Concussion Management From point of injury to return to play

Day of Injury Mechanism of Injury Evaluation of Symptoms SCAT 2/3 Direct blow “Blind Sided” Evaluation of Symptoms SCAT 2/3 Sideline cognitive Balance Coordination

Plan of Care Contact Parents Follow up with physician Academic accommodations Daily Follow up with ATC Symptom inventory Coach

ImPACT Post injury test Re-test determined by both physician and athletic trainer Baseline v. Normative Value

When to return to play Asymptomatic Full attendance at school ImPACT test results Gradual Return to play

Gradual Return to Play 5 steps Begins when asymptomatic Must remain symptom free to progress Done under direction of physician and ATC

Gradual Return to Play

Prevention? Education Head gears Smart play Parents meetings Video prior to impact testing Head gears Skull fracture v. concussion Rotational forces?? Smart play