1. Matt Kaiserman St. Luke’s Concussion Clinic Community Relations Coordinator
October 5, 2012

2. St. Luke’s Concussion Clinic

3. St. Luke’s Concussion Clinic

4. National Legislative Climate
Red=pending
Blue=ideal
Yellow=partial

5. HB 632
Section 1: SBOE and the IHSAA must provide a link on their websites to CDC guidelines and educational materials.
Section 2: Applies to Middle School, Junior High School and High School athletics.
Section 3: Mandates education to parents and athletes prior to the start of an athletic season. Coaches, AT’s and referees must review biannually.

6. HB 632 Section 4: Removal from play protocols established by schools
Must Adhere to CDC guidelines
Athlete must be removed when “reasonably suspected” of sustaining an injury
Section 5: Return to play protocols
“An athlete may be returned to play once the athlete is evaluated and authorized to return by a qualified health care professional who is trained in the evaluation and management of concussions.”
Physician or Physician Assistant
Advanced Practice Nurse
A licensed health care professional trained in the evaluation and management of concussions who is supervised by a directing physician
Section 6: Liability
“If an individual reasonably acts in accordance with the protocol developed pursuant to subsection (4) of this section, then acting upon such protocol shall not form the basis of a claim for negligence in a civil action.
Section 7: Youth Sport Organizations
Liability Protections

7. 3 tenets of “ideal” concussion legislation
HB 632 – In Comparison
3 tenets of “ideal” concussion legislation
Educational Outreach
RFP/RTP Protocols
Parent Acknowledgement of Risk

8. School Compliance – A Quick Start Guide
Draft Protocol
Parent/Athlete meeting
Cognitive Baseline Testing (Optional)
Biannual Concussion Training for ATC’s/Coaches
Removal from Play Protocol
Coaches & non-clinical staff
ATC’s & other appropriate medical professionals
Return to Play Protocol
Academic Accommodations

9. Parent/Athlete Meeting
Annual Meeting – prior to each sport season
Attended by parents, athletes, coaches
Topic Areas
Definition of concussion
Signs/Symptoms
Observable signs by others
Tips for Prevention
Risks Associated with continued play after a concussion
What to do if you suspect someone has sustained a concussion
CDC 4 step action plan
Additional resources for parents, athletes and coaches
Parent/Guardian Acknowledgment Form

10. Cognitive Baseline Testing (Optional)
Recommendations:
Biannual baseline ImPACT testing of athletes in the following activities:
Football, volleyball, wrestling, basketball, soccer, baseball, softball, pole vaulting, cheer, or any other athlete at the request of the athlete’s parent, guardian or coach.
Establish baselines using other cognitive tests such as BESS, SAC, etc.
At least once in an athlete’s junior high and high school career.

11. Biannual Training of ATC’s & Coaches
NFHS online education mandated by the IHSAA
Print certificate of completion and keep on file
Athletic Trainers
“Heads Up to Clinicians Concussion Training” provided online by the CDC

12. Removal from Play Protocol
Coaches & non-clinical staff
Symptom awareness
Emergency protocols
Evaluation of injury by proper medical professionals
Proper communication channels
Athletic Trainers & other appropriate medical providers
Injury Evaluation
Athlete referral

13. Return to Play Protocol
Athletic Trainers or other appropriate medical providers
Consistent with NFHS rules and Idaho Law
Graduated Return to Play
Step 0 – Cognitive Rest
Step 1 – Light Aerobic Exercise
Step 2 – Moderate Exercise
Step 3 – Non-contact Exercise
Step 4 – Practice
Step 5 – Return to Competition

14. Academic Accommodations
Proper communication with athlete and athlete’s parents
504 Plans if necessary
Implemented when students have a disability (temporary or permanent) that affects their performance in any manner.
Environmental adaptations, curriculum modifications, and behavioral strategies.
Students recovering from a concussion may need to:
Take rest breaks as needed
Spend fewer hours at school
Be given more time to take tests or complete assignments
Receive help with schoolwork, and/or
Reduce time spent on the computer, reading, or writing

15. Educational Materials & Resources
Parents
Idaho Concussion Management Plan Overview
St. Luke’s Concussion Handout
CDC Fact sheet
NFHS Guide for Parents
NFHS Concussion Physiology Handout
Parent/Guardian Acknowledgement Form
Athletes
CDC Fact Sheet

16. ImPACT Testing Program
Largest Normative Dataset
Measures player symptoms
Measures verbal and visual memory, processing speed and reaction time
Reaction time measured to a 1/100th of a second
Community Access – St. Luke’s Testing Program
12 schools currently enrolled
3000+ baselines

17. Additional Resources To find these materials online, please visit:
Additional Online Resources
To view the Idaho Concussion Law visit:

18. Matt Kaiserman Thank You Community Relations Coordinator
St. Luke’s Concussion Clinic
111 W. State St.
Boise, ID 83702
p: (208)
c: (208)
Concussion Clinic: (208)