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WHAT YOU NEED TO KNOW

WHAT YOU NEED TO KNOW. CONCUSSIONS: WHAT YOU NEED TO KNOW Don Muenz, OHSAA Director of Soccer Officiating Development. CONCUSSIONS: SIGNS, SYMPTOMS, BEHAVIORS . ANY SIGNS, SYMPTOMS OR BEHAVIORS CONSISTENT WITH CONCUSSION . IMMEDIATE STOPPAGE & REMOVAL

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WHAT YOU NEED TO KNOW

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  1. WHAT YOU NEED TO KNOW CONCUSSIONS: WHAT YOU NEED TO KNOW Don Muenz, OHSAA Director of Soccer Officiating Development

  2. CONCUSSIONS: SIGNS, SYMPTOMS, BEHAVIORS ANY SIGNS, SYMPTOMS OR BEHAVIORS CONSISTENT WITH CONCUSSION • IMMEDIATE STOPPAGE & REMOVAL • FOLLOW PROTOCOL FOR POSSIBLE RETURN

  3. RISKS AT THE FIELD… CONTINUED PARTICIPATION RISKS: • WORSENING SYMPTOMS • INCREASED RISK OF FURTHER INJURY • INCREASED RISK OF DEATH

  4. RISKS AT THE FIELD… WHY SO CAREFUL? • SCHOOL-AGE BRAIN DOES NOT RECOVER QUICKLY ENOUGH • NEED FOR EVALUATION • NEED FOR RETURN TO PLAY PLAN

  5. CONCUSSIONS:SIGNS, SYMPTOMS, BEHAVIORS ANY SIGNS, SYMPTOMS OR BEHAVIORS CONSISTENT WITH CONCUSSION • IMMEDIATE STOPPAGE & REMOVAL • FOLLOW PROTOCOL FOR POSSIBLE RETURN

  6. Signs,Symptoms,Behaviors OBSERVED BY OTHERS: • Appears dazed or stunned • Is confused about assignment • Forgets plays • Is unsure of game, score or opponent • Moves clumsily • Answers questions slowly • Loses consciousness • Shows behavior or personality changes • Can’t recall events prior to hit • Can’t recall events after hit

  7. Signs,Symptoms,Behaviors AS REPORTED BY ATHLETE: • Headache • Nausea • Balance problems or dizziness • Double vision or fuzzy vision • Sensitivity to light or noise • Feeling sluggish • Feeling foggy or groggy • Concentration or memory problems • Confusion

  8. WHO ENFORCES THE RULE? ALL OF THE ADULTS: • COACHES • CONTEST OFFICIALS • ADMINISTRATORS • MEDICAL PERSONNEL

  9. WHAT DO COACHES DO? • REVIEW AND KNOW SIGNS, SYMPTOMS & BEHAVIORS OF CONCUSSION • PROHIBIT PARTICIPATION IN MATCH OR PRACTICE BY ATHLETE WHO SHOWS SIGNS, SYMPTOMS OR BEHAVIORS • COACH NOT A MEDICAL PROFESSIONAL • HAS NO AUTHORITY TO DETERMINE IF THERE HAS BEEN A CONCUSSION • ENSURES PLAYER’S PARENTS ARE NOTIFIED & STUDENT IS REFERRED TO A MEDICAL PROFESSIONAL

  10. WHAT DO CONTEST OFFICIALS DO? • REVIEW & KNOW SIGNS, SYMPTOMS & BEHAVIORS OF CONCUSSION • RESPONSIBLE FOR IMMEDIATE REMOVAL IF THERE ARE SIGNS, SYMPTOMS OR BEHAVIORS THAT MAY INDICATE A POSSIBLE CONCUSSION • DO NOT PERMIT RETURN TO PLAY OF ANY SUCH PLAYER WITHOUT WRITTEN AUTHORIZATION PRESENTED TO HEAD REFEREE • WRITTEN AUTHORIZATION MUST STATE THAT ATHLETE WAS NOT CONCUSSED

  11. MORE CONTEST OFFICIALS • NOT EXPECTED TO BE MEDICAL PROFESSIONALS • NO AUTHORITY TO DETERMINE IF THERE HAS BEEN A CONCUSSION • FOLLOW RETURN TO PLAY PROTOCOL

  12. THE RETURN TO PLAY PROTOCOL or “RTP” • TWO OFFICIALS ALWAYS LET COACH & TRAINER KNOW WHAT THEY OBSERVED • GIVE COACH & TRAINER ALL OF THE INFORMATION • REMIND COACH OF RETURN ONLY AFTER WRITTEN AUTHORIZATION FROM AHCP • HEAD REFEREE MAKES COPY OF WRITTEN AUTHORIZATION AND KEEPS IT • HEAD REFEREE SENDS ORIGINAL AUTHORIZATION & OFFICIAL REPORT TO OHSAA, CHECKING “INJURY” BOX ON FORM • REMIND COACH AT PREMATCH CONFERENCE OF THIS PROTOCOL

  13. PLAYER RETURNS WITH AUTHORIZATION, BUT…. • OFFICIAL AGAIN SEES SIGNS, SYMPTOMS OR BEHAVIORS: • IMMEDIATE STOPPAGE • IMMEDIATE REMOVAL • TWO OFFICIALS TELL COACH & TRAINER WHAT THEY SAW • AHCP’s EVALUATION BEGINS ANEW • OHSAA OFFICIAL REPORT, CHECKING “INJURY” BOX ON WHITE FORM; SEND ORIGINAL AUTHORIZATION

  14. MORE CONTEST OFFICIALS IF OFFICIAL BECOMES AWARE THAT PLAYER HAS RETURNED WITHOUT PROPER WRITTEN AUTHORIZATION: • STOP PLAY IMMEDIATELY • REMOVE PLAYER • OHSAA OFFICIAL REPORT, CHECKING “INJURY” BOX ON WHITE FORM

  15. WAS PLAYER CONCUSSED? • DETERMINED ONLY BY AHCP • CANNOT RETURN ON DAY OF CONCUSSION UNDER ANY CIRCUMSTANCE! • “WHEN IN DOUBT, HOLD THEM OUT!” • IF EVENT CONTINUES OVER MULTIPLE DAYS, RETURN TO PLAY IS EVENT PHYSICIAN’S DECISION

  16. APPROPRIATE HEALTH CARE PROFESSIONAL DECIDES • M.D., D.O. OR LICENSED ATHLETIC TRAINER ONLY • THEIR DETERMINATION OF WHETHER THERE HAS BEEN A CONCUSSION IS FINAL

  17. AHCP DETERMINES “NO CONCUSSION” IF AHCP DETERMINES “NO CONCUSSION”: • RETURN TO PLAY ONLY WITH PROPER WRITTEN AUTHORIZATION PRESENTED TO HEAD REFEREE • HEAD REFEREE KEEPS AUTHORIZATION • HEAD REFEREE MAKES COPY OF AUTHORIZATION AND RETAINS • HEAD REFEREE FILES OHSAA OFFICIAL REPORT WITH ORIGINAL WRITTEN AUTHORIZATION

  18. THE WRITTEN authorization • MUST BE IN WRITING • SIGNED BY AN AHCP • IF AUTHORIZATION DOES NOT AFFIRMATIVELY STATE PLAYER DID NOT SUFFER A CONCUSSION, PLAYER CANOT RETURN • IF AUTHORIZATION STATES PLAYER SUFFERED A CONCUSSION, PLAYER CANNOT RETURN

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