Concussion Protocol - Youth Sports Safety (2023)

From the moment of impact, our athletic trainers start a concussion protocol to ensure your athlete’s safe return-to-play.

The Center Foundation and local school districts continuously work together to provide a comprehensive concussion protocol for high school athletes. The focus is on protecting student-athletes from further injury and ensuring that they are able to return to school and sports safely. In fact, the Oregon State legislature passed Max’s law in 2010 for this very reason. Specifically, the law requires that all Oregon school districts develop and maintain a concussion protocol. We agree! Our protocol uses the most up-to-date, evidence-based research and guidelines available. Ensuring that concussed student-athletes in Central Oregon receive the best care possible is our number one priority.

The Role of Athletic Trainers in Concussion Protocol

Concussion Protocol - Youth Sports Safety (1)Studies show that schools without athletic trainers have fewer reported concussions. At first, this sounds confusing. However, we know that concussions in school sports happen at the same rate everywhere, but when athletic trainers are present, athletes report concussions more often. This is important. When student-athletes do not tell someone that they are injured, they do not receive immediate or appropriate care. In addition, a concussed athlete is more likely to continue playing. The result is a higher risk of more serious injuries, like Second Impact Syndrome.

As many as 50% of concussions are not reported. And, up to 80% of people who have a concussion do not know that they have a concussion. Therefore, it is crucial that athletic trainers are present to observe, evaluate, and appropriately manage suspected concussions when they occur. Athletic trainers are allied healthcare professionals recognized by the American Medical Association (AMA). Their training and education in concussion management is comprehensive. In the high school sports setting, athletic trainers are the first providers present to identify and evaluate injured student-athletes. They also serve as integral members of the post-injury concussion management team. Finally, as part of the concussion protocol, they are an important part of the return-to-play decision process. The presence of certified athletic trainers is crucial at sports practices and games.

(Video) CDC Concussion Awareness

Our High School Concussion Protocol

In collaboration with Bend-La Pine, Crook County, Jefferson County, and Sisters school districts, we establish the evaluation and treatment standards and procedures for sports-related concussions. The hallmark of the concussion protocol is the school-based concussion management team. The team consists of the athletic trainer, school nurse, school counselor, and athletic administration. Concussion management teams work together to evaluate, communicate, and monitor the progression of the student as they recover from a concussion.

First, before a concussion event takes place, student-athletes take an ImPACT test (Immediate Post-Concussion Assessment and Cognitive Testing). ImPACT is a computerized test that aids in evaluating the recovery of the concussed student-athlete. To achieve this, results of an ImPACT test are used to evaluate and document many brain functions, including memory, processing speed, reaction time, and post-concussion symptoms. High school athletes participating in high-risk sports, such as alpine skiing, basketball, football, soccer, and wrestling receive a free test by their high school athletic trainer. Called a baseline ImPACT test, athletes will take it every two years – usually during the freshman and junior years. The purpose is to collect data on the athlete’s brain function in a normal, non-injured state. If the athlete sustains a concussion, he or she will retest using the ImPACT program. Comparison of pre-injury and post-injury results help with treatment and recovery decisions.

Once all student-athletes have their baseline test data, the following concussion protocol establishes procedures for recognition, evaluation, and management of concussions by all involved parties – coaches, students, parents, athletic trainers, and school nurses.

Step 1: Injury Occurs

  • Either the athletic trainer and/or coach observe the injury or the student-athlete reports it. At the point that a suspected concussion has occurred, the injured athlete is immediately removed from play.

Step 2: Injury Evaluation

  • The athletic trainer evaluates the injured student using the SCAT-5 assessment tool. The SCAT-5 is the standardized concussion assessment tool used to evaluate possible concussions.
  • Based on the evaluation, the athletic trainer assesses whether or not a concussion has occurred.
  • No student who displays symptoms of a possible concussion will return to play the same day.

Step 3: Injury Referral

  • Once a concussion is confirmed, the athletic trainer contacts the parents with take-home instructions for follow-up care, observation cues, red flag symptoms to watch for, and instructions for referral.
  • Oregon State law mandates that all high school student-athletes receive clearance from a physician prior to returning to sports. Therefore, the athlete receives recommendation for referral to a medical provider specializing in concussion assessment and treatment.
  • The athletic trainer contacts the concussion management team at the school to inform them of the concussion.

Step 4: Injury Follow-up Care

  • The concussion management team monitors a gradual return to daily activities, school, and exercise.
  • This includes the development of a return-to-learn plan and specific academic accommodations, if needed, based on the specific symptoms and issues of the injured student-athlete.
  • Together, the athletic trainer and parents monitor the development and improvement of symptoms on a daily basis.
  • Concussed student-athlete should refrain from all physical activity immediately following injury. Once their condition begins to improve, they may resume low-level activity, such as walking or riding a stationary bike at a low heart rate.
  • Once the injured person is symptom free, attending school full-time without accommodations, and their ImPACT scores are normal, they may begin the return-to-play protocol.

Step 5: Return-to-Play

In order to return to play, the injured student must complete all steps of a graduated exercise progression, and receive written clearance from a healthcare professional.

(Video) Concussions in Youth Sports | What's The Protocol?

  • Graduated Return-to-Play Progression: Injured students must complete each step without a return of symptoms before progressing to the next step. If symptoms return during a step, the student should rest for 24 hours and then resume activity a step below the level where the symptoms occurred.
  • Symptom-Limited Activity: Relative rest for 48-72 hours. Low intensity physical and mental activity at a level that does not exacerbate current symptoms. This also applies to the return-to-learn process and may include recommendations to stay home and limit school hours and homework. Gradual reintroduction of light activity while limiting symptoms.
  • Light Aerobic Exercise: Walking or stationary bike at low to moderate intensity; no contact, resistance, or weight training.
  • Sport Specific Exercise: Sprinting, dribbling basketball or soccer; no helmet or equipment, no head impact activities.
  • Non-Contact Training: More complex drills in full equipment. Weight training or resistance training may begin.

**Before moving to the next stage, the athlete must fully recover, be medically cleared and in school full-time without accommodations, and have normal ImPACT scores.

  • Full-Contact Practice: Participate in normal, full-contact training activities.
  • Unrestricted Return-to-Participation/Full Competition: Game play against opposing team.

It is important to note that if your child is currently playing OSAA sports at a high school we serve, you have already agreed to abide by this protocol by signing your school paperwork.

GET THE HELP YOU NEED WHEN YOU NEED IT.

If you believe your child has a concussion, you should seek medical attention from a concussion specialist.NOWcareat The Center, offers immediate concussion evaluation with no appointment.NOWcare is availableMONDAY – FRIDAY, 9 A.M. – 4 P.M. with same day ImPACT testing, if needed.Click here for more information.

Next, Dr. Ugalde’s weekly Friday Concussion Clinics at The Center offer support to those experiencing longer-term concussion symptoms. Call541-322-2214for more information.

(Video) Concussion and Youth Sports

In addition, if your child plays high school sports in Central Oregon, your high school athletic trainer is available during school hours. Find your high school athletic trainerHERE.

Get the support your child needs to safely recover from a concussion.

GET YOUR CHILD BACK IN THE GAME SAFELY

We are passionate about getting Central Oregon youth the care they need when they have experienced a concussion. To this end, we follow a research-based model of management in treating concussions. Like you, our focus is on getting your child healthy, and safely returning them to the activity they love.

Additionally, we strive to provide the most current concussion information on these pages. However, if you do not find what you are looking for here, pleasecontactus.

(Video) Trickle-Down Safety: Sports Concussions

The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. See ourTerms of Usefor more information.

(Video) Sports Safety & Concussions

FAQs

What are the 5 protocols for concussion? ›

After more rest and no concussion symptoms, the athlete can start at the previous step.
  • Step 1: Back to regular activities (such as school) ...
  • Step 2: Light aerobic activity. ...
  • Step 3: Moderate activity. ...
  • Step 4: Heavy, non-contact activity. ...
  • Step 5: Practice & full contact. ...
  • Step 6: Competition.

What is sports concussion protocol? ›

After suffering a concussion, no athlete should return to play or practice on that same day. An athlete should never be allowed to resume play following a concussion until symptom free and given the approval to resume physical activity by an appropriate health-care professional.

What are the 3 R's of concussion management? ›

While some sports have a higher risk of concussions, it's important to remember concussions can happen in any sport, and even outside of sports. Teens have the best chance of recovering from a concussion and avoiding complications when students, parents, and schools follow the three R's: recognize, report, and recover.

What is the concussion protocol for kids? ›

Do not let the child perform any strenuous activity or go back to playing in sports. Do not use aspirin or ibuprofen for headaches for the first 48 hours. Use acetaminophen (Tylenol) only. Encourage your child to rest and eat a light diet.

What is the 2 point rule concussion? ›

You rate your current symptoms out of 10 (0 being no symptoms at all and 10 being the worst symptoms you can imagine). Then, you are allowed to continue your specific activity (going for a run, watching TV, typing on a computer) until your symptoms increase by 2 points, then you must stop.

How long do you have to wait to play sports after a concussion? ›

A majority of people who have sustained a concussion will need to be sidelined for at least seven to 10 days, but in some cases, an individual could take several weeks to heal. CT scans and MRIs from concussion studies don't show structural changes, such as bleeding, in a concussion.

What questions do they ask in concussion protocol? ›

Ask the person the following questions; • What do you remember just prior to the impact? Do you remember what happened? How did you get here? Did you come by yourself, if not who came with you?

What is the first step in concussion management? ›

Physical and mental rest

In the first few days after a concussion, relative rest is the most appropriate way to allow your brain to recover. Your doctor will recommend that you physically and mentally rest to recover from a concussion.

How do you monitor a child with a concussion? ›

People should look for the following warning signs of concussion in children:
  1. headache.
  2. sleepiness.
  3. feeling like they are in a fog.
  4. feeling sick or vomiting.
  5. sensitivity to noise or light.
  6. seeming irritable.
  7. sleeping more or less than usual.
  8. feeling depressed or sad.
16 Aug 2018

What are the 4 categories of concussion? ›

The signs and symptoms of concussion reported within 1 to 7 days post injury (see Table 3-3) typically fall into four categories—physical (somatic), cognitive, emotional (affective), and sleep—and patients will experience one or more symptoms from one or more categories.

What is the NRL concussion rule? ›

The NRL introduced a rule in 2021 where players diagnosed with concussion were not allowed to play under an 11-day stand-down period, but could return sooner with the clearance of an independent concussion doctor. The ability to detect concussions in players has been a thorny one for medical experts.

How long do mild concussion symptoms last? ›

Concussions can range from mild to severe, however even mild concussions require a recovery period. On average, it takes approximately 7-10 days to recover from a concussion. However, this can vary from individual to individual and you may continue to experience concussion symptoms for longer than 7-10 days.

How long should a child stay off school after concussion? ›

Step 1: Rest

24-48 hours off school. Rest and only do activity that doesn't worsen symptoms. Activities such as watching television, texting or using a computer might make symptoms worse, so try to limit this as much as possible.

How long should a child rest after a concussion? ›

Rest (for 1–2 days after the concussion)

Have your child relax at home. Calm activities such as talking to family and friends, reading, drawing, coloring, or playing a quiet game are OK. If symptoms interfere with an activity, your child should take a break from it.

How long after hitting head should a child stay awake? ›

Watch Your Child Closely for 2 Hours:

Watch your child closely during the first 2 hours after the injury. Have your child lie down and rest until all symptoms have cleared. Note: mild headache, mild dizziness and nausea are common.

How long is a concussion protocol? ›

How long is concussion protocol? There's no set duration for a concussion protocol because there's a great deal of variation in how long it takes for the brain to recover and heal. In general, the length of the protocol depends on the length of recovery, which in most cases is about two weeks.

How long do you monitor a concussion? ›

Recovery. After experiencing concussion, careful monitoring is needed. This is usually for 48 hours.

How is concussion protocol cleared? ›

6-Step Return to Play Progression
  1. Step 1: Back to regular activities (such as school) Athlete is back to their regular activities (such as school).
  2. Step 2: Light aerobic activity. ...
  3. Step 3: Moderate activity. ...
  4. Step 4: Heavy, non-contact activity. ...
  5. Step 5: Practice & full contact. ...
  6. Step 6: Competition.

What is a rapid test for concussion? ›

Our i-STAT TBI plasma test is the first rapid handheld traumatic brain injury (TBI) blood test, which will help clinicians assess individuals with suspected mild TBIs, including concussions. Tests results are available within 15 minutes after plasma is placed in the test cartridge.

What is a baseline concussion test? ›

A baseline concussion test shows how well your brain is currently functioning and may be useful in diagnosing a concussion after an injury. A doctor may perform the test by asking questions, or testing may be done via computer.

How many concussions can you have before you can't play sports? ›

There is no set number as to how many concussions humans can have before they suffer permanent damage. After all, some athletes experience symptoms for years after just one concussion, while others are seemingly okay after having more than one.

What happens if you play sports with a concussion? ›

If you play through a concussion, you are putting yourself at risk for Second Impact Syndrome. If you get hit in the head again before your first concussion heals, you could collapse and end up with brain damage, in a wheelchair or dead. No game or practice is worth the chance of dying.

Why is concussion protocol important? ›

Concussion protocols are supposed to help take the guesswork out of concussion assessment and management. Their purpose is to improve post-injury treatment and outcomes and prevent long-term post-concussion symptoms or damage for every concussed player.

What should I do if my child has a mild concussion? ›

If children have concussion, they must immediately stop what they're doing. Seek medical attention or go to an emergency department. Call 000 if children have severe symptoms. Children should rest for 24-48 hours after the injury and return to normal activities gradually.

What to watch for after child hits head? ›

Call your health care provider right away if your child had a head injury and:
  • is an infant.
  • lost consciousness, even for a moment.
  • has any of these symptoms: won't stop crying. complains of head and neck pain (younger children who aren't talking yet may be more fussy) vomits more than one time. won't awaken easily.

What happens when a kid gets a concussion? ›

Concussions might cause a kid to look or act slow or foggy, or even develop emotional symptoms, such as anxiety, irritation, depression or trouble sleeping or extreme sleepiness.

What are 5 cognitive symptoms of a concussion? ›

You may experience cognitive symptoms, such as: Acting dazed or sluggish. Blurred or double vision. Difficulty maintaining balance.
...
Such emotional symptoms may include:
  • Anxiety.
  • Irritability.
  • Mood changes.
  • Sadness.

What are the red flag warnings that someone has had a concussion? ›

“Red Flag” Symptoms To Remember

Increasing confusion. Worsening headache. Vomiting. Double vision or other vision problems.

How long does a moderate concussion last? ›

In most people, symptoms occur within the first seven to 10 days and go away within three months. Sometimes, they can persist for a year or more. The goal of treatment after concussion is to effectively manage your symptoms.

What is concussion protocol in NFL? ›

Under the league's concussion protocols, players displaying instability after a hit are evaluated by both the team doctor and an independent neurologist, who is hired by the league but not on team staff. Together, they determine whether a player can return, with the team doctor having the ultimate say.

What is a serious concussion? ›

A severe concussion is where you lose consciousness for more than five minutes. The symptoms can also last for weeks before they may begin to subside. You are at risk of permanent brain damage with a grade 3 concussion.

What happens if a concussion goes untreated? ›

A: Concussion left untreated can lead to long-term complications. Potential complications of a concussion include chronic headaches, memory problems, vertigo, and post-concussion syndrome, which is headaches, dizziness, mood swings, and brain fog that can continue for months or years after a concussion.

What are the symptoms of a slow brain bleed? ›

Symptoms
  • Headache that gets worse.
  • Vomiting.
  • Drowsiness and progressive loss of consciousness.
  • Dizziness.
  • Confusion.
  • Unequal pupil size.
  • Slurred speech.
  • Loss of movement (paralysis) on the opposite side of the body from the head injury.
17 Jun 2022

What are the stages of concussion? ›

Types of concussions

grade 0: headache and difficulty concentrating. grade 1: headache, difficulty concentrating, and a dazed feeling for less than a minute. grade 2: grade 1 symptoms, with a longer period of feeling dazed, possibly accompanied by dizziness, confusion, amnesia, ringing in the ears, and irritability.

When should a student athlete return to school following a concussion? ›

When concussion symptoms have lessened and are tolerable for up to 30 to 45 minutes, a child should return to school. This will usually happen within a few days and certainly within the first week of the concussion. Prolonged absences from school following a concussion is discouraged.

Can my child go to school with a concussion? ›

Most students will need to take 1 to 4 days off from school after a concussion (see Table 2). In the early phases of recovery from a concussion, students should limit overstimulation and cognitive activity (including TV, texting, video games, homework or reading).

How do schools deal with concussions? ›

Tips for Dealing With a Concussion at School
  1. Sit where you can focus. ...
  2. Write down everything you need to remember. ...
  3. Ask if you can record the lesson. ...
  4. If you start noticing symptoms, like a headache or sensitivity to light, take a break before they have a chance to get worse. ...
  5. Ease back into things.

What helps a concussion heal faster? ›

There are several science-backed methods to speed up concussion recovery.
  • Physical rest.
  • Mental rest.
  • Light exercise.
  • Abstain from alcohol.
  • Chiropractic care.
  • Psychological treatment.
18 Nov 2020

Should you let a child with concussion sleep? ›

Once your child has been diagnosed with a concussion, it is important to let him or her sleep, as rest encourages healing of the brain. Sleeping, in fact, encourages healing of the brain.

When should I be worried about my child hitting his head? ›

Call an ambulance if your child has had head injury involving high speeds or heights, or if after a knock to the head they lose consciousness or vomit more than once. Your child may develop a number of different symptoms in the weeks after a head injury. Many of these require immediate medical attention.

What should I do if my child hits his head on the hard floor? ›

For anything more than a light bump on the head, you should call your child's doctor. Your child's doctor will want to know when and how the injury happened and how your child is feeling. If your child is alert and responds to you, the head injury is mild and usually no tests or X-rays are needed.

What happens if a toddler falls off the bed and hits his head? ›

If they fell on their head and have anything more than a minor bump – or if your child isn't acting normally – call their doctor immediately or take them to the emergency room. Serious head injuries are rare, but your child may need to be evaluated or monitored.

How long is a concussion protocol? ›

It's recommended that individuals with a concussion have a 1-2 day period of rest followed by progressive increases in activity. This return to activity should always be monitored by a trained healthcare provider. Most providers will try to see their patients 24-72 hours after the injury to assess their functioning.

How is concussion protocol cleared? ›

6-Step Return to Play Progression
  1. Step 1: Back to regular activities (such as school) Athlete is back to their regular activities (such as school).
  2. Step 2: Light aerobic activity. ...
  3. Step 3: Moderate activity. ...
  4. Step 4: Heavy, non-contact activity. ...
  5. Step 5: Practice & full contact. ...
  6. Step 6: Competition.

What is the first aid treatment for a concussion? ›

apply a cold compress to the injury to reduce swelling – a bag of frozen peas wrapped in a towel will do. take paracetamol to control any pain – do not use non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or aspirin, as these can cause bleeding. avoid drinking alcohol or taking recreational drugs.

What questions do they ask for concussion protocol? ›

Ask the person the following questions; • What do you remember just prior to the impact? Do you remember what happened? How did you get here? Did you come by yourself, if not who came with you?

How long should a child stay off school after concussion? ›

Step 1: Rest

24-48 hours off school. Rest and only do activity that doesn't worsen symptoms. Activities such as watching television, texting or using a computer might make symptoms worse, so try to limit this as much as possible.

How long to watch for concussion in kids? ›

Children and adolescents with concussion can take up to four weeks to recover, but most concussions will get better on their own over several days. Following a mild head injury, your child will need to get plenty of rest and sleep, particularly in the first 24 to 48 hours.

How long after hitting head should a child stay awake? ›

Watch Your Child Closely for 2 Hours:

Watch your child closely during the first 2 hours after the injury. Have your child lie down and rest until all symptoms have cleared. Note: mild headache, mild dizziness and nausea are common.

How do you monitor a child with a concussion? ›

People should look for the following warning signs of concussion in children:
  1. headache.
  2. sleepiness.
  3. feeling like they are in a fog.
  4. feeling sick or vomiting.
  5. sensitivity to noise or light.
  6. seeming irritable.
  7. sleeping more or less than usual.
  8. feeling depressed or sad.
16 Aug 2018

How long should you rest after a minor concussion? ›

Take it easy the first few days after a mild TBI or concussion when symptoms are more severe. You may need to take a short time off from work or school, although usually no more than 2 to 3 days.

How long does a mild concussion last? ›

In most people, symptoms occur within the first seven to 10 days and go away within three months. Sometimes, they can persist for a year or more. The goal of treatment after concussion is to effectively manage your symptoms.

What are the 4 categories of concussion symptoms? ›

The signs and symptoms of concussion reported within 1 to 7 days post injury (see Table 3-3) typically fall into four categories—physical (somatic), cognitive, emotional (affective), and sleep—and patients will experience one or more symptoms from one or more categories.

What to watch for after child hits head? ›

Call your health care provider right away if your child had a head injury and:
  • is an infant.
  • lost consciousness, even for a moment.
  • has any of these symptoms: won't stop crying. complains of head and neck pain (younger children who aren't talking yet may be more fussy) vomits more than one time. won't awaken easily.

How do I know if my child's head injury is serious? ›

Also seek emergency attention if your child exhibits the following signs or symptoms after a head injury, which could signal a concussion:
  1. Persistent or worsening headache.
  2. Imbalance.
  3. Vomiting.
  4. Blood or clear fluid coming from the nose or ears.
  5. Memory loss or confusion.
  6. Mood changes, such as irritability.

What is a rapid test for concussion? ›

Our i-STAT TBI plasma test is the first rapid handheld traumatic brain injury (TBI) blood test, which will help clinicians assess individuals with suspected mild TBIs, including concussions. Tests results are available within 15 minutes after plasma is placed in the test cartridge.

What is a baseline concussion test? ›

A baseline concussion test shows how well your brain is currently functioning and may be useful in diagnosing a concussion after an injury. A doctor may perform the test by asking questions, or testing may be done via computer.

How do doctors test for concussion? ›

A cranial computerized tomography (CT) scan is the standard test in adults to assess the brain right after injury. A CT scan uses a series of X-rays to obtain cross-sectional images of your skull and brain.

Videos

1. Concussion Recovery – Youth Sports
(Banner Health)
2. Concussion protocol, safety top priority for high school football players
(8 News NOW Las Vegas)
3. Meet the Experts: Signs, Symptoms, Treatment of Concussions in Youth Sports
(Arkansas Children's)
4. It’s Not Child’s Play: An Evidence-Based Approach to Youth Sports Concussions | UCLAMDChat
(UCLA Health)
5. Concussion Protocol Overview - TeamSafe​®Sports
(TeamSafeSports)
6. Sport Concussions in Youth | Christopher Giza, MD | UCLAMDChat
(UCLA Health)
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