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Concussion Management

Concussion Management. From point of injury to return to play. Day of Injury. Mechanism of Injury Direct blow “Blind Sided” Evaluation of Symptoms SCAT 2/3 Sideline cognitive Balance Coordination. Plan of Care . Contact Parents Follow up with physician Academic accommodations

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Concussion Management

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  1. Concussion Management From point of injury to return to play

  2. Day of Injury • Mechanism of Injury • Direct blow • “Blind Sided” • Evaluation of Symptoms • SCAT 2/3 • Sideline cognitive • Balance • Coordination

  3. Plan of Care • Contact Parents • Follow up with physician • Academic accommodations • Daily Follow up with ATC • Symptom inventory • Coach

  4. ImPACT • Post injury test • Re-test determined by both physician and athletic trainer • Baseline v. Normative Value

  5. When to return to play • Asymptomatic • Full attendance at school • ImPACT test results • Gradual Return to play

  6. Gradual Return to Play • 5 steps • Begins when asymptomatic • Must remain symptom free to progress • Done under direction of physician and ATC

  7. Gradual Return to Play

  8. Prevention? • Education • Parents meetings • Video prior to impact testing • Head gears • Skull fracture v. concussion • Rotational forces?? • Smart play

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