Transcript Document
Todd Nelson
Assistant Director, NYSPHSAA
NYSPHSAA Concussion Initiative
Lloyd Mott, Asst Director
Safety Committee Chair
Dennis Fries
Concussion Management
Coordinator
Senator Kemp Hannon
NYS Senate Health Committee
NYSPHSAA Concussion Team
NYSPHSAA Safety Committee Chair
NYSAAA Representative
Physicians
Psychologists & Neuropsychologists
Athletic Trainers
Athletic Directors
Parent
Section CMT formed
Principles of
Concussion Management
Avoid re-injury until recovered
Avoid over-exertion during recovery
Early education and reassurance improves outcome
Return to school gradually with accommodations as
needed
Return to play must follow a medically supervised
process
Zurich 2008 Guidelines
No grading of injury
Treat every concussion
seriously
Recovery may take
longer in children and
adolescents
3rd International Conference on Concussion in Sport
FIFA
IOC
IIHF
Zurich Return to Play Guidelines
Any athlete who show ANY symptoms or signs of a
concussion:
Athlete should not return-to-play in the
current game or practice
Athlete should be monitored for
deterioration for 24 hours
return-to-play must follow a medically
supervised stepwise process
athlete must be symptom-free at rest and
after exertion
Medical Protocol
Any athlete who suffers a concussion should
undergo medical evaluation within 24 hours
Anyone with LOC should be evaluated that day
If confused or not fully conscious, transport by
EMS with immobilization
Follow athlete until asymptomatic
First medical clearance is to begin RTP
progression
If no return of symptoms with exertion, then
final clearance for game play
Zurich Return to Play Progression
1. No activity, complete rest
2. Light aerobic exercise but no resistance
training
3. Sport specific exercise and progressive
addition of resistance training
4. Non-contact training drills
5. Full contact training and scrimmage after
medical clearance
6. Game play
Also should be symptom-free after mental exertion
and have normal neruocognitive test results
NYSPHSAA Concussion Initiative
$145K in 3 phases over 3 years
Presentations at athletic director meetings in all 11
sections
Webcast, DVD, and website
CME credit for school physicians
List of identified resources state-wide
Partnership with ImPACT – 220 member schools
Dick’s Sporting Goods – FREE base line testing
Concussion team in every section & every school
Sideline cards – distributed to all schools
NYSPHSAA Resources
NYSPHSAA Sample Concussion Policy
Modeled on policies, procedures, and protocols already
in use in some schools
Approved by NYSPHSAA Executive, available on website
Concussion Checklist
Completed by coach or trainer on the sideline
Follows athlete until cleared to RTP
Reviewed by school ATC and MD after clearance
Improves communication and helps enforce policy
Other Resources
Free Educational Materials
CDC Heads up in High School Sports kits
NFHS – Concussion Management Course
CDC web based training video for coaches
SED Required First Aid for Coaches outline
NCAA web-based education video
SUNY Upstate Concussion in the Classroom video
and brochure on-line
Lessons Learned
Coaches and athletic directors will attend . . . if
required
Athletic trainers and school nurses are good
advocates
Parents rely on advice of physicians
Primary complaint from trainers and nurses is
lack of knowledge among physicians
Little awareness of academic consequences
National Federation of High Schools
Concussion Guidelines 2010 - 2011
Any athlete who exhibits signs, symptoms,
or behaviors consistent with a concussion
(such as loss of consciousness, headache,
dizziness, confusion, or balance problems)
shall be immediately removed from the
contest and shall not return to play until
cleared by an appropriate health care
professional
Concussion Management
Awareness Act – July 1, 2012
NYSPHSAA met with
many legislators on
potential Bills.
Fully supports the Bill
passed by both the
Senate and Assembly
NYSPHSAA named as a
stakeholder in the Law
Steps to Success
Form a school Concussion Team to oversee
education and protocols
Educate athletes, parents, coaches, teachers,
administrators and school health professionals
including the medical officer
Develop and implement a concussion
management policy and protocol (use of
concussion checklist recommended)
Consider other steps such as hiring an athletic
trainer or using a computerized testing program
Summary
NFHS, CDC, NYSPHSAA and NYS legislature now
recognize sports concussion as a significant
health concern
Proper recognition and management of
concussion can prevent serious problems
Athletes must avoid re-injury and over-exertion
until recovered
Every school should have a concussion
management policy and a concussion
management team
It’s the right thing to do !
Contact information
Todd Nelson, Assistant Director
Email: [email protected]
Phone: (518) 690 - 0771