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Concussion Protocol

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When in doubt, sit them out

A concussion is defined as a type of traumatic brain injury caused by a bump, blow, or jolt to the head that can change the way your brain normally works. Concussions can also occur from a blow to the body that causes the head to move rapidly back and forth.

Signs and symptoms of a concussion

Signs observed by parents or guardians:

• Appears dazed or stunned
• Is confused about events
• Answers questions slowly
• Repeats questions
• Can’t recall events prior to the
hit, bump or fall
• Can’t recall events after the hit,
bump or fall
• Loses consciousness (even
• Shows behavior or personality
• Forgets class schedule or

Symptoms reported by your child or teen

Thinking and Remembering:
• Difficulty thinking clearly
• Difficulty concentrating or
• Feeling more slowed down
• Feeling sluggish, hazy, foggy,
or groggy

• Headache or “pressure” in head
• Nausea or vomiting
• Balance problems of dizziness
• Fatique or feeling tired
• Blurry or double vision
• Sensitivity to light or noise
• Numbness or tingling
• Does not “feel right”

• Irritable
• Sad
• More emotional than usual
• Nervous

• Drowsy
• Sleeps less than usual
• Sleeps more than usual
• Has trouble falling asleep
*Only ask about sleep symptoms if the injury occurred on a prior day.

If a concussion is suspected proceed with the following steps:

• Remove child from event.
• Refer to Concussion Danger Signs information sheet for immediate medical evaluation.
• Evaluate child using Concussion Checklist provided.
• Inform parent or guardian.
• Refer for medical evaluation if indicated in accordance with the Concussion Checklist.
• Continue to monitor child until child is under parental or medical supervision.
• Notify school nurse – File incident report.

Communication is the key between athletes, coaches, parents, athletic trainers, school nurse and AD.

If no immediate medical attention is needed:

• Remove child from event.
• Refer to Concussion Danger Signs information sheet for immediate medical evaluation.
• Monitor/Act
• Coach gives copy of Concussion Checklist to School Nurse Suzan Weber
• Mrs. Weber examines athlete the following day.

Return to Play Guidelines

After a concussion has been diagnosed, proceed with the following steps:
• Documented medical clearance is required by a medical doctor before the child may return to physical education and/or sports.
• The child should not return to physical education and/or sports until the child is totally asymptomatic for a period of 24 hours and cleared by the doctor (including after exercise).
• The child must complete the Return to Play Protocol provided before he or she may return to physical education and/or sports.
• The return to play protocol must be completed at school with the coach and nurse monitoring progress.

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This page is maintained by Schoharie Central School District and the Capital Region BOCES Communications Service according to the web publishing guidelines of Schoharie Central School District. Copyright 2011. All rights reserved. PDF documents on this website can be viewed using Adobe Acrobat Reader, which can be downloaded from Adobe for free. Paper copies of downloadable documents may be requested by calling 518 295-6679.

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