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Management of Concussion For Administrators in High School Athletics

Stay informed on the latest concussion treatment guidelines and prevention strategies to safeguard high school athletes. Learn about recognizing concussions, new RTP protocols, and the importance of addressing concussions promptly.

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Management of Concussion For Administrators in High School Athletics

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  1. Management of ConcussionFor Administratorsin High School Athletics Michele C. Benz, ATC, LAT, CSCS, HFS

  2. What Do I Need To Know? 1. What are the new guidelines on treatment and management of concussion 2. how can we develop a second impact syndrome prevention program? Treatment, Management & Prevention of SIS Helmet Fitting Performed by ATC Viewing of Concussion Video Prior to Play Baseline Testing (ImPACT) Use Concussion Evaluation Form (SCAT/SAC) Return To Play Guidelines, Zurich 2008

  3. What Is A Concussion? Complex pathophysiological process that affects the brain, induced by traumatic biomechanical forces. -Zurich Concussion Conference, 2008 Blow to the head resulting in Concussion=BRAIN DAMAGE!!!

  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. Recognizing A Concussion • Know the cognitive level of the student • Learn to recognize the signs and symptoms • Signs: • Athlete stumbles after play • Shakes head in attempt to “shake it off” • Goes to wrong huddle or in wrong direction • Takes a knee/bent over • Runs the wrong play • Eyes don’t focus/follow • Symptoms • Headache • Nausea • Sensitivity to Light • Lethargic • Personality Changes

  6. Online 20 minute test Inexpensive Printed test score Tests Reaction time Working & Design memory Attention span Non-verbal problem solving Visual processing speed Impulse control Response inhibition Heads Up CDC/NFHS Youth Concussion ESPN’s E:60 (5.4.10) Outside The Lines (11.4.07) Baseline Testing and Videos Testing Videos

  7. Example Evaluation Form

  8. Treatment National Federation of State High Schools: February, 2010 • Removal from participation, even if symptoms clear within 15 minutes. • In absence of medical staffing, officials now charged with removal from participation without LOC. • SCAT evaluation • Parental/guardian contact • Dialogue with coach/athlete • Referral/Diagnostic testing* • Post-Injury ImPACT test • Graduated RTP • Head Injury Reporting Form *Referral based upon results of evaluation. Diagnostic testing diagnoses structural abnormality, not concussion.

  9. Return To Play New guidelines (Zurich Conference, 2008) recommend a graduated RTP “Step-Wise Return to Play Protocol” Complete physical and cognitive rest Light aerobic activity Sport specific exercise Non-contact training drills Full contact practice Return to game play Athletes should also be back to baseline and depending on grade of concussion, be cleared by a neurologist and/or neuropsychologist. The NFL changed their RTP guidelines on Dec. 3rd, 2009 stating: “Any player suffering signs/symptoms of a concussion should not return to play the same day and should be checked out by proper medical staff.”

  10. Non-Athletic Injured Students • Physical Education Classes • Fighting or other accident *Have a plan in place prior to the school year* Do not move the student Have an administrator decide whether or not EMS is needed Contact the parent or guardian If transport is not necessary-advise the parent to have the student checked out by their doctor. Fill out accident report

  11. Second Impact Syndrome (SIS) • Second concussion before previous concussion has completely resolved • Metabolic volcano within the brain • Athletes under 23 at greatest risk • Catastrophic brain injury or Death Second Impact Syndrome is PREVENTABLE

  12. Before & After SIS

  13. Prevention Miami Palmetto SIS Prevention Program • Coaches are on board with program • Baseline testing-ImPACT • Concussion awareness videos • Parent/Athlete Information Sheet • Equipment fit by ATC • Use of Sideline Evaluation Test • Responsibility Clause –Physical form • Referral for diagnostic testing via Sports Medicine team. SIS is PREVENTABLE

  14. ESPN’s E:60

  15. Questions?

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