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    Concussion Form

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    api-78371275

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Concussion Form

    Uploaded by

    api-78371275
    368 views2 pages

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    concussion form

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    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    368 views2 pages

    Concussion Form

    Uploaded by

    api-78371275

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    DID YOU KNOW?

    Most concussions occur without loss of


    consciousness.
    Athletes who have, at any point in their lives,
    had a concussion have an increased risk for
    another concussion.
    Young children and teens are more likely to
    get a concussion and take longer to recover
    than adults.
    PARENT & ATHLETE CONCUSSION
    INFORMATION SHEET
    WHAT IS A CONCUSSION?
    A concussion is a type of traumatic brain injury that
    changes the way the brain normally works. A concussion
    is caused by a bump, blow, or jolt to the head or body that
    causes the head and brain to move quickly back and forth.
    Even a ding, getting your bell rung, or what seems to be
    a mild bump or blow to the head can be serious.
    WHAT ARE THE SIGNS AND
    SYMPTOMS OF CONCUSSION?
    Signs and symptoms of concussion can show up right after
    the injury or may not appear or be noticed until days or
    weeks after the injury.
    If an athlete reports one or more symptoms of concussion
    after a bump, blow, or jolt to the head or body, s/he should
    be kept out of play the day of the injury. The athlete should
    only return to play with permission from a health care
    professional experienced in evaluating for concussion.
    SYMPTOMS REPORTED
    BY ATHLETE:
    Headache or pressure in head
    Nausea or vomiting
    Balance problems or dizziness
    Double or blurry vision
    Sensitivity to light
    Sensitivity to noise
    Feeling sluggish, hazy, foggy, or groggy
    Concentration or memory problems
    Confusion
    Just not feeling right or is feeling down
    SIGNS OBSERVED
    BY COACHING STAFF:
    Appears dazed or stunned
    Is confused about assignment or position
    Forgets an instruction
    Is unsure of game, score, or opponent
    Moves clumsily
    Answers questions slowly
    Loses consciousness (even briefy)
    Shows mood, behavior, or personality changes
    Cant recall events prior to hit or fall
    Cant recall events after hit or fall
    ITS BETTER TO MISS ONE GAME
    THAN THE WHOLE SEASON
    Rick Snyder, Governor
    James K. Haveman, Director
    CONCUSSION DANGER SIGNS
    In rare cases, a dangerous blood clot may form on the
    brain in a person with a concussion and crowd the brain
    against the skull. An athlete should receive immediate
    medical attention if after a bump, blow, or jolt to the
    head or body s/he exhibits any of the following danger
    signs:
    One pupil larger than the other
    Is drowsy or cannot be awakened
    A headache that gets worse
    Weakness, numbness, or decreased coordination
    Repeated vomiting or nausea
    Slurred speech
    Convulsions or seizures
    Cannot recognize people or places
    Becomes increasingly confused, restless, or agitated
    Has unusual behavior
    Loses consciousness (even a brief loss of consciousness
    should be taken seriously)
    WHAT SHOULD YOU DO IF YOU THINK
    YOUR ATHLETE HAS A CONCUSSION?
    1. If you suspect that an athlete has a concussion,
    remove the athlete from play and seek medical
    attention. Do not try to judge the severity of the
    injury yourself. Keep the athlete out of play the day
    of the injury and until a health care professional,
    experienced in evaluating for concussion, says s/he is
    symptom-free and its OK to return to play.
    2. Rest is key to helping an athlete recover from a
    concussion. Exercising or activities that involve a
    lot of concentration, such as studying, working on
    the computer, and playing video games, may cause
    concussion symptoms to reappear or get worse.
    After a concussion, returning to sports and school is
    a gradual process that should be carefully managed
    and monitored by a health care professional.
    3. Remember: Concussions affect people differently.
    While most athletes with a concussion recover
    quickly and fully, some will have symptoms that last
    for days, or even weeks. A more serious concussion
    can last for months or longer.
    JOIN THE CONVERSATION www.facebook.com/CDCHeadsUp
    Content Source: CDCs Heads Up Program. Created through a grant to the CDC Foundation from the
    National Operating Committee on Standards for Athletic Equipment (NOCSAE).
    >> WWW.CDC.GOV/CONCUSSION TO LEARN MORE GO TO
    WHY SHOULD AN ATHLETE REPORT
    THEIR SYMPTOMS?
    If an athlete has a concussion, his/her brain needs time to
    heal. While an athletes brain is still healing, s/he is much
    more likely to have another concussion. Repeat concussions
    can increase the time it takes to recover. In rare cases,
    repeat concussions in young athletes can result in brain
    swelling or permanent damage to their brain. They can even
    be fatal.
    STUDENT-ATHLETE NAME PRINTED
    STUDENT-ATHLETE NAME SIGNED
    DATE
    PARENT OR GUARDIAN NAME PRINTED
    PARENT OR GUARDIAN NAME SIGNED
    DATE

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