Listed below, I will include information that may be helpful when dealing with a concussion. Please scroll down to find the following documents.
Concussion State Laws, Definition and Possible Complications: An overview of what a concussion is, how it can occur, potential complications, and the CHSAA AND YOUTH SPORTS MANDATED LAWS concerning this injury.
Parent Informational Handout: This is what I give the student/athlete and their parent, when a concussion is suspected.
Concussion Management Guidance: A basic outline of what to expect for the initial management and return to play protocols.
SSHS Concussion Management Team: The role of those who may be involved in the management of this injury including the coach, certified athletic trainer, school nurse, teachers and administrators, primary care physician, ImPact test facilitators and specialists.
Student Academic/Activity Accommodation Form: This form is filled out BY THE HEALTHCARE PROFESSIONAL evaluating your child. They will fax this to the school nurse, so that the appropriate accommodations can be set in place. As symptoms resolve and the injury is healing, this form will be updated by the physician as necessary.
BACKGROUND INFORMATION (LAW, DEFINITION AND COMPLICATIONS)
Colorado High School Athletics Association (CHSAA) State Law
Due to Colorado Concussion state law SB 11-040, if an athlete is removed from practice or competition due to concussion-like symptoms, they are required to obtain written clearance from an approved medical provider (Doctor of Medicine, Doctor of Osteopathic Medicine, Licensed Nurse Practitioner, Licensed Physician Assistant, Licensed Doctor of Psychology) before returning to activity.
Go to https://chsaanow.com/sports-medicine to view all policies.
Youth Sport Leagues
On March 29, 2011 Colorado Governor Hickenlooper signed in to law ‘Jake Snakenberg Youth Sports Concussion Act’ making Colorado one of the dozen or so states to enact legislation. The bill requires that coaches receive education about concussion, that a student athlete is removed from the field of play if a concussion is suspected and that the student be signed off by a healthcare professional before returning to play. The Act went into effect January 1, 2012.
What is a concussion?
A concussion is a type of traumatic brain injury—or TBI—caused by a bump, blow, or jolt to the head or by a hit to the body that causes the head and brain to move rapidly back and forth. This sudden movement can cause the brain to bounce around or twist in the skull, creating chemical changes in the brain and sometimes stretching and damaging brain cells.
Complications: If concussions are mismanaged, consequences can be moderate to severe. In mild cases, healing and recovery are prolonged or even worsened. In severe cases, there is a potential for second impact syndrome or chronic traumatic encephalopathy.
Second Impact Syndrome
Second impact syndrome occurs when the athlete receives a second blow (which can be less severe than the first impact), before the symptoms of the first concussion have healed. Within two to five minutes of this second impact, the brain rapidly swells, leading to respiratory failure, decreased ocular movement, and potentially death. This is our biggest fear as a medical community when dealing with concussions.
Chronic Traumatic Encephalopathy (CTE)
CTE is a brain disease that results from changes in the brain. These changes can affect how a person thinks, feels, acts, and moves. Traumatic brain injuries, including concussions, and repeated hits to the head, called subconcussive head impacts, may lead to CTE. www.cdc.gov/HEADSUP.com
Your child may have sustained a head injury. In some instances the signs of a concussion do not become obvious until several hours or even days after the injury. If your child has any of the following symptoms, please notify their physician as soon as possible. Please be observant of the following signs and symptoms and note any symptoms that worsen.
Headache (especially one that increases in intensity)*
Nausea and vomiting*
Blurry or double vision*
Difference in pupil size from right to left eye, dilated pupils*
Noticeable changes in the level of consciousness (difficulty awakening, or losing consciousness suddenly)*
Decreased or irregular pulse OR respiration*
Mental confusion/behavioral changes
Ringing in the ears
Change in gait or balance
***Seek medical attention immediately ***
If you have any questions or concerns about the symptoms you are observing, contact your family physician for instructions, or seek medical attention at the closest emergency department. Otherwise you can follow the instructions outlined below.
It is ok to:
eat a light diet
go to sleep
use ice pack on head and neck as needed
take tylenol or Ibuprofen (motrin/advil) for pain
have light exercise if symptom free (walk to dog, walk to school, short hike)