1. Concussion Management From point of injury to return to play

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

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

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

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

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

7. Gradual Return to Play

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