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Concussion Management. From point of injury to return to play. Day of Injury. Mechanism of Injury Direct blow “Blind Sided” Evaluation of Symptoms SCAT 2/3 Sideline cognitive Balance Coordination. Plan of Care . Contact Parents Follow up with physician Academic accommodations

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concussion management

Concussion Management

From point of injury to return to play

day of injury
Day of Injury
  • Mechanism of Injury
    • Direct blow
    • “Blind Sided”
  • Evaluation of Symptoms
  • SCAT 2/3
    • Sideline cognitive
    • Balance
    • Coordination
plan of care
Plan of Care
  • Contact Parents
  • Follow up with physician
    • Academic accommodations
  • Daily Follow up with ATC
    • Symptom inventory
  • Coach
impact
ImPACT
  • Post injury test
  • Re-test determined by both physician and athletic trainer
  • Baseline v. Normative Value
when to return to play
When to return to play
  • Asymptomatic
  • Full attendance at school
  • ImPACT test results
  • Gradual Return to play
gradual return to play
Gradual Return to Play
  • 5 steps
  • Begins when asymptomatic
    • Must remain symptom free to progress
  • Done under direction of physician and ATC
prevention
Prevention?
  • Education
    • Parents meetings
    • Video prior to impact testing
  • Head gears
    • Skull fracture v. concussion
      • Rotational forces??
  • Smart play