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Management of Concussion For Coaches & Officials In High School Athletics

Understand the crucial role of coaches in managing concussions in high school sports. Learn to recognize symptoms, implement RTP guidelines, and prevent Second Impact Syndrome. Discover ways to support concussion awareness and safety programs at your school.

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Management of Concussion For Coaches & Officials In High School Athletics

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  1. Management of Concussion For Coaches & Officials InHigh School Athletics Michele C. Benz, ATC, LAT, CSCS, HFS

  2. What is my role and what are my responsibilities surrounding concussion? • Ensure safe participation of all athletes. • Learn to recognize the signs and symptoms (S/S) of concussion. • Remove any athlete showing S/S of concussion from participation. • Know the new return to play (RTP) guidelines established by the National Federation of High School Associations (NFHS), 2010 and Zurich Conference, 2008. • Support concussion awareness and a Second Impact Syndrome (SIS) prevention program at your school.

  3. What Is a Concussion? BRAIN DAMAGE!!!!! Bruised Brain Bell Rung Ding Jacked Up When In Doubt, Sit Them Out!

  4. Facts About Concussion 1.2 Million Youth Concussions Per Year 50% FB Players Have Sustained A Concussion 35% Suffered Multiple Concussions 80% Symptoms Worsen Over Weeks 50% Return To Play Too Soon 70% Would RTP Concussed 41% Would Not Leave A Game 50 H.S. Football Players Have Died Since 97 “It’s not dangerous to play with a concussion,” said Kelby Jasmon, a senior two-way player for his high school in Springfield, Ill., who has had three concussions. “You’ve got to sacrifice for the sake of the team. The only way I come out is on a stretcher.”

  5. NFHS Rule Changes • INDIANAPOLIS, IN (March 4, 2010) — Effective with the 2010 high school football season, any player who shows signs, symptoms or behaviors associated with a concussion must be removed from the game and shall not return to play until cleared by an appropriate health-care professional. • The previous rule directed officials to remove an athlete from play if “unconscious or apparently unconscious.” The previous rule also allowed for return to play based on written authorization by a medical doctor. Now, in the absence of a medical staff (ATC, MD) officials are charged with removing any player who shows signs, symptoms or behaviors consistent with a concussion, such as loss of consciousness, headache, dizziness, confusion or balance problems, and shall not return to play until cleared by an appropriate health-care professional.

  6. How To Recognize Signs and Symptoms of Concussion • Athlete stumbles after getting up • Shakes head in attempt to “shake it off” • Goes to wrong huddle • Takes a knee or bent over in huddle • Vacant stare-eyes does not have focal point • Runs the wrong play-possibly more than once • Film Review • Complains or shows typical signs: • Headache, • Bothered by light • Personality change • Eyes don’t focus or follow

  7. Second Impact Syndrome (SIS) • Second concussion before previous concussion has completely resolved • Metabolic volcano within the brain • High school athletes at great risk • Catastrophic brain injury or death Second Impact Syndrome is PREVENTABLE

  8. Before & After SIS

  9. Prevention SIS PREVENTION PROGRAM • Coaches must encourage athletes to report signs • Promote Baseline Testing • Concussion Awareness Videos • Helmets fit by the athletic trainer • Officials & Coaches need to recognize signs • Officials should make coaches and athletic trainers aware of an athlete who looks concussed • Encourage rest until ALL signs resolve • Stop head first tackling Second Impact is PREVENTABLE

  10. Your Role With Athletic Concussions

  11. What To Expect • Athlete removed from play • Sideline evaluation • Communication with ATC • Doctor referral • ImPACT post-injury test • Graduated RTP • Close observation after RTP • Fear from athlete/parent • Athletes need for confidence • Not the same intensity at first • Possibility of re-occurrence

  12. Football is an incredible game. Sometimes it's so incredible, it's unbelievable.-Tom Landry Teach Them How To Have FUN & Play Safe

  13. I firmly believe that any man's finest hour, the greatest fulfillment of all that he holds dear, is that moment when he has worked his heart out in a good cause and lies exhausted on the field of battle - victorious. -Vince Lombardi Play Tough, Play Hard, Play With Heart, But Don’t Play With Concussion

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