Multnomah University. Concussion Policy

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1 Multnomah University Concussion Policy This policy is to outline the process and procedure in dealing with an MU athlete that is suspected in having a concussion injury. This policy will also define what a concussion is and the signs and symptoms that occur when an athlete suffers one. Lastly, this policy will serve as a guideline to help protect and prevent any further injuries to the athlete, and structure a return-to-play format. The references in this document for the information on, management of, return to play guidelines and treatment of a concussion are based on review of medical literature including, but not limited to, statements by the National Athletic Training Association, American Family Physicians, NCAA Manual of Sports Medicine, and various established university policies from various universities. Cerebral concussions represent the most common brain injury in athletics, and in athletes that are participating in contact and/or collision sports. Concussion is defined as a mild traumatic brain injury suffered by a traumatic biomechanical force. Traumatic Biomechanical Force is a direct blow that causes the head to snap forward, backward, or rotate to a side. Concussion can range from different degrees: Mild ( dinged, bell rung ), Moderate, and Severe. All are considered brain trauma and can affect the brain s function. Sign and symptoms of a concussion can vary from different degrees of injury, from injury to injury, and from person to person. Sign and symptoms can start right after a concussion has occurred or can be delayed hours later. Any athlete that displays any of the following signs and symptoms should be thoroughly assessed by an athletic trainer or physician: Headache/Light Headedness Dizziness Amnesia/ Memory Loss Nausea/ Vomiting Balance Difficulties Vision Problems Attention Disorder/Confusion Depression Sleeping Disturbance Loss of Consciousness Mentally Unresponsive Personality Changes Concussion Grading Scale: Grade 1 No Loss of Consciousness Transient Confusion (inattention, inability to maintain a coherent stream of thought and carry out goal-directed movement). Concussion symptoms lasting < 15 minutes Grade 2 No Loss of Consciousness Transient Confusion Concussion symptoms lasting > 15 minutes but < 1 hour Grade 3 Any Loss of Consciousness (LOC)

2 Confusion or concussive symptoms lasting longer than 1 hour. Sideline Management of Concussion: Grade 1 1. If concussion is suspected, remove athlete from activity Immediately exam athlete and re-assess athlete every 5 minutes(using SCAT2) 2. The athlete is NOT to return to the current activity, even if all symptoms have completely clear. 3. Athlete will be assessed through the remainder of the contest and after the contest has concluded. 4. Document injury and athlete will be given Heads-Up Warning Sheet to take home. Grade 2 1. If concussion is suspected, remove athlete from activity 2. Immediately assess athlete and continue to monitor athlete throughout the rest of the activity. Re-assess athlete every 5 minutes for first 30 minutes until confusion/amnesia clears, and then re-check every 15 minutes until symptom(s) resolve. 3. The athlete is NOT to return to the current activity, even if all symptoms have completely clear. 4. Athlete will be assessed after the contest and be given the Heads-Up Warning Sheet. 5. The athlete will be re-examined the next day and will also receive an appointment to see a physician. 6. Athlete will need to be symptom free for one week, pass all tests, and need a clearance from a Physician to return to play. Grade 3 1. If the athlete loses consciousness <15 seconds or has prolonged amnesia/confusion for longer than 1 hour, athlete will be transported or sent to the hospital/emergency room. 2. If the athlete loses consciousness for longer than 15 seconds, EMT will be called or assist in evaluation of athlete, and may transport the athlete to the hospital/emergency room. 3. The athlete, under any circumstance, is NOT allowed to return to the current contest/practice. 4. Document injury and athlete will be given Heads-Up Warning Sheet to take home. 5. The athlete will be re-examined the next day and will also be scheduled to see a physician.

3 What should I do if I think I have a concussion? Don t Hide It. Tell your Athletic Trainer and Coach. Never ignore a blow to the head. Also, tell your Athletic Trainer or Coach if you think one of your teammates might have a concussion. Sports have injury timeouts and player substitutions so that you can get checked out. Do not try to just play through concussion symptoms. The sooner you get it checked out the sooner you can return to play. Get Checked Out. Your Physician and Athletic Trainer can tell you if have had a concussion and when you are cleared to return to play. A concussion can affect your ability to perform everyday activities, your reaction time, balance, sleep and classroom performance. Take time to recover. If you have had a concussion, your brain needs time to heal. While your brain is still healing, you are much more likely to have a repeat concussion. In rare cases, repeat concussions can cause permanent brain damage, and even death. Severe brain injury can change your whole life. It is better to miss one game than the whole season. When in doubt, get checked out. Guidelines for Return to Play after a Concussion: Return to play protocol will be initiated after an athlete has been both physically and cognitively free from symptoms for 24 hours. The athlete may only move on to the next step after 24 hours with no increase in symptoms with the current step. The Medical staff will determine this. Baseline (Step 0): As the baseline step of the Return to Play Progression, the athlete needs to have completed physical and cognitive rest and not be experiencing concussion symptoms for a minimum of 24 hours. Keep in mind, the younger the athlete, the more conservative the treatment. Step 1: Light Aerobic Exercise The Goal: only to increase an athlete s heart rate. The Time: 5 to 10 minutes. The Activities: exercise bike, walking, or light jogging. Absolutely no weight lifting, jumping or hard running. Step 2: Moderate Exercise The Goal: limited body and head movement. The Time: Reduced from typical routine The Activities: moderate jogging, brief running, moderate-intensity stationary biking, and moderate-intensity weightlifting Step 3: Non-contact Exercise The Goal: more intense but non-contact The Time: Close to Typical Routine

4 The Activities: running, high-intensity stationary biking, the player s regular weightlifting routine, and non-contact sport-specific drills. This stage may add some cognitive component to practice in addition to the aerobic and movement components introduced in Steps 1 and 2. Step 4: Practice The Goal: Reintegrate in full contact practice. Step 5: Play The Goal: Return to competition Guidelines for Return to learn after a Concussion: If you are diagnosed with a concussion you will need to have cognitive rest for the first 24 hours. That includes, no TV, listening to music, phone, reading, homework, games, or online activity. You ll need to just rest. The Multnomah Athletic Department will work with your instructors and you to return you to class as symptoms allow. You can find more information on Concussions at Multnomah University Athletics and Athletic Training Staff reserve the right to deny participation to any MU athletic activity or MU athletic sport due to any injury or any history of injuries that may put an athlete at risk to further injure themselves.

5 I, have read and understand Multnomah University s Concussion policy and agree to let my Coach and Athletic Trainer know immediately if I have any of the signs and symptoms of a concussion no matter how minor they feel. Signature Date

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