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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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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

CONCUSSIONS: SIGNS, SYMPTOMS, BEHAVIORS

ANY SIGNS, SYMPTOMS OR BEHAVIORS CONSISTENT WITH CONCUSSION

  • IMMEDIATE STOPPAGE & REMOVAL

  • FOLLOW PROTOCOL FOR POSSIBLE RETURN


Risks at the field

RISKS AT THE FIELD…

CONTINUED PARTICIPATION RISKS:

  • WORSENING SYMPTOMS

  • INCREASED RISK OF FURTHER INJURY

  • INCREASED RISK OF DEATH


Risks at the field1

RISKS AT THE FIELD…

WHY SO CAREFUL?

  • SCHOOL-AGE BRAIN DOES NOT RECOVER QUICKLY ENOUGH

  • NEED FOR EVALUATION

  • NEED FOR RETURN TO PLAY PLAN


Concussions signs symptoms behaviors1

CONCUSSIONS:SIGNS, SYMPTOMS, BEHAVIORS

ANY SIGNS, SYMPTOMS OR BEHAVIORS CONSISTENT WITH CONCUSSION

  • IMMEDIATE STOPPAGE & REMOVAL

  • FOLLOW PROTOCOL FOR POSSIBLE RETURN


Signs symptoms behaviors

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


Signs symptoms behaviors1

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


Who enforces the rule

WHO ENFORCES THE RULE?

ALL OF THE ADULTS:

  • COACHES

  • CONTEST OFFICIALS

  • ADMINISTRATORS

  • MEDICAL PERSONNEL


What do coaches do

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


What do contest officials do

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


More contest officials

MORE CONTEST OFFICIALS

  • NOT EXPECTED TO BE MEDICAL PROFESSIONALS

  • NO AUTHORITY TO DETERMINE IF THERE HAS BEEN A CONCUSSION

  • FOLLOW RETURN TO PLAY PROTOCOL


The return to play protocol or rtp

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


Player returns with authorization but

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


More contest officials1

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


Was player concussed

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


Appropriate health care professional decides

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


Ahcp determines no concussion

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


The written authorization

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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