WHAT YOU NEED TO KNOW

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WHAT YOU NEED TO KNOW. CONCUSSIONS: WHAT YOU NEED TO KNOW Don Muenz, OHSAA Director of Soccer Officiating Development. CONCUSSIONS: SIGNS, SYMPTOMS, BEHAVIORS. ANY SIGNS, SYMPTOMS OR BEHAVIORS CONSISTENT WITH CONCUSSION. IMMEDIATE STOPPAGE & REMOVAL - PowerPoint PPT Presentation

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  • WHAT YOU NEED TO KNOW

    CONCUSSIONS:WHAT YOU NEED TO KNOW

    Don Muenz, OHSAA Director of Soccer Officiating Development

  • CONCUSSIONS: SIGNS, SYMPTOMS, BEHAVIORS IMMEDIATE STOPPAGE & REMOVAL FOLLOW PROTOCOL FOR POSSIBLE RETURN

    ANY SIGNS, SYMPTOMS OR BEHAVIORS CONSISTENT WITH CONCUSSION

  • RISKS AT THE FIELDWORSENING SYMPTOMS INCREASED RISK OF FURTHER INJURY INCREASED RISK OF DEATHCONTINUED PARTICIPATION RISKS:

  • RISKS AT THE FIELDSCHOOL-AGE BRAIN DOES NOT RECOVER QUICKLY ENOUGHNEED FOR EVALUATIONNEED FOR RETURN TO PLAY PLANWHY SO CAREFUL?

  • CONCUSSIONS:SIGNS, SYMPTOMS, BEHAVIORS IMMEDIATE STOPPAGE & REMOVAL FOLLOW PROTOCOL FOR POSSIBLE RETURN

    ANY SIGNS, SYMPTOMS OR BEHAVIORS CONSISTENT WITH CONCUSSION

  • SIGNS,SYMPTOMS,BEHAVIORS

    OBSERVED BY OTHERS:

  • SIGNS,SYMPTOMS,BEHAVIORS

    AS REPORTED BY ATHLETE:

    HeadacheNauseaBalance problems or dizzinessDouble vision or fuzzy visionSensitivity to light or noiseFeeling sluggishFeeling foggy or groggyConcentration or memory problemsConfusion

  • WHO ENFORCES THE RULE?COACHESCONTEST OFFICIALSADMINISTRATORSMEDICAL PERSONNELALL OF THE ADULTS:

  • WHAT DO COACHES DO?REVIEW AND KNOW SIGNS, SYMPTOMS & BEHAVIORS OF CONCUSSIONPROHIBIT PARTICIPATION IN MATCH OR PRACTICE BY ATHLETE WHO SHOWS SIGNS, SYMPTOMS OR BEHAVIORSCOACH NOT A MEDICAL PROFESSIONALHAS NO AUTHORITY TO DETERMINE IF THERE HAS BEEN A CONCUSSIONENSURES PLAYERS PARENTS ARE NOTIFIED & STUDENT IS REFERRED TO A MEDICAL PROFESSIONAL

  • WHAT DO CONTEST OFFICIALS DO?REVIEW & KNOW SIGNS, SYMPTOMS & BEHAVIORS OF CONCUSSIONRESPONSIBLE FOR IMMEDIATE REMOVAL IF THERE ARE SIGNS, SYMPTOMS OR BEHAVIORS THAT MAY INDICATE A POSSIBLE CONCUSSIONDO NOT PERMIT RETURN TO PLAY OF ANY SUCH PLAYER WITHOUT WRITTEN AUTHORIZATION PRESENTED TO HEAD REFEREEWRITTEN AUTHORIZATION MUST STATE THAT ATHLETE WAS NOT CONCUSSED

  • MORE CONTEST OFFICIALS

    NOT EXPECTED TO BE MEDICAL PROFESSIONALSNO AUTHORITY TO DETERMINE IF THERE HAS BEEN A CONCUSSIONFOLLOW RETURN TO PLAY PROTOCOL

  • THE RETURN TO PLAY PROTOCOL OR RTP

    TWO OFFICIALS ALWAYS LET COACH & TRAINER KNOW WHAT THEY OBSERVEDGIVE COACH & TRAINER ALL OF THE INFORMATION REMIND COACH OF RETURN ONLY AFTER WRITTEN AUTHORIZATION FROM AHCPHEAD REFEREE MAKES COPY OF WRITTEN AUTHORIZATION AND KEEPS ITHEAD REFEREE SENDS ORIGINAL AUTHORIZATION & OFFICIAL REPORT TO OHSAA, CHECKING INJURY BOX ON FORMREMIND COACH AT PREMATCH CONFERENCE OF THIS PROTOCOL

  • PLAYER RETURNS WITH AUTHORIZATION, BUT.OFFICIAL AGAIN SEES SIGNS, SYMPTOMS OR BEHAVIORS:IMMEDIATE STOPPAGEIMMEDIATE REMOVALTWO OFFICIALS TELL COACH & TRAINER WHAT THEY SAWAHCPs EVALUATION BEGINS ANEWOHSAA OFFICIAL REPORT, CHECKING INJURY BOX ON WHITE FORM; SEND ORIGINAL AUTHORIZATION

  • MORE CONTEST OFFICIALSSTOP PLAY IMMEDIATELYREMOVE PLAYEROHSAA OFFICIAL REPORT, CHECKING INJURY BOX ON WHITE FORMIF OFFICIAL BECOMES AWARE THAT PLAYER HAS RETURNED WITHOUT PROPER WRITTEN AUTHORIZATION:

  • WAS PLAYER CONCUSSED?

    DETERMINED ONLY BY AHCPCANNOT RETURN ON DAY OF CONCUSSION UNDER ANY CIRCUMSTANCE!WHEN IN DOUBT, HOLD THEM OUT!IF EVENT CONTINUES OVER MULTIPLE DAYS, RETURN TO PLAY IS EVENT PHYSICIANS DECISION

  • APPROPRIATE HEALTH CARE PROFESSIONAL DECIDESM.D., D.O. OR LICENSED ATHLETIC TRAINER ONLYTHEIR DETERMINATION OF WHETHER THERE HAS BEEN A CONCUSSION IS FINAL

  • AHCP DETERMINES NO CONCUSSIONRETURN TO PLAY ONLY WITH PROPER WRITTEN AUTHORIZATION PRESENTED TO HEAD REFEREEHEAD REFEREE KEEPS AUTHORIZATIONHEAD REFEREE MAKES COPY OF AUTHORIZATION AND RETAINSHEAD REFEREE FILES OHSAA OFFICIAL REPORT WITH ORIGINAL WRITTEN AUTHORIZATION

    IF AHCP DETERMINES NO CONCUSSION:

  • THE WRITTEN AUTHORIZATIONMUST BE IN WRITINGSIGNED BY AN AHCPIF AUTHORIZATION DOES NOT AFFIRMATIVELY STATE PLAYER DID NOT SUFFER A CONCUSSION, PLAYER CANOT RETURNIF AUTHORIZATION STATES PLAYER SUFFERED A CONCUSSION, PLAYER CANNOT RETURN

    *Comments: Concussion Management The NFHS has been at the forefront of national sports organizations in emphasizing the importance of concussion education, recognition and proper management for the past several years. In 2008, the NFHS Sports Medicine Advisory Committee (SMAC) advocated that a concussed athlete be removed from play and not allowed to return to play on that same day. To highlight the continuing importance of this issue, the NFHS SMAC and each sports rules committee has taken the unprecedented step of including Concussion Recognition and Management as a point of emphasis in each NFHS sport rules book for the 2010-11 year. The position of the NFHS SMAC is that no athlete should return to play or practice on that same day after suffering a concussion. Studies have shown medical professionals that the school-aged brain does not recover quickly enough for a high school athlete to return to activity in such a short time. No athlete should return-to-sport or other at-risk participation when symptoms of concussion are present and recovery is ongoing. Please see the NFHS Suggested Guidelines for Management of Concussion in Sports at www.nfhs.org for further information. (See page 107)**NF 3.3.2(c)(3) This change is a clarification from the NFHS Sports Medicine Advisory Committee.NF 3.3.1(c)(3) Any player who exhibits signs, symptoms or behaviors consistent with a concussion (such as loss of consciousness, headache, dizziness, confusion, or balance problems) shall be immediately removed from the contest and shall not return until cleared by an appropriate health-care professional.

    The OHSAA has adopted the following sports regulation:Any athlete who exhibits signs, symptoms or behaviors consistent with a concussion (such as loss of consciousness, headache, dizziness, confusion or balance problems) shall be immediately removed from the contest and shall not return to play until cleared with written authorization by an appropriate health care professional. In Ohio, an appropriate health care professional shall be a physician, as authorized under ORC Chapter 4731 and includes both doctors of medicine (M.D.) and doctors of osteopathy (D.O.) and an athletic trainer, licensed under ORC Chapter 4755.

    Even though most concussions are mild, all concussions are potentially serious and may result in complications that range from prolonged brain damage to death, if not managed properly. An athlete who has a head injury should not return to play without evaluation by medical personnel.Do not allow any athlete to return to participation if he/she has any symptoms.If an apparent head injury occurs, even if uncertainty exists about the severity of the injury and whether a true concussion occurred, that athlete should not return to action until medical clearance is obtained.Neither loss of consciousness, vomiting or amnesia is necessary for a head injury to be considered a concussion. All from NFHS Sports Medicine Handbook.**3.3.2 Situation F: Players A2 and B2 hit heads attempting to head the ball and both are injured. In the opinion of the referee, player A2 was unconscious for a short period of time. RULING: Player A2 shall be immediately removed from the contest and shall not return to play until cleared by an appropriate health-care professional.

    *NF 3.3.2(c)(3) This change is a clarification from the NFHS Sports Medicine Advisory Committee.NF 3.3.1(c)(3) Any player who exhibits signs, symptoms or behaviors consistent with a concussion (such as loss of consciousness, headache, dizziness, confusion, or balance problems) shall be immediately removed from the contest and shall not return until cleared by an appropriate health-care professional. (Please see NFHS Suggested Guidelines for Management of Concussion).

    The OHSAA has adopted the following sports regulation:Any athlete who exhibits signs, symptoms or behaviors consistent with a concussion (such as loss of consciousness, headache, dizziness, confusion or balance problems) shall be immediately removed from the contest and shall not return to play until cleared with written authorization by an appropriate health care professional. In Ohio, an appropriate health care professional shall be a physician, as authorized under ORC Chapter 4731 and includes both doctors of medicine (M.D.) and doctors of osteopathy (D.O.) and an athletic trainer, licensed under ORC Chapter 4755.

    Even though most concussions are mild, all concussions are potentially serious and may result in complications that range from prolonged brain damage to death, if not managed properly. An athlete who has a head injury should not return to play without evaluation by medical personnel.Do not allow any athlete to return to participation if he/she has any symptoms.If an apparent head injury occurs, even if uncertainty exists about the severity of the injury and whether a true concussion occurred, that athlete should not return to action until medical clearance is obtained.Neither loss of consciousness, vomiting or amnesia is necessary for a head injury to be considered a concussion. All from NFHS Sports Medicine Handbook.*OFFICIALS: WE DO NOT WANT TO SEE YOU ATTEMPTING TO DIAGNOSE OR TO TREAT PLAYERS.*The Concussion Procedure is in every NFHS contact sports rulebook.*****If a player is cleared for return to play on the same day by an appropriate health care professional and an official sees signs, symptoms or behaviors consistent with concussion, the official MUST immediately beckon an attendant onto the field, two officials are to be present when the head referee tells the head coach and attendant what the official has observed. The AHCP begins evaluation of the player all over again.

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