CONCUSSION MANAGEMENT PROTOCOL
Frontier Central School District
Dear Parent or Guardian,
The Frontier Central School District recognizes that concussions and head injuries are the most commonly reported injuries in children and adolescents who participate in sports and recreational activity. Therefore, effective September 2009, Concussion Management Guidelines were initiated to assist in the proper evaluation and management of head injuries.
Concussion is a mild traumatic brain injury. Concussion occurs when normal brain functioning is disrupted by a blow or jolt to the head. Recovery from concussion will vary. Avoiding re-injury and over-exertion until fully recovered are the cornerstones of proper concussion management.
Any student demonstrating signs, symptoms or behaviors consistent with a concussion while participating in a school sponsored class, extracurricular activity, or interscholastic athletic activity, shall be removed from the game or activity and be evaluated as soon as possible by an appropriate health care professional. The student should not return to school or activity until medically released by an appropriate health care professional. After the student is medically released,the school District's Concussion Management Team will make the final decision on a students return to activity. The guidelines and management of concussion in the school district follow a step wise approach with a gradual return to play. Once an athlete is asymptomatic for24 hours and has been released by a health care provider, the following gradual return to play protocol will be followed:
- Light aerobic exercise - walking, swimming, or stationary bike (< 70% max HR)
- Sport specific exercise - skating drills in ice hockey, running drills - no head impact activities
- Non-contact training drills - progress to more complex training drills, may start progressive resistance training
- Full contact clearance - participate in normal training activities
- Return to play – normal game play
This progression should be over 7-10 days with a minimum of 7 days. The athlete must remain asymptomatic to progress to the next level. In the event that symptoms return the athlete must stop activity and return to previous level 24 hrs later if asymptomatic. An additional consideration in return to play is that concussed athletes should not only be symptom free but also should not betaking any pharmacological agents/medications that may effect or modify the symptoms of concussion.
The Frontier Central School District's Concussion Management Team consists of School Nurses, Athletic Trainer, Athletic Director, School Nurse Practitioner and School Physician.
The health and safety of the students in the Frontier Central School District are of the utmost importance. If you have any questions regarding the Concussion Management in our schools, please feel free to call your child's school nurse or the School Nurse Practitioner.
Dawn M. Springer, FNP
School Nurse Practitioner
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