Matt KaisermanSt. Luke’s Concussion Clinic

Community Relations Coordinator

October 5, 2012

St. Luke’s Concussion Clinic

St. Luke’s Concussion Clinic

National Legislative Climate

http://www.knowconcussion.org/resource/concussion-legislation-map/

HB 632

• Section 1: SBOE and the IHSAA must provide a link on their websites to CDC guidelines and educational materials.

• Section 2: Applies to Middle School, Junior High School and High School athletics.

• Section 3: Mandates education to parents and athletes prior to the start of an athletic season. Coaches, AT’s and referees must review biannually.

HB 632

• Section 4: Removal from play protocols established by schools• Must Adhere to CDC guidelines

• Athlete must be removed when “reasonably suspected” of sustaining an injury

• Section 5: Return to play protocols• “An athlete may be returned to play once the athlete is evaluated and authorized to

return by a qualified health care professional who is trained in the evaluation and management of concussions.”

• Physician or Physician Assistant

• Advanced Practice Nurse

• A licensed health care professional trained in the evaluation and management of concussions who is supervised by a directing physician

• Section 6: Liability• “If an individual reasonably acts in accordance with the protocol developed

pursuant to subsection (4) of this section, then acting upon such protocol shall not form the basis of a claim for negligence in a civil action.

• Section 7: Youth Sport Organizations• Liability Protections

•3 tenets of “ideal” concussion legislation• Educational Outreach• RFP/RTP Protocols• Parent Acknowledgement of Risk

HB 632 – In Comparison

School Compliance – A Quick Start Guide

• Draft Protocol

• Parent/Athlete meeting

• Cognitive Baseline Testing (Optional)

• Biannual Concussion Training for ATC’s/Coaches

• Removal from Play Protocol

• Coaches & non-clinical staff

• ATC’s & other appropriate medical professionals

• Return to Play Protocol

• Academic Accommodations

http://stlukesonline.org/sports/

Parent/Athlete Meeting

• Annual Meeting – prior to each sport season

• Attended by parents, athletes, coaches

• Topic Areas

• Definition of concussion

• Signs/Symptoms

• Observable signs by others

• Tips for Prevention

• Risks Associated with continued play after a concussion

• What to do if you suspect someone has sustained a concussion

• CDC 4 step action plan

• Additional resources for parents, athletes and coaches

• Parent/Guardian Acknowledgment Form

Cognitive Baseline Testing (Optional)

• Recommendations:

• Biannual baseline ImPACT testing of athletes in the following activities:

• Football, volleyball, wrestling, basketball, soccer, baseball, softball, pole vaulting, cheer, or any other athlete at the request of the athlete’s parent, guardian or coach.

• Establish baselines using other cognitive tests such as BESS, SAC, etc.

• At least once in an athlete’s junior high and high school career.

Biannual Training of ATC’s & Coaches

• Coaches

• NFHS online education mandated by the IHSAA

• Print certificate of completion and keep on file• http://www.nfhslearn.com/electiveDetail.aspx?courseID=15000

• Athletic Trainers

• “Heads Up to Clinicians Concussion Training” provided online by the CDC

• Print certificate of completion and keep on file

• http://www.cdc.gov/concussion/

Removal from Play Protocol

• Coaches & non-clinical staff

• Symptom awareness

• Emergency protocols

• Evaluation of injury by proper medical professionals

• Proper communication channels

• Athletic Trainers & other appropriate medical providers

• Symptom awareness

• Emergency protocols

• Injury Evaluation

• Proper communication channels

• Athlete referral

Return to Play Protocol

• Athletic Trainers or other appropriate medical providers

• Consistent with NFHS rules and Idaho Law

• Graduated Return to Play

• Step 0 – Cognitive Rest

• Step 1 – Light Aerobic Exercise

• Step 2 – Moderate Exercise

• Step 3 – Non-contact Exercise

• Step 4 – Practice

• Step 5 – Return to Competition

Academic Accommodations

• Proper communication with athlete and athlete’s parents

• 504 Plans if necessary

• Implemented when students have a disability (temporary or permanent) that affects their performance in any manner.

• Environmental adaptations, curriculum modifications, and behavioral strategies.

• Students recovering from a concussion may need to:

• Take rest breaks as needed

• Spend fewer hours at school

• Be given more time to take tests or complete assignments

• Receive help with schoolwork, and/or

• Reduce time spent on the computer, reading, or writing

Educational Materials & Resources

• Parents

• Idaho Concussion Management Plan Overview

• St. Luke’s Concussion Handout

• CDC Fact sheet

• NFHS Guide for Parents

• NFHS Concussion Physiology Handout

• Parent/Guardian Acknowledgement Form

• Athletes

• CDC Fact Sheet

ImPACT Testing Program

• Largest Normative Dataset

• Measures player symptoms

• Measures verbal and visual memory, processing speed and reaction time

• Reaction time measured to a 1/100th of a second

• Community Access – St. Luke’s Testing Program

• 12 schools currently enrolled

• 3000+ baselines

Additional Resources

To find these materials online, please visit:www.stlukesonline.org/sports

 Additional Online Resources

www.cdc.gov/concussionwww.nfhslearn.com

www.knowconcussion.orgwww.impacttest.com

 

To view the Idaho Concussion Law visit:http://legislature.idaho.gov/legislation/2012/H0632.pdf

 

Thank You

Matt KaisermanCommunity Relations Coordinator

St. Luke’s Concussion Clinic

111 W. State St.

Boise, ID 83702

p: (208) 381-9205 kaisermm@slhs.org

c: (208) 781-0875 concussion@slhs.org

Concussion Clinic: (208) 381-2665