1. Sault Health Adolescent Care Center Concussion Management Program

2. October 14, 2011 Scott, 15 year old hockey player, bumped his head on the starter block in the pool.

3. E.R. cleared him to play October 18, 2011 He took a “dirty hit” playing hockey.

4. E.R. cleared him to play October 19, 2011 Scott went to the ER with  Headache  Feeling “Slow”  Moodiness  Balance Problems

5. October 31, 2011 Presented to the SHACC with continued symptoms for concussion assessment

6. October 31, 2011 Scott had no baseline concussion management score. Original scores were “invalid”

7. SHACC Nurse Practitioner ordered: total physical & cognitive rest 1 week off of school, then half days

8. Scott continued to have debilitating headaches.

9. He missed the entire hockey season.

10. Symptoms resolved in 2012 after 3-4 neurology consultations Treatment with Amitryplyline @ bedtime and Reduced school schedule the remainder of the 1 st semester

11. After falling off BMX Bike While wearing a helmet……

12. Summer 2012 Normal MRI Normal C.T.

13. No more athletics!

14. Summer 2011 S.H.A.C.C. Concussion Screening Program Initial planning began…..

15. SHACC Clinic Coordinator CCHD Medical Director Sault Schools Athletic Director Key Partners SHACC Clinic Coordinator CCHD Medical Director Sault Schools Athletic Director SHACC Nurse Practitioner War Memorial Hospital Athletic Trainers Parents

16. Neurocognitive Testing Brief computerized tests that assess athlete’s neurocognitive functioning pre-concussion and, again, at regular intervals, post-concussion.

17. Neurocognitive Testing Currently Available ImPACT™ (Immediate Post-Concussion Assessment & Cognitive Test) Cogsport (known as Axon) CNS Vital Signs HeadMinders™ ANAM (Automated Neuropsychological Assessment Metrics)

18. Decision was to use:

19. Popular with: 21 NFL Teams 33 MLB Teams All Pro Soccer Teams NHLOlympics Over 100 MichiganHighSchools!

20. ImPACTtest.com$500/yr. 300 baseline tests 120 post injury tests Over 100 MichiganHighSchools!

21. ImPACTtest.com Year 1: Athletic Boosters Paid Over 100 MichiganHighSchools! Year 2: S.H.A.A.C. Paid

22. ImPACTtest.com Baseline score good for 2-3 Years Over 100 MichiganHighSchools!

23. MichiganHighSchools! Resistance Coaches A Few Parents Support School Board Most Parents

24. Concussion Consent Form Over 100 MichiganHighSchools!

25. Began with group testing in Computer Lab Over 100 MichiganHighSchools! Football, Wrestling, Basketball, Soccer, Diving, Volleyball, Lacrosse

26. Student Instructions Over 100 MichiganHighSchools!

27. Administrative Policy Over 100 MichiganHighSchools!

28. Bike BRAIN* Protocol Run Agility In Red No Restrictions

29. Return to Competition Over 100 MichiganHighSchools!

30. Reimbursement MichiganHighSchools! Include baseline at no charge with annual physical Track on EMR: 850.0 Concussion w/o LOC 850.0 Concussion with LOC 310.2 Post Concussion Syndrome

31. Symptoms & Symptom Checklist Over 100 MichiganHighSchools!

32. Resources