Concussion Information-When in Doubt, Sitthem Out!

Concussion Information-When in Doubt, SitThem Out!

1.Beforean athlete mayparticipateinpracticeorcompetition: Atthebeginningofaseasonforayouthathleticactivity,thepersonoperatingtheyouthathleticactivityshalldistributea concussionandheadinjuryinformationsheettoeachpersonwhowillbecoachingthatyouth athleticactivityandtoeachpersonwhowishestoparticipateinthatyouthathleticactivity.No personmayparticipateinayouthathleticactivityunlessthepersonreturnstheinformation sheetsignedbythepersonand,ifheorsheisundertheageof19,byhisorherparentor guardian.

2.Anathleticcoach,orofficialinvolvedinayouthathleticactivity,orhealthcareprovidershall

removeapersonfromtheyouthathleticactivityifthecoach,official,orhealthcareprovider determinesthatthepersonexhibitssigns,symptoms,orbehaviorconsistentwithaconcussion orheadinjuryorthecoach,official,orhealthcareprovidersuspectsthepersonhassustained aconcussionorheadinjury.

3.Apersonwhohasbeenremovedfromayouthathleticactivitymaynotparticipateinayouthathleticactivityuntilheorsheisevaluatedbyahealthcareproviderandreceivesawritten clearancetoparticipateintheactivityfromthehealthcareprovider.

ThesearesomeSIGNSconcussion(what otherscanseeinaninjuredathlete):

Dazedorstunnedappearance

Changeinthelevelofconsciousnessor awareness

Confusedaboutassignment

Forgetsplays

Unsureofscore,game,opponent

Clumsy

Answersmoreslowlythanusual

Showsbehaviorchanges

Lossofconsciousness

Asksrepetitivequestionsormemoryconcerns

Thesearesomeofthemorecommon SYMPTOMSofconcussion(whataninjured athletefeels):

Headache

Nausea

Dizzyorunsteady Sensitivetolightornoise Feelingmentallyfoggy

Problemswithconcentrationandmemory

Confused

Slow

Injuredathletescanexhibitmanyorjustafewofthesignsand/orsymptomsofconcussion.However, ifaplayerexhibitsanysignsorsymptomsofconcussion,theresponsibilityissimple:removethem fromparticipation.“Whenindoubtsitthemout.”

Itisimportanttonotifyaparentorguardianwhenanathleteisthoughttohaveaconcussion.Any athletewithaconcussionmustbeseenbyanappropriatehealthcareproviderbeforereturningto practice(includingweightlifting)orcompetition.

RETURNTOPLAY

Currentrecommendations areforastepwisereturntoplayprogram.Inordertoresumeactivity,the athletemustbesymptomfreeandoffanypaincontrolorheadachemedications.Theathleteshould becarryingafullacademicloadwithoutanysignificantaccommodations. Finally,theathletemust haveclearancefromanappropriatehealthcareprovider.

Theprogramdescribedbelowisaguidelineforreturningconcussedathleteswhentheyaresymptom free.Athleteswithmultipleconcussionsandathleteswithprolongedsymptomsoftenrequireavery differentreturntoactivityprogramandshouldbemanagedbyaphysicianthathasexperiencein treatingconcussion.

Thefollowingprogramallowsforonestepper24hours.Theprogramallowsforagradualincreasein heartrate/physicalexertion,coordination,andthenallowscontact.Ifsymptomsreturn,theathlete shouldstopactivityandnotifytheirhealthcareproviderbeforeprogressingtothenextlevel.

STEPONE:About15minutesoflightexercise:stationarybikingorjogging

STEPTWO:Morestrenuousrunningandsprintinginthegymorfieldwithoutequipment STEPTHREE:Beginnon-contactdrillsinfulluniform.Mayalsoresumeweightlifting STEPFOUR:Fullpracticewithcontact

STEPFIVE:Fullgameclearance

118.293Concussionandheadinjury.

(1)Inthissection:

(a)"Credential"meansalicenseorcertificateofcertificationissuedbythisstate. (b)"Healthcareprovider"meansapersontowhomallofthefollowingapply:

1.Heorsheholdsacredentialthatauthorizesthepersontoprovidehealthcare.

2.Heorsheistrainedandhasexperienceinevaluatingandmanagingpediatricconcussionsandhead injuries.

3.Heorsheispracticingwithinthescopeofhisorhercredential.

(c)"Youthathleticactivity"meansanorganizedathleticactivityinwhichtheparticipants,amajority ofwhomareunder19yearsofage,areengagedinanathleticgameorcompetitionagainstanother team,club,orentity,orinpracticeorpreparationforanorganizedathleticgameorcompetition againstanotherteam,club,orentity."Youthathleticactivity"doesnotincludeacollegeoruniversity activityoranactivitythatisincidentaltoanonathleticprogram.

(2)InconsultationwiththeWisconsinInterscholasticAthleticAssociation,thedepartmentshall developguidelinesandotherinformationforthepurposeofeducatingathleticcoachesandpupil athletesandtheirparentsorguardiansaboutthenatureandriskofconcussionandheadinjuryin youthathleticactivities.

(3)Atthebeginningofaseasonforayouthathleticactivity,thepersonoperatingtheyouthathletic

activityshalldistributeaconcussionandheadinjuryinformationsheettoeachpersonwhowillbe coachingthatyouthathleticactivityandtoeachpersonwhowishestoparticipateinthatyouth athleticactivity.Nopersonmayparticipateinayouthathleticactivityunlessthepersonreturnsthe

informationsheetsignedbythepersonand,ifheorsheisundertheageof19,byhisorherparentor guardian.

(4)(a)Anathleticcoach,orofficialinvolvedinayouthathleticactivity,orhealthcareprovidershall removeapersonfromtheyouthathleticactivityifthecoach,official,orhealthcareprovider determinesthatthepersonexhibitssigns,symptoms,orbehaviorconsistentwithaconcussionor headinjuryorthecoach,official,orhealthcareprovidersuspectsthepersonhassustaineda concussionorheadinjury.

(b)Apersonwhohasbeenremovedfromayouthathleticactivityunderpar.(a)maynotparticipate inayouthathleticactivityuntilheorsheisevaluatedbyahealthcareproviderandreceivesawritten clearancetoparticipateintheactivityfromthehealthcareprovider.

(5)(a)Anyathleticcoach,officialinvolvedinanathleticactivity,orvolunteerwhofailstoremovea

personfromayouthathleticactivityundersub.(4)(a)isimmunefromcivilliabilityforanyinjury resultingfromthatomissionunlessitconstitutesgrossnegligenceorwillfulorwantonmisconduct.

(b)Anyvolunteerwhoauthorizesapersontoparticipateinayouthathleticactivityundersub.(4)(b)

isimmunefromcivilliabilityforanyinjuryresultingfromthatactunlesstheactconstitutesgross negligenceorwillfulorwantonmisconduct.

(6)Thissectiondoesnotcreateanyliabilityfor,oracauseofactionagainst,anyperson.

Jackson Little League

Participantand Parental Disclosure andConsent for Concussion Education

Statement AcknowledgingReceipt ofEducationandResponsibilitytoreport signsor symptoms ofconcussiontobeincludedas part ofthe “Participantand Parental Disclosure andConsent Document”.

I, ,ofJackson Little League

PrintedAthlete Name

hereby acknowledge having received education about the signs, symptoms,and risks of sport related concussion. Ialso acknowledge my responsibility toreport tomy coaches, parent(s)/guardian(s) any signs or symptoms ofa concussion.IcertifythatIhave read, understand, and agree toabide by all ofthe information contained in thissheet.Ifurther certifythatif Ihave not understood any information contained in this document, Ihave sought and received an explanation ofthe information prior tosigning this statement.

SignatureofathleteDate

I,the parent/guardian ofthe student athlete named above, hereby acknowledge having received education about the signs, symptoms,and risks ofsport related concussion.

IcertifythatIhave read, understand, and agree toabide by all ofthe information contained in this sheet.Ifurther certifythatif Ihave not understood any informationcontained in this document, Ihave sought and received an explanation ofthe information prior tosigning this statement.

Signature and printed name ofparent/guardianDate