Presentation on theme: "Coaches Understanding Sports-Related Concussion"— Presentation transcript:
1 Coaches Understanding Sports-Related Concussion Safe Concussion Outcome, Recovery & Education (SCORE) ProgramChildren’s National Medical CenterWashington, DC
2 USA Hockey Foundation Project Goal of Project:Maximize safety of youth hockey players, specifically as it relates to the prevention and management of concussion.
3 USA Hockey Foundation Project Completed with support from USA Hockey Foundation (Heads Up Hockey)In collaboration with Gardens Ice House and Montgomery Youth Hockey AssociationModeled after NHL Concussion ProgramEducation, Baseline Testing, Post-Concussion Evaluation & Gradual Return-To-Play
4 1997 NHL REQUIRES BASELINE TESTING FOR ALL ATHLETES Over 3800 athletes tested800 concussion evaluationsPlayer and league supportedPost-Concussion EvaluationGradual Return-To-PlayEric Lindros(8 reported concussions)
5 Four-Part Concussion Education & Management Program Education: Increase knowledge of signs, symptoms, and risks associated with concussionBaseline: Establish pre-season baseline levels of concussion symptomsEarly ID of concussion: Promote effective, early identification of concussionsReturn to play: Implement safe return-to-play (RTP) protocol
6 Key Starting Points Concussions can occur in any sport Ice hockey is a safe sportConcussions are relatively infrequentConcussions vary with the level, skill & intensity of the play.Individual’s likely vary in their susceptibility to concussion.Proper management of a suspected concussion significantly reduces the chances of a bad outcome.
7 Four-Part Concussion Education & Management Program Education: Increase knowledge of signs, symptoms, and risks associated with concussionBaseline: Establish pre-season baseline levels of concussion symptomsEarly ID of concussion: Promote effective, early identification of concussionsReturn to play: Implement safe return-to-play (RTP) protocol
8 What is a Concussion? A concussion is an injury to the brain that: Is caused by a bump, blow or jolt to the head.Can change the way the brain normally works.Can range from mild to severe.Can occur during practices or games in any sport.
9 What are the Symptoms of a Concussion? 3 symptom typesPhysical: Headache, nausea, balance problems, double/fuzzy vision, sensitivity to light or noise, feel sluggish, dizzinessThinking: Poor concentration, memory, trouble following conversation, fogginess, confusionEmotions: irritable, more emotional, sadness
10 Do you need to lose consciousness with a concussion? NO!You may or may not have a loss of consciousnessOnly a small % do (approx 10)!Can happen even if you haven’t been knocked out.Can be serious even if you’ve just been “dinged” or had your “bell rung.”
11 IncidenceTraumatic brain injury (TBI) is among the most common injuries in childrenAnnually, more than one million children sustain a TBI; 80-90% “ mild”Concussion = Mild TBIEstimated 300,000 sports-related concussions per year (likely an underestimate by 3-8x)
12 How do you know if a player has had a Concussion? After a blow, something seems different.You might notice some symptoms right away (confusion, loss of balance, fogginess, memory).Player is not following the game or the plays.BUT - Other symptoms may take hours, days, or weeks (headache, irritability, poor concentration).Later on, difficulties with schoolwork,completing everyday tasks, irritability.
13 What Parents/ Coaches/ Teammates See (Signs) Appears dazed, stunned, glassyConfused about tasks, game assignmentForgetful, repeating same questionsUnsure of game, score, opponentMoves clumsilyAnswers questions slowlyShows behavior or personality changesCan’t recall events before hit or after hitLoses consciousness
14 Symptoms The Player May Report HeadacheNauseaBalance problems, dizzinessDouble or fuzzy visionSensitivity to light or noiseFeeling sluggish or slowed downFeeling foggy or groggyConcentration or memory problemsConfusion
15 What to do if your player has a Concussion Initial Assessment - Do NOT ignore a blow or jolt to the head. Observe the player for signs and symptoms.If a Concussion is suspected, implement the ACTION PLAN.When in doubt, sit them out.
16 Basic Assessment Observe player for signs & symptoms Questions to Ask: Check Concussion Card or clipboardQuestions to Ask:Score of game, Who playing, Last Play, Current PeriodWhat happened right before hitWhat happened right after hitSymptom list (card/ clipboard)Questions Not to Ask (not useful)Name of self or othersDay, date, time, where they are (orientation)How many fingers
17 ACTION PLAN Do NOT allow the player to play with symptoms. Remove the player from the game/ practice.Inform the parents.Encourage a medical checkup. Obtain a proper evaluation by sports concussion expert.Allow return to play only with permission from an appropriate health care professional.
18 What if I Have Questions about a possible Concussion? If Coach, Parent, or Player has any question:Call the SCORE Information Hotline to discuss with a Concussion consultantSCORE Hotline #:SCORE Hotline Hours:Mon-Fri 8am-9pmSat-Sun 10am-9pm
19 Treatment of a Concussion Give yourself time to recover. REST!Your brain needs to heal.If not healed, your brain is more likely to be injured again - and worse.Recovery can take several days or weeks.Manage physicial (e.g., running, weightlifting) and cognitive (e.g., schoolwork, homework) exertion
20 What could happen if nothing is done? Player is more likely to be re-injured.Second/ third... injuries:are more likely to be more severecould cause permanent brain damagecan take longer to recover from.The player is put in greater danger.The player is not helping their team or teammates.Teammates must help their fellow teammates!
21 After a Concussion, When Can the Player Return to Play? No longer have symptomsNo longer need medicine to control symptoms.Cognitive/ thinking skills back to “normal.”Cleared by medical professional.
22 After a Concussion Gradual Return to Play Protocol After rest and gradual activity (exertion)Light aerobic exercise such as walking or stationary cycling.Sport specific training.Non-contact training drills.Full contact training.Game play.
23 How Can Concussions be Prevented? Follow the sport’s safety rules (especially checking, rough play).Good sportsmanship.Use proper equipment.Right equipment for the sport and position.Use equipment properly.Properly fitted.Use it every time you play.Do not ignore a blow or jolt to the head.
24 Play Hard! Play Safe! Play Smart! Key Ending PointsKnow what a concussion is and its symptoms.Dings and bell-ringers count!3 types of symptoms: physical, thinking, emotionalDon’t Ignore. Observe the players, tell parents.Encourage teammates to watch out for their friends.When in doubt, consult with SCORE.Give TIME to recover. REST!Follow the sports’ rules safely.Use the equipment properly.Play Hard! Play Safe! Play Smart!
25 It’s better to miss a game or two than the whole season or a career!
26 Four-Part Concussion Education and Management Program Education: Increase knowledge of signs, symptoms, and risks associated with concussionBaseline: Establish pre-season baseline levels of concussion symptomsEarly ID of concussion: Promote effective, early identification of concussionsReturn to play: Implement safe return-to-play (RTP) protocol
27 Pre-Season Symptom Baseline Assess presence of any “symptoms” prior to any injuryAllows for comparison following an injuryIdentify number and degree of symptomsAfter an injury, symptoms are monitored until return to pre-injury levelsAssist in guiding a safe return to play
28 Pre-Season Symptom Baseline With parental permission, complete baseline assessment by both parent and athleteCopies of baseline assessments collected by SCORE staff; will be returned to parents for their recordsLetter to pediatrician indicating that baseline has been completed, should a concussion occur
29 0= Not a problem2= Moderate problem4= Severe problem
31 Four-Part Concussion Education and Management Program Education: Increase knowledge of signs, symptoms, and risks associated with concussionBaseline: Establish pre-season baseline levels of concussion symptomsEarly ID of concussion: Promote effective, early identification of concussionsReturn to play: Implement safe return-to-play (RTP) protocol
32 Concussion Identification and Return to Play Implement the ACTION PLANShould an injury occur, SCORE staff can provide consultation and evaluation, in collaboration with athlete’s physicianReturn to Play: Ideally, conducted by certified athletic trainer.
34 Safe Concussion Outcome, Recovery, and Education (SCORE) Program Staff includes neuropsychologists, sports medicine physician, and athletic trainerSymptom monitoring and concussion-specific neuropsychological testingComputerized testing (ImPACT) assessing attention, memory, and processing speed/ reaction time
35 Safe Concussion Outcome, Recovery, and Education (SCORE) Program Provide consultation to coaches and trainers regarding safe return to playProvide consultation to schools regarding academic issues
36 SCORE Hotline If Coach, Parent, or Player has any question: Call the SCORE Hotline to discuss with a Concussion consultantSCORE Hotline #:SCORE Hotline Hours:Mon-Fri 8am-9pmSat-Sun 10am-9pm