1. N.C. GENERAL ASSEMBLY SESSION LAW 2011-147 HOUSE BILL #792 passed June 16, 2011

2.  (1) Written information detailing the recognition of the signs and symptoms of concussions and other head injuries.  (2) A description of the physiology and the potential short-term and long-term effects of concussions and other head injuries.  (3) The medical return-to-play protocol for postconcussion participation in interscholastic athletic activities.

3.  All coaches, school nurses, athletic directors, first responders, volunteers, students who participate in interscholastic athletic activities, and the parents of those students shall receive, on an annual basis, a concussion and head injury information sheet. School employees, first responders, volunteers, and students must sign the sheet and return it to the coach before they can participate in interscholastic athletic activities or competition. Parents must sign the sheet and return it to the coach before their children can participate in any such interscholastic athletic activities. The signed sheets shall be maintained in accordance with sub-subdivision (d.) of this subdivision.

4. What is a concussion?  A concussion is a brain injury that:  Is caused by a bump, blow, or jolt to the head  Can change the way your brain normally works  Can range from mild to severe  Can occur during practices or games in any sport  Can happen even if you haven’t been knocked out  Can be serious even if you’ve just been “dinged” or had your “bell rung”

5.  Nausea (feeling that you might vomit)  Balance problems or dizziness  Double or fuzzy vision  Sensitivity to light or noise  Headache  Feeling sluggish  Feeling foggy or groggy  Concentration or memory problems (forgetting game plays)  Confusion

6.  Although all concussions cannot be prevented, many can be minimized or avoided.  Proper coaching techniques, good officiating of the existing rules, and use of properly fitted equipment can minimize the risk of head injury.  Although the NFHS advocates the use of mouthguards in nearly all sports and mandates them in some, there is no convincing scientific data that their use will prevent concussions.

7. 1. No athlete should ever return to play (RTP) on the same day of a suspected concussion. 2. Any athlete removed from play because of a suspected concussion must have medical clearance from an appropriate healthcare professional before he or she can resume practice or competition. 3. The NCHSAA’s mandatory RTP form must be completed and signed by a licensed Physician BEFORE athlete can return to practice or competition. 4. Close observation of athlete should continue for a few hours even after diagnosis. 5. After medical clearance, RTP should follow a step-wise protocol with provisions for delayed RTP based on return of any signs or symptoms.

8. 1. No exertional activity until asymptomatic. 2. When the athlete appears clear, begin low-impact activity such as walking, stationary bike, etc. 3. Initiate aerobic activity fundamental to specific sport such as skating or running, and may also begin progressive strength training activities. 4. Begin non-contact skill drills specific to sport such as dribbling, fielding, batting, etc. 5. Full contact in practice setting only after gradual progression. 6. If athlete remains asymptomatic, he or she may return to game/play.

10. If you suffer any of the symptoms of a concussion,, let your coaches or parents know Suffering a concussion is NOT a sign of weakness Concussions are dangers and can be fatal Second impact syndrome (SIS) occurs when brain swells rapidly and catastrophically after a person suffers a 2 nd concussion before symptoms from an earlier one have subsided Be SAFE rather than SORRY