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Concussion Management
From point of injury to return to play
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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
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Plan of Care Contact Parents Follow up with physician
Academic accommodations Daily Follow up with ATC Symptom inventory Coach
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ImPACT Post injury test
Re-test determined by both physician and athletic trainer Baseline v. Normative Value
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When to return to play Asymptomatic Full attendance at school
ImPACT test results Gradual Return to play
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Gradual Return to Play 5 steps Begins when asymptomatic
Must remain symptom free to progress Done under direction of physician and ATC
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Gradual Return to Play
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Prevention? Education Head gears Smart play Parents meetings
Video prior to impact testing Head gears Skull fracture v. concussion Rotational forces?? Smart play
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