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Concussion Protocol

What is a Concussion?

A concussion is a type of traumatic brain injury—or TBI—caused by a bump, blow, or jolt to the head or by a hit to the body that causes the head and brain to move back and forth quickly. This fast movement can cause the brain to bounce around or twist in the skull, creating chemical changes in the brain and sometimes stretching and damaging the brain cells.

For more detailed information on concussions, please check the following sources:

Student Return to Play/Activity Protocol Following a Concussion

The following protocol has been established in  accordance to the National Federation of State High School Associations and the International Conference on Concussion in Sport, Prague 2004. It is imperative to
remember the safety of the student is the primary concern of LCS and its medical personnel.

The information contained below is to be used as a guideline and implemented in the time following a
concussive event. This information is not to be considered as all inclusive or all encompassing.

When a student shows signs or symptoms of a concussion or is suspected to have sustained a brain injury after an evaluation by a coach or medical personnel at the time or thereafter the time of incident.

1. The student will not be allowed to return to play/activity in the current game or practice and will
notify a parent as soon as possible.
2. The student should not be left alone, and regular monitoring for deterioration is essential over the
initial few hours following injury.
3. Following the initial injury, the student must follow up with their Primary Care physician or by an Emergency Department within the first 24 hours.
4. Return to play must follow a medical clearance and successful completion of the “Return to Play Protocol.”
5. The school district has final determination for students return to play status.

The cornerstone to proper concussion management is rest until all symptoms resolve and then the student
will be tested through our concussion management computer program, ImPACT . If the student’s test results
are all within the norm of their baseline test, the student will then follow the following program. The program
is broken down into six steps in which only one step is covered per one 24 hour period. The six steps involved
with the Return to Play Protocol are:

1. No physical exertion until asymptomatic
2. Light aerobic exercise such as walking or stationary bike, etc (20-30min). No resistance training.
3. Sport/activity specific drills and exercise such as running. Progressive addition of resistance training
may begin. 20-30 minutes and raising the heart rate considerably.
4. Non-contact training/drills.
a. Following day,ImPACT Post Injury Test #3
5. Full contact training in practice setting.
6. Return to competition

If any concussion symptoms reoccur, the athlete should drop back to the previous level and try to progress after 24 hours of rest. In addition, the student-athlete should be monitored for reoccurrence of symptoms due to mental exertion, such as reading, working on a computer or taking a test.

Helpful Concussion Links