1. Concussion Management athletico.com

2. Concussion

3. In a Nutshell Prevention Baseline Evaluation Communication Return to Participation Vestibular Physical Therapy Event Coverage

4. Specifics Defining “in Conjunction with” SCAT3 vs. SAC vs GSC vs others ImPACT (or other testing) Recommendations Better for every body.

5. Tools Provided SCAT 3 Graded Symptom Checklist Concussion Information Sheet Concussion Timeline Checklist Concussion Physician Letter Template Physician Update Form Better for every body.

6. Return to Participation B - Bike R - Run A - Agility I – In Red N – No Restriction Practice G – Game Play Better for every body.

7. SCAT 3 Scenario Better for every body.

8. Concussion Management… It’s A Team thing! Team Physician Primary Care Physician Neuropsychologist Athletic Trainer Physical Therapist Coach Parents School Administrators Educators Better for every body.

9. SB 007 Concussion Oversight Team – Consisting of: Physician (MD/DO); AND *Athletic Trainer; AND/OR *School Nurse; AND/OR Advanced Practice Nurse; AND/OR Neuropsychologist; AND/OR Physician Assistant Other Licensed Healthcare Providers Better for every body.

10. Role of the Concussion Management Oversight Team Create a Return to Play Policy that is evidence based Create a Return to Learn Policy that is evidence based Better for every body.

11. Athlete May Return to Play When: Have completed Return to Learn (RTL) and Return to Play(RTP) program Written script from a physician stating that the athlete is cleared to return to play Signed Parental Consent Form Informed of returned to participation in accordance to RTP and RTL policies Understands the risks of returning to participation Consents to proper medical disclosures Better for every body.

12. Compliance Superintendent, or designee, shall be responsible for the compliance of with the RTP and RTL policies Designee may not coach any interscholastic sport Better for every body.

13. Education Coaches and game officials – 2 hour education Nurse serving on Concussion Oversight Team Any Game officials Physician serving on Concussion Oversight Team ATC serving on Concussion Oversight Team Any other member of Concussion Oversight team Education must be completed by 9/1/2016 Proof of training must be kept by school Better for every body.

14. Emergency Action Plan School Specific In Writing Reviewed by the Concussion Oversight Team Approved by the Superintendent Distributed to all personnel Posted conspicuously at all venues utilized by the school Reviewed annually by all ATC’s, coaches, nurses, first responders, AD’s, volunteers Better for every body.

15. Concussion work at Athletico Lectures A Step aHead BNA Many other opportunities to get involved!

16. BNA Testing Brain Network Activity (BNA) Testing is taking Brain wave activity while performing a simple cognitive task Computer interprets this into Network activity, which can be used following brain alteration (such as concussion), and compared to either a benchmark test, or to normative data. Better for every body.

17. Closing the Gap with BNA™ Technology Revealing Brain Networks Activity (BNA™) for Better Clinical Decisions CT/ MRIDTIPETfMRI Function Behavior Symptoms BNA™ Structure – Metabolism – Neuronal Function – Function

18. Demonstration of BNA™ Clinical Utility 17 Year Old High School Football Player Case Report Head to head collision Many on field symptoms: Disorientation, Headache, Dizziness, Balance problems, Visual Changes, Fatigue, Sensitivity to light/Noise, Migraine Diagnosed with concussion When is it “safe” for him to return to play?

19. Current Practice Standard Clinical decision is based on subjective measures CT Scan Normal Computerized tests non conclusive Neuro-Imaging Resolved within 3 weeks SymptomsNeuropsychology Based on limited information available through current methods: Physician Decision: Return to Play after 3 weeks Week

20. The BNA Difference 1 Week2 Weeks3 Weeks 4 Weeks BNA demonstrates that, while symptoms are gone, brain recovery is only at 24%. Return to Play in 3 weeks may not be the right decision 24% Delta (1-4HZ) Theta (3-8HZ) Alpha (7-13HZ) Beta (12-30HZ) Connectivity Baseline 1 Week 2 Weeks3 Weeks4 Weeks

21. Thank You! Better for every body.