Matt Kaiserman St. Luke’s Concussion Clinic Community Relations Coordinator

1. Matt KaisermanSt. Luke’s Concussion ClinicCommunity Relations Coordinator October 5, 2012

2. St. Luke’s Concussion Clinic

3. St. Luke’s Concussion Clinic

4. National Legislative Climate http://www.knowconcussion.org/resource/concussion-legislation-map/

5. HB 632 • Section 1: SBOE and the IHSAA must provide a link on their websites to CDC guidelines and educational materials. • Section 2: Applies to Middle School, Junior High School and High School athletics. • Section 3: Mandates education to parents and athletes prior to the start of an athletic season. Coaches, AT’s and referees must review biannually.

6. HB 632 • Section 4: Removal from play protocols established by schools • Must Adhere to CDC guidelines • Athlete must be removed when “reasonably suspected” of sustaining an injury • Section 5: Return to play protocols • “An athlete may be returned to play once the athlete is evaluated and authorized to return by a qualified health care professional who is trained in the evaluation and management of concussions.” • Physician or Physician Assistant • Advanced Practice Nurse • A licensed health care professional trained in the evaluation and management of concussions who is supervised by a directing physician • Section 6: Liability • “If an individual reasonably acts in accordance with the protocol developed pursuant to subsection (4) of this section, then acting upon such protocol shall not form the basis of a claim for negligence in a civil action. • Section 7: Youth Sport Organizations • Liability Protections

7. HB 632 – In Comparison • 3 tenets of “ideal” concussion legislation • Educational Outreach • RFP/RTP Protocols • Parent Acknowledgement of Risk

8. School Compliance – A Quick Start Guide • Draft Protocol • Parent/Athlete meeting • Cognitive Baseline Testing (Optional) • Biannual Concussion Training for ATC’s/Coaches • Removal from Play Protocol • Coaches & non-clinical staff • ATC’s & other appropriate medical professionals • Return to Play Protocol • Academic Accommodations http://stlukesonline.org/sports/

9. Parent/Athlete Meeting • Annual Meeting – prior to each sport season • Attended by parents, athletes, coaches • Topic Areas • Definition of concussion • Signs/Symptoms • Observable signs by others • Tips for Prevention • Risks Associated with continued play after a concussion • What to do if you suspect someone has sustained a concussion • CDC 4 step action plan • Additional resources for parents, athletes and coaches • Parent/Guardian Acknowledgment Form

10. Cognitive Baseline Testing (Optional) • Recommendations: • Biannual baseline ImPACT testing of athletes in the following activities: • Football, volleyball, wrestling, basketball, soccer, baseball, softball, pole vaulting, cheer, or any other athlete at the request of the athlete’s parent, guardian or coach. • Establish baselines using other cognitive tests such as BESS, SAC, etc. • At least once in an athlete’s junior high and high school career.

11. Biannual Training of ATC’s & Coaches • Coaches • NFHS online education mandated by the IHSAA • Print certificate of completion and keep on file • http://www.nfhslearn.com/electiveDetail.aspx?courseID=15000 • Athletic Trainers • “Heads Up to Clinicians Concussion Training” provided online by the CDC • Print certificate of completion and keep on file • http://www.cdc.gov/concussion/

12. Removal from Play Protocol • Coaches & non-clinical staff • Symptom awareness • Emergency protocols • Evaluation of injury by proper medical professionals • Proper communication channels • Athletic Trainers & other appropriate medical providers • Symptom awareness • Emergency protocols • Injury Evaluation • Proper communication channels • Athlete referral

13. Return to Play Protocol • Athletic Trainers or other appropriate medical providers • Consistent with NFHS rules and Idaho Law • Graduated Return to Play • Step 0 – Cognitive Rest • Step 1 – Light Aerobic Exercise • Step 2 – Moderate Exercise • Step 3 – Non-contact Exercise • Step 4 – Practice • Step 5 – Return to Competition

14. Academic Accommodations • Proper communication with athlete and athlete’s parents • 504 Plans if necessary • Implemented when students have a disability (temporary or permanent) that affects their performance in any manner. • Environmental adaptations, curriculum modifications, and behavioral strategies. • Students recovering from a concussion may need to: • Take rest breaks as needed • Spend fewer hours at school • Be given more time to take tests or complete assignments • Receive help with schoolwork, and/or • Reduce time spent on the computer, reading, or writing

15. Educational Materials & Resources • Parents • Idaho Concussion Management Plan Overview • St. Luke’s Concussion Handout • CDC Fact sheet • NFHS Guide for Parents • NFHS Concussion Physiology Handout • Parent/Guardian Acknowledgement Form • Athletes • CDC Fact Sheet

16. ImPACT Testing Program • Largest Normative Dataset • Measures player symptoms • Measures verbal and visual memory, processing speed and reaction time • Reaction time measured to a 1/100th of a second • Community Access – St. Luke’s Testing Program • 12 schools currently enrolled • 3000+ baselines

17. Additional Resources To find these materials online, please visit: www.stlukesonline.org/sports Additional Online Resources www.cdc.gov/concussion www.nfhslearn.com www.knowconcussion.org www.impacttest.com To view the Idaho Concussion Law visit: http://legislature.idaho.gov/legislation/2012/H0632.pdf

18. Thank You Matt Kaiserman Community Relations Coordinator St. Luke’s Concussion Clinic 111 W. State St. Boise, ID 83702 p: (208) 381-9205 kaisermm@slhs.org c: (208) 781-0875 concussion@slhs.org Concussion Clinic: (208) 381-2665