in physical activities except for untimed, voluntary walking. This athlete may begin a graduated return to play progression (see Concussion Return to Play Protocol Form). This athlete has medical clearance for unrestricted athletic participation (Has successfully completed the Concussion Return to Play protocol). Physician s (MD/DO) Signature: Examination Date: Physician s Stamp and Contact Information: Parent/Legal Guardian s Acknowledgement Signature: Date:
Little League Concussion Information Sheet
Little League Concussion Information Sheet Why am I getting this information sheet? You are receiving this information sheet about concussion because of California Assembly Bill 2007 (2016), which added
CCYFL Concussion Information Sheet
CCYFL Concussion Information Sheet Why am I getting this information sheet? You are receiving this information sheet about concussions because of California state law AB 2007, (effective January 1, 2017),
INFORMATION REGARDING CONCUSSION PROTOCOL. Educational Services June 7, 2016 Information #2 Page 1 of 1
TITLE: INFORMATION REGARDING CONCUSSION PROTOCOL Educational Services June 7, 2016 Information #2 Page 1 of 1 Prepared by: Deborah Salgado, Director of Secondary Education Background Information Assembly
Bishop O Dowd Head Injury and Concussion Management Packet
Bishop O Dowd Head Injury and Concussion Management Packet Dear Parent/Guardian, Your student has been assessed by a Certified Athletic Trainer (ATC) for a possible head injury and concussion sustained
TSSA Concussion Information and Signature Form for Coaches/Administrators
TSSA Concussion Information and Signature Form for Coaches/Administrators Public Chapter 148, effective January 1, 2014, requires that school and community organizations sponsoring youth athletic activities
CONCUSSION INFORMATION AND SIGNATURE FORM FOR COACHES (Adapted from CDC Heads Up Concussion in Youth Sports )
CONCUSSION INFORMATION AND SIGNATURE FORM FOR COACHES (Adapted from CDC Heads Up Concussion in Youth Sports ) Read and keep this page. Sign and return the signature page. THE FACTS A concussion is a brain
Please feel free to contact me if you have any questions. HOME INSTRUCTIONS FOR CONCUSSION. Recommendations for monitoring symptoms at home:
Recommendations for monitoring symptoms at home: What should I do when I m recovering? Physical and mental rest are very important to your recovery. Keep your heart rate low and do not do any physical
Coliseum SC Concussion Protocol Signs and Symptoms
Coliseum SC Concussion Protocol Signs and Symptoms Athletes who experience one or more of the signs or symptoms listed below after a bump, blow, or jolt to the head or body may have a concussion. SIGNS
CONCUSSION INFORMATION AND SIGNATURE FORM FOR COACHES (Adapted from CDC Heads Up Concussion in Youth Sports )
CONCUSSION INFORMATION AND SIGNATURE FORM FOR COACHES (Adapted from CDC Heads Up Concussion in Youth Sports ) Read and keep this page. Sign and return the signature page. THE FACTS A concussion is a brain
PARENT & ATHLETE CONCUSSION INFORMATION SHEET WHAT IS A CONCUSSION? A concussion is a type of traumatic brain injury that changes the way the brain normally works. A concussion is caused by a bump, blow,
The Kansas Legislature has enacted the School Sports Head Injury Prevention Act (hereinafter the Kansas Act ) effective July 1, 2011:
KANSAS STATE HIGH SCHOOL ACTIVITIES ASSOCIATION RECOMMENDATIONS FOR COMPLIANCE WITH THE KANSAS SCHOOL SPORTS HEAD INJURY PREVENTION ACT AND IMPLEMENTATION OF THE NATIONAL FEDERATION SPORTS PLAYING RULES
2017 Youth Soccer Program
Central Klickitat County Parks and Recreation District 2017 Youth Soccer Program For girls and boys ages 4 14 Age division will be determined by child s date of birth on July 31, 2017 Registration forms
PARENTS FACT SHEET FOR YOUTH SPORTS ON CONCUSSIONS
PARENTS FACT SHEET FOR YOUTH SPORTS ON CONCUSSIONS This sheet has information to help protect your children or teens from concussion or other serious brain injury. What Is a Concussion? A concussion is
Print or Type. Emergency Information Student s Name Grade Date of Birth Home Address
Athlete s Health Records Pre-participation Physical Exam The Shelby County Interscholastic Athletic Association requires every student-athlete to receive a pre-participation physical exam, including a
When a concussion occurs:
When a concussion occurs: Once an athlete has experienced any type of potential head injury initiate the following checklist: 1. n Remove athlete from all activity and use the Concussion Recognition Tool
CDC Heads UP Concussion Training
CDC Heads UP Concussion Training For Special Olympics Kentucky Kentucky 1 What is a concussion? A type of Traumatic Brain Injury has possible causes such as a: bump to the head blow to the head jolt to
Concussion Information Sheet
Concussion Information Sheet A concussion is a brain injury and all brain injuries are serious. They are caused by a bump, blow, or jolt to the head, or by a blow to another part of the body with the force
PUYALLUP VIKINGS LACROSSE CLUB Concussion and Sudden Cardiac Arrest Information Sheet
PUYALLUP VIKINGS LACROSSE CLUB Concussion and Sudden Cardiac Arrest Information Sheet A concussion is a brain injury and all brain injuries are serious. They are caused by a bump, blow, or jolt to the
VENUS ISD CONCUSSION POLICY
VENUS ISD CONCUSSION POLICY Introduction The Centers for Disease Control (CDC) estimates that there are approximately 300,000 cases of mild traumatic brain injury (MTBI) or concussions annually in the
Signs and Symptoms of Concussion
Signs and Symptoms of Concussion These signs and symptoms following a witnessed or suspected blow to the head or body are indicative of probable concussion. Signs (observed by others) Appears dazed or
CONCUSSION POLICY AND PROCEDURES
NORTHEAST METROPOLITAN REGIONAL VOCATIONAL SCHOOL 100 HEMLOCK ROAD WAKEFIELD, MA 01880 CONCUSSION POLICY AND PROCEDURES 1/2016 12/2017 Reviewed by Committee Members: David DiBarri Deputy Director- Principal
West Nashville Sports League
West Nashville Sports League Winter Soccer Addendum Packet 2018 LEAVE THIS PACKET HERE TONIGHT! Head Coach s Name: Division: WNSL conducts background checks for all HEAD coaches. Please keep in mind that
CONCUSSION PROTOCOL STEPS FOR RETURN TO PLAY
Winnacunnet High School Concussion Protocol All coaches must take the NFHS Concussion course prior to working with students in their coaching season. Coaches must retake the course on even numbered years.
GENERAL RETURN TO PLAY LAW INFORMATION FOR LEAGUES AND COACHES
GENERAL RETURN TO PLAY LAW INFORMATION FOR LEAGUES AND COACHES Leagues are responsible for implementing a protocol to ensure (1) that each league coach is trained as required by the law; (2) that the coaches
Post Concussion Instructions and Return to Play Clearance Form. To: Parent/Guardian: Page 1. From:, at School
Post Concussion Instructions and Return to Play Clearance Form To: Parent/Guardian: From:, at School Name of School Representative* Name of School, Position of School Representative* Phone Number of School
It s better to miss one game than the whole season. What should I do if I think I have a concussion? Concussion facts:
Concussion facts: A concussion is a brain injury that affects how your brain works. A concussion is caused by a bump, blow, or jolt to the head or body. A concussion can happen even if you haven t been
SCHOOL CITY OF HOBART
SCHOOL CITY OF HOBART 32 East 7 TH Street, Hobart, IN 46342 Phone: 219-942-8885 Fax: 219-942-0081 http://www.hobart.k12.in.us Building College and Career Ready Brickies 5340.01 F1/page 1 of 5 CONCUSSION
The Greenville Hurricanes Athletic Association. Concussion Policy. Injury Prevention and Control. What is a concussion?
The Greenville Hurricanes Athletic Association Concussion Policy Injury Prevention and Control What is a concussion? How do I recognize a possible concussion? Know your concussion ABCs! What can I do to
CONCUSSION and SUDDEN CARDIAC ARREST ACKNOWLEDGEMENT AND SIGNATURE FORM FOR PARENTS AND STUDENT ATHLETES. Sport Participating In (If Known):
Student Athlete s Name (Please Print): CONCUSSION and SUDDEN CARDIAC ARREST ACKNOWLEDGEMENT AND SIGNATURE FORM FOR PARENTS AND STUDENT ATHLETES Sport Participating In (If Known): Date: IC 20-34-7 and IC
CIF Concussion Information Sheet
Why am I getting this information sheet? CIF Concussion Information Sheet You are receiving this information sheet about concussions because of California state law AB 25 (effective January 1, 2012), now
CONCUSSION IN YOUTH SPORTS
Canada Basketball and our Provincial/ Territorial Sport Organizations understand that having a concussion policy is crucial to the health and wellness of our young athletes. Through the amalgamation of
Approved to begin Return to Learn and/or Return to Play. Approved to only return to class, NOT athletic competition
Buffalo Tri-City CUSD #1 Concussion Form Information This form is to be filled out by the head coach, assistant coach, AD, or district administrator that is in charge at the time of the incident. The parent
AYSA Concussion/Serious Injury Policy 2013
AYSA Concussion/Serious Injury Policy 2013 Although it is the beautiful game, soccer is one of the leading sports when it comes to its players sustaining concussions. In conjunction with the 2011 Pennsylvania
North Thurston Public Schools Concussion Information Sheet
North Thurston Public Schools Concussion Information Sheet Definition A concussion is a brain injury that may be caused either by a direct blow to the head, face, neck or elsewhere on the body with an
INFORMATION AND SIGNATURE FORM FOR STUDENT-ATHLETES & PARENTS/LEGAL GUARDIANS (Adapted from CDC "Heads Up Concussion in Youth Sports")
INFORMATION AND SIGNATURE FORM FOR STUDENT-ATHLETES & PARENTS/LEGAL GUARDIANS (Adapted from CDC "Heads Up Concussion in Youth Sports") Public Chapter 148, effective January 1, 2014, requires that school
Return-to-Play Protocol After Concussion/mild TBI
Return-to-Play Protocol After Concussion/mild TBI Return to activity and play is a medical decision. The athlete must meet all of the following criteria to progress to activity: Asymptomatic at rest and
CONCUSSION. A Fact Sheet for Coaches IT'S BETTER TO MISS ONE GAME THAN THE WHOLE SEASON. WHENINDOUBT, GET CHECKED OUT.
CONCUSSION A Fact Sheet for Coaches WHAT IS A CONCUSSION? A concussion is a brain injury that: Is caused by a blow to the head or body. - From contact with another player, hitting a hard surface such as
Arlington Public Schools Athletics
Arlington Public Schools Athletics Fact Sheet on Concussions for Parents/Guardians What is a Concussion? A concussion is a brain injury caused by a bump or blow to the head or body. A concussion occurs
Concussion Assessment, Management, and Return to Play Guidelines
Concussion Assessment, Management, and Return to Play Guidelines The following policy and procedures on neurocognitive baseline testing and subsequent assessment and management of concussions as well as
UPPER PERKIOMEN HIGH SCHOOL
UPPER PERKIOMEN HIGH SCHOOL Concussion Management and Return to Play Protocol Recognizing that sport related concussions pose a significant health risk for studentathletes, the Upper Perkiomen School District
It's better to miss one game than the whole season. A Fact Sheet for ATHLETES. Get a medical check up. A doctor or health care
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR DISEASE CONTROL AND PREVENTION A Fact Sheet for ATHLETES WHAT IS A CONCUSSION? A concussion is a brain injury that: Is caused by a bump or blow
Loss of consciousness (LOC) Poor recall for events prior to injury or after injury
NAIA Championship Concussion Policy Concussions can be serious and potentially life threatening injuries in sports. Research indicates that if concussion symptoms are appropriately managed, an individual
1. Begin light aerobic exercise such as walking, stationary bike, etc. No resistance training.
POLICY: Any athlete displaying signs or symptoms of a concussion, or if there is a high suspicion for concussion, an athlete will not be returned to competition or practice until they have written clearance
Approximately 10 percent of all athletes involved in contact sports suffer a Mild Traumatic Brain Injury (concussion) each season; some estimates are
Approximately 10 percent of all athletes involved in contact sports suffer a Mild Traumatic Brain Injury (concussion) each season; some estimates are as high as 19 percent. Because many mild concussions
Concussion Management Protocol
Concussion Management Protocol We at Total Sports Experience desire a safe return to play for all sick or injured athletes. Research has shown that an athlete's coordination, balance and/or cognitive functioning
CONCUSSION/HEAD INJURY AND HEAT ILLNESS GUIDELINES
CONCUSSION/HEAD INJURY AND HEAT ILLNESS GUIDELINES WHAT IS A CONCUSSION? A concussion is a type of traumatic brain injury caused by a bump, blow, or jolt to the head, or by a blow to the body with the
Concussion Information any student suspected of having a concussion must be immediately removed from play.
Concussion Information (BP/AR 6145.22) As medical management of sports-related concussion continues to evolve. Recently, there has been a significant amount of new research regarding sports-related concussions
Wisconsin Lacrosse Federation
The purpose of this policy is to insure the safety of the players and to limit the liability of those protecting the safety of the players. The responsibility of player safety falls on everyone involved
Brains are Worth It: Concussion Symposium Vancouver, BC November 10, 2010
Brains are Worth It: Concussion Symposium Vancouver, BC November 10, 2010 Dr. Brian Hunt Co- Director ThinkFirst BC Neurological Surgeon Lions Gate Hospital, North Vancouver Dr. Shelina Babul-Wellar Associate
SCHOOL HEALTH SERVICES STANDARD PROCEDURES: HEAD INJURY & CONCUSSIONS HEAD INJURIES AND CONCUSSION
HEAD INJURIES AND CONCUSSION A concussion is a type of brain injury that changes the way the brain normally works. A concussion is caused by a bump, blow, or jolt to the head. Concussions can also occur
Concussion Management Protocol
Concussion Management Protocol Lakeland Athletic Training Services Patient Information www.lakelandhealth.org 2 Concussion Home Care Instructions Dear Parent or Guardian: concussion during has possibly
SPRINGFIELD CLINIC S
SPRINGFIELD CLINIC S HEAD INJURY MANAGEMENT GUIDE FOR PARENTS Given the complexities of concussion management, Springfield Clinic recognizes the importance of managing concussions on an individualized
5141.7(a) Students. Student Sports Concussions
5141.7(a) Students Student Sports Concussions The Board of Education recognizes that concussions and head injuries are commonly reported injuries in children and adolescents who participate in sports and
FSHISD ATHLETIC DEPARTMENT GUIDELINES FOR CONCUSSION MANAGEMENT
Fort Sam Houston ISD Athletic Department 4005 Winans Rd., San Antonio, TX 78234 Phone: (210) 368-8700 Fax: (210) 368-8741 FSHISD ATHLETIC DEPARTMENT GUIDELINES FOR CONCUSSION MANAGEMENT Concussion Management
Texas State University Concussion Program for Varsity Athletes
Administrative Considerations o Emergency Action Plan placed in all venues including the Concussion Plan for all high risk sports. o Coaching education regarding EAP & Concussion Plan including signs &
Concussion Management Policy Overview. City School District of Albany Department of Health, Physical Education & Athletics
Concussion Management Policy Overview City School District of Albany Department of Health, Physical Education & Athletics CSDA Concussion Management Policy After 6 months of research and development, the
Concussion Identification, Management and Return to Play at North Hunterdon-Voorhees Regional HS District
Concussion Identification, Management and Return to Play at North Hunterdon-Voorhees Regional HS District In tandem with the New Jersey Interscholastic Athletic Association and the National Athletic Trainers
2016 Concussion Management Plan
2016 Concussion Management Plan For: Dane County Area Youth Football League Date: August 9, 2013 Prepared by: Dr. Brian Reeder, MD (Reviewed 08/02/16) 1. Overview 1.1. In response to the growing concern
UNIVERSITY OF MASSACHUSETTS SPORTS MEDICINE PROGRAM Concussion Management Plan
UNIVERSITY OF MASSACHUSETTS SPORTS MEDICINE PROGRAM Concussion Management Plan University of Massachusetts Sports Medicine personnel will evaluate student-athletes with a suspected concussion as follows:
Seneca Valley Junior Football and Cheer Association. Post Concussion Instructions and Return to Play Clearance Form
Seneca Valley Junior Football and Cheer Association Post Concussion Instructions and Return to Play Clearance Form To: Parent/Guardian: From: Seneca Valley Junior Football and Cheer Association Name of
Coach s name: Please print. Coach s signature: Please sign. Today s date: Witness: Print name. Title: Please print. Signature:
I have been provided the MAHA / USA Hockey Concussion Management educational materials. I have read and understand the information. I agree to comply with the requirement to remove a youth athlete who
Eagle High School Lacrosse Concussion Management Plan
! Eagle High School Lacrosse Concussion Management Plan August 2018 Contents (1) Mandatory Parent/Athlete Meeting 1 (2) Recommended Baseline Testing 2 (3) Concussion Training for Athletic Trainers and
Dear Newport News Athletic Parent/Guardian:
Dear Newport News Athletic Parent/Guardian: According to the Children s Hospital of the King s Daughter about one in ten local athletes in contact sports will sustain a concussion during a sports season.
Post Concussion Instructions and Return to Play Clearance Form
Post Concussion Instructions and Return to Play Clearance Form R e v i s e d & Updated August 11, 2011 From:, at High School Name of School Representative* Name of School Position of School Representative*,
Waynesboro Public Schools Sports Concussion Management Plan
JJAC R Waynesboro Public Schools Sports Concussion Management Plan Medical Management of Sports Related Concussions continues to evolve as more and more research is done on the effects of head trauma (short
Parent/Athlete Concussion Information Sheet
Parent/Athlete Concussion Information Sheet A concussion is a type of traumatic brain injury that changes the way the brain normally works. A concussion is caused by bump, blow, or jolt to the head or
Diagnosis Players, coaches, parents and heath care providers should be able to recognize the symptoms and signs of a concussion:
USA Hockey Concussion Management Program (as adopted by MAHA, with revisions 12/7/12) 1 Michael Stuart MD Alan Ashare MD A concussion is a traumatic brain injury- there is no such thing as a minor brain
Paramus Athletics. Paramus High School Athletic Department Protocol and Procedures for Management of Sports - Related Concussion
Paramus Athletics Paramus High School Athletic Department Protocol and Procedures for Management Medical management of sports-related concussions is evolving. In recent years, there has been significant
RIDGEWOOD BOARD OF EDUCATION PROGRAM /page 1 of 8 Management of Sports-Related Concussion M Management of Sports-Related Concussion
2431.4/page 1 of 8 M 2431.4 Medical management of sports-related concussions is evolving. In recent years, there has been significant research into sports-related concussions in high school athletes. As
Objectives. Disclaimer This presentation is NOT a legal interpretation of 1/25/2013
Objectives Understand concussions and their severity Recognize concussion signs and symptoms Testing for concussions Concussion Treatment Steps for returning to activity after a concussion Sports School
BRSC Concussion Policy & Protocol
BRSC Concussion Policy & Protocol January 2018 BRSC has a full-time, certified Athletic Trainer on staff that provides immediate care for concussed athletes. BRSC also requires coaches at our competitive
North Star School District Concussion Guide
North Star School District Concussion Guide Parents Guide To Concussion In Sports Pages 2-7 Suggested Guidelines for Management of Concussion Page 8 Suggested Guidelines for Management of Concussions in
CEDARVILLE UNIVERSITY CONCUSSION MANAGEMENT GUIDELINES
Concussion Management CEDARVILLE UNIVERSITY CONCUSSION MANAGEMENT GUIDELINES Aug. 2015 1. Cedarville University will require all student-athletes to sign a statement in which studentathletes accept the
2017 Concussion Management Program
2017 Concussion Management Program Michael Stuart MD Alan Ashare MD Kevin Margarucci ATC The standard of care for current medical practice and the law in most states requires that any athlete with a suspected
Definition and causes:
Up2Date September 2014 Concussion by Wendy Quick Definition and causes: A concussion is not just a "bump on the head." It is a traumatic brain injury that needs proper treatment whether it is mild or severe.
Socorro ISD Physical Packet Student Athlete Information Sheet (Clearly Print all information in Black or Blue Ink only.)
Socorro ISD Physical Packet Student Athlete Information Sheet (Clearly Print all information in Black or Blue Ink only.) School ID #: Grade: Graduation Date: Name: M ( ) F ( ) Date of Birth: Age: Home
STAMFORD CENTRAL SCHOOL CONCUSSION POLICY
STAMFORD CENTRAL SCHOOL CONCUSSION POLICY Revised October 14, 2015 Page 1 Management of Sports-Related Concussions StamfordCentralSchool District Medical management of sports-related concussion continues
Your guide to recovery. Treating concussions
Your guide to recovery Treating concussions About concussions A concussion is a condition, usually caused when a blow to the head or body causes the brain to move rapidly within the skull, that can temporarily
Superintendents, Member School Districts (K-12) Jennifer E. Nix, Schools Legal Counsel
A Joint Powers Authority serving school and college districts throughout the state. 5350 Skylane Boulevard Santa Rosa, CA 95403 Tel: (707) 524-2690 Fax: (707) 578-0517 santarosa@sclscal.org www.sclscal.org
CONCUSSION INFORMATION When in Doubt, Sit Them Out!
CONCUSSION INFORMATION When in Doubt, Sit Them Out! A concussion is a type of traumatic brain injury that interferes with normal function of the brain. All concussions are brain injuries. The WIAA recommends
Thank you for your consideration, Concussion Management Committee
To: AuSable Valley Central School District Board of Education From: Concussion Management Committee Re: AuSable Valley Central School District Concussion Management Policy June 25, 2012 As a result of
Pleasantville School District Concussion Procedures of Parents
Pleasantville School District Concussion Procedures of Parents This document is a brief outline on concussions and the procedure the district follows when a student suffers a concussion. By New York State
Bishop Fenwick High School Concussion Protocol
1 Bishop Fenwick High School Concussion Protocol Revised by: Jennifer Faragi RN,BSN Jacob Loughman ATC June 2018 2 Table of Contents I. School Concussion Statement II. III. IV. ImPACT Testing Concussion
Calvary Chapel High School Athletic Participation
Calvary Chapel High School Athletic Participation California Interscholastic Federation (CIF) requires ALL high school athletes who participate in a sport to complete a physical BEFORE the first day of
Statewide Health Initiative on Concussion Education & Prevention
Statewide Health Initiative on Concussion Education & Prevention PLAY SMART Wisconsin: Statewide Health Initiative on Concussion Education & Prevention was developed by the Brain Injury Association of
Victoria Independent School District Athletic Department Guidelines for Concussion Management
Victoria Independent School District Athletic Department Guidelines for Concussion Management Introduction Approximately 10 percent of all athletes involved in contact sports suffer a Mild Traumatic Brain
Whitnall High School 5000 South 116th St. Greenfield, WI 53228
Concussion Information - When in Doubt, Sit Them Out! 1. Before a student may participate in practice or competition: At the beginning of a season for a youth athletic activity, the person operating the
We are looking forward to you participating in the athletic program at Mitchell Community Schools.
Dear Athlete and Parent/Guardian, We are looking forward to you participating in the athletic program at Mitchell Community Schools. Before an athlete is eligible to participate in ANY conditioning, open
CONCUSSION BOARD POLICY 8604
CONCUSSION BOARD POLICY 8604 Policy Concussion management and policy protocols are a standardized method of assessment to ensure an accurate diagnosis and the appropriate management of student-athlete
INTERCOLLEGIATE ATHLETICS CONCUSSION ACKNOWLEDGEMENT AND STATEMENT
ACKNOWLEDGEMENT AND STATEMENT A FACT SHEET FOR STUDENT-ATHLETES WHAT IS A? A concussion is a brain injury that: Is caused by a blow to the head or body -From contact with another player, hitting a hard
Concussions UCLA Steve Tisch BrainSPORT Clinic
Concussions UCLA Steve Tisch BrainSPORT Clinic Concussion facts What is a concussion? A concussion is a traumatic brain injury (TBI) caused by a bump, blow or jolt to the head or by a hit to the body that
MAGNOLIA ISD CONCUSSION MANAGEMENT PROTOCOL IN COORDINATION WITH H.B. 2038
MAGNOLIA ISD CONCUSSION MANAGEMENT PROTOCOL IN COORDINATION WITH H.B. 2038 Pages 9 and 11 are to be reviewed and signed by the parent and returned to the campus Athletic Trainer. Page 16 needs to be reviewed
Notre Dame of Maryland University Athletics Concussion Management Protocol
Notre Dame of Maryland University Athletics Concussion Management Protocol Neuropsychological (NP) Baseline Testing: All NCAA sports will utilize baseline NP testing. All athletes will receive baseline
Sports Concussion Management Plan. P a g e 1
Sports Concussion Management Plan P a g e 1 P a g e 2 A. Sports Concussion Management Plan Albemarle County Public Schools (ACPS) recognizes that a concussion is a brain injury that is characterized by
THE ATHLETE S GUIDE TO CONCUSSION MANAGEMENT
THE ATHLETE S GUIDE TO CONCUSSION MANAGEMENT THE ATHLETE S GUIDE TO CONCUSSION MANAGEMENT Table of Contents Introduction...3 What is a Concussion?...4 How Do I Know If I Have a Concussion?...4 Concussion
Athlete: n Parent/Guardian Contacted: Name Date. Notes:
When a concussion occurs: Any school athlete who has been removed from a sport competition or practice session shall not return to competition or practice until the athlete is evaluated by a health care
NEBRASKA SCHOOL ACTIVITIES ASSOCIATION Member of the National Federation of State High School Associations
NEBRASKA SCHOOL ACTIVITIES ASSOCIATION Member of the National Federation of State High School Associations 500 Charleston P.O. Box 85448 Lincoln, Nebraska 68501 Phone: 402-489-0386 Fax: 402-489-0934 E-mail:
Forney ISD Protocol and Procedures for the Management of the Sports-Related Concussion
Forney ISD Protocol and Procedures for the Management of the Sports-Related Concussion Medical management of sports-related concussion is evolving. Recently, there has been a significant amount of research
Coastal Carolina University Athletic Training Department Policy and Procedure Manual Concussion Management Revised/Reviewed 6/2012
Coastal Carolina University Athletic Training Department Policy and Procedure Manual Concussion Management Revised/Reviewed 6/2012 INTRODUCTION: Concussion classification, management, and protocols have
Bishop Kelly High School s Concussion Management Plan
Bishop Kelly High School s Concussion Management Plan September 2016 Contents (1) Mandatory Parent/Athlete Meeting, Parent/Athlete Consent Form... 1 (2) Baseline Testing... 2 (3) Concussion Training for