344 a-1 Getting Started VOD - Tauchen 92748

Webinar: A-1 (Beginner) Title: Getting Started with ImPACT Speaker: Doug Tauchen Description: This 60-minute course walks you through the process of getting started with the ImPACT® program. Specifically, it discusses the basics of administering baseline tests, testing in a group setting, and identifying invalid baselines. In addition, it gives you pointers on getting the best baseline tests from your athletes and navigating your customer center. Goals for this webinar include the following: - ImPACT Setup and Registration - Group Baseline Testing Recommendations - Online ImPACT Walk Through Table of Contents for Handouts Section 1: Speaker Biography Section 2: Slides (Presentation Handouts) Section 3: Other Helpful Handouts Section 4: FAQ from Workshop Attendees

Certificate of Completion Issued to All Registered. BOC Credits available for Athletic Trainers.

Getting Started with ImPACT Webinar Speaker: Doug Tauchen Biography Mr. Doug Tauchen graduated from the University of Iowa in 1993 with a Bachelor of Science degree in industrial engineering. Mr. Tauchen’s introduction to sports related to computer programming came in 1998 working on the Sports Injury Monitoring System (SIMS) with Dr. John Powell at Med Sports Systems. In 2000, Tauchen joined ImPACT and the FlanTech Computer Services Team as a support specialist and computer programmer. Mr. Tauchen worked very closely with PJ Flanagan on software development and programming of the original Desktop ImPACT. In 2008, Doug became Director of Sales and Technical Support.

A-1: Getting Started with ImPACT

Copyright © 2012 by ImPACT® Applications, Inc. All rights reserved. No part of this publication may be reproduced in whole or in part or transmitted in any form or by any means without the prior written permission of ImPACT Applications, Inc. For information regarding permission, please write to ImPACT Applications, Inc., [email protected] ImPACT® and associated logos are trademarks of ImPACT Applications, Inc.

A-1 Getting Started

Section 2: Slides

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Implementing the ImPACT® Program

Doug Tauchen Director, Customer Support ImPACT Applications. Inc.

Phone: (877) 646-7991 Ext. 3 [email protected]

Copyright © 2012 by ImPACT® Applications, Inc.

All rights reserved. No part of this publication may be reproduced in whole or in part or transmitted in any form or by any means without the prior written permission of ImPACT Applications, Inc. For information regarding permission, please write to ImPACT Applications, Inc., [email protected]

ImPACT® and associated logos are trademarks of ImPACT Applications, Inc.

mailto:[email protected]




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ImPACT® and the ImPACT Logos are trademarks of ImPACT Applications, Inc. and are used herein with the express written permission of ImPACT Applications, Inc. and may not be duplicated, removed or altered without ImPACT Applications, Inc.’s written consent.

THE IMPACT® APPLICATIONS, INC. SOFTWARE IS A TOOL THAT PROVIDES BASIC DATA RELATED TO NEUROCOGNITIVE FUNCTIONING. THE SOFTWARE DOES NOT PROVIDE TREATMENT RECOMMENDATIONS OR A SPECIFIC MEDICAL DIAGNOSIS WITH RESPECT TO ANY PARTICULAR END USER. TRAINING PROVIDED OR FACILITATED BY IMPACT APPLICATIONS, INC. ON THE USE OF ITS SOFTWARE IS INTENDED TO PROVIDE USERS WITH THE ABILITY TO PROPERLY ADMINISTER THE TESTS EMBEDDED IN THE SOFTWARE AND TO BECOME FAMILIAR WITH THE TYPES OF DATA GENERATED BY THE SOFTWARE. TREATMENT DECISIONS THAT YOU AND/OR YOUR ORGANIZATION MAKE BASED ON THE DATA GENERATED BY THE SOFTWARE IS IN YOU AND/OR YOUR ORGANIZATION’S SOLE AND ABSOLUTE DISCRETION. BY PARTICIPATING IN THE TRAINING YOU AND YOUR ORGANIZATION ACKNOWLEDGE AND AGREE THAT IMPACT APPLICATIONS, INC., ITS OFFICERS, DIRECTORS, EMPLOYEES, AGENTS AND AFFILIATES AND THEIR RESPECTIVE SUCCESSORS AND ASSIGNS WILL NOT BE HELD LIABLE FOR CLAIMS OF MEDICAL MALPRACTICE, PRACTICING MEDICINE WITHOUT A LICENSE OR SIMILAR CLAIMS MADE BY YOU, YOUR ORGANIZATION OR ANY THIRD PARTY. TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, YOU AND YOUR ORGANIZATION AGREE TO HOLD IMPACT APPLICATIONS, INC., ITS OFFICERS, DIRECTORS, EMPLOYEES, AGENTS AND AFFILIATES AND THEIR RESPECTIVE SUCCESSORS AND ASSIGNS HARMLESS AND TO INDEMNIFY IMPACT APPLICATIONS, INC. AND ITS OFFICERS, DIRECTORS, EMPLOYEES, AGENTS AND AFFILIATES AND THEIR RESPECTIVE SUCCESSORS AND ASSIGNS AGAINST ANY AND ALL SUCH CLAIMS.



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Implementing the ImPACT Program

• ImPACT setup and registration. Definition of terms within the program.

• Group baseline testing recommendations

• Online ImPACT walk through

What’s the Goal?

• Need for Concussion

Protocol

• Neuro- Cognitive

Testing

• Interpreting

ImPACT Test

Results

• Clinical

ImPACT Case

Work

?



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Online Computer Requirements www.impacttestonline.com/customercenter/pdf

s/ImPACT_Applications_Tech_Facts.pdf

Online Computer Software Requirements

• Adobe Flash Player (version 9 or newer)

• Free download – www.adobe.com

• No proxy server

• Pop-up blocker off

Take a practice test to make sure your system works correctly www.impacttestonline.com/impacttestdemo

http://www.impacttestonline.com/impactdemo



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Getting Started with Online ImPACT

What is the process to order?

•Go to www.impacttest.com and click on purchase. Follow the instructions based on your organization type.

What are the steps once my order is received?

•Typically in 1-3 business days your system admins will receive a login email.

- Username / Password

- Link to baseline testing site

- Email from [email protected]

Support Expectations

• 48 hour (2 business days) turn around on start up.

- Spam/Email filters

- Attachment filters

- Fax issues

http://www.impacttest.com/



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What is a System Admin and Authorized User?

Each organization can have a maximum of 3 system admins.

• Can add and remove authorized users

• Set security levels

• Transfer data between subgroups

Authorized Users

• Can access the impact data

• Print reports and administer post tests

• As many as needed for each organization

Who can give the ImPACT test?

Any motivated person can be trained to supervise ImPACT testing.

• Take the demo test at least twice.

• Understand the basic concept of neurocognitive testing.

• Take this course.

• Understand post test data is to be referred to a clinician for analysis.

• No home based testing.



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Who can interpret the test?

• ImPACT Best Practices www.impacttest.com/pdf/improtocol.pdf

• Final Interpretation and Return to Play decision is ALWAYS

done by a concussion specialist (PhD, MD, DO).

• ImPACT does NOT make a return to play decision, it is a tool that the clinician uses to make the assessment.

Online Test Site: Baselines

• Baseline testing link.

www.impacttestonline.com/testing

- No data or report access

- Customer ID code required

- Lab testing

- Web link

- NO POST TESTING FROM THIS LINK

http://www.impacttest.com/pdf/improtocol.pdf



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Common Errors with baseline testing • Forgot/Wrong Customer ID

- Cut and paste the code

- Login to Customer Center to get new code

- Changes each year for security

• “Resume Animation” appear instead of test

- Pop up blocker is on

- Restart browser

- System wide filter

Online Test Site: Post Injury

• Follow up testing - Viewing reports www.impacttestonline.com/customercenter

(password protected) – Don’t give out.

http://www.impacttestonline.com/customercenter



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Group Baseline Testing

Recommendations

Computer Lab Baseline Testing

• Test Lab before going live

• Laptops are OK

• EXTERNAL MOUSE (invalid without)

• Control the testing environment

• Empty terminal between athletes

• 10-15 athletes per administrator

• Lower the lights

• Use the baseline testing link

• Type the link when you are ready to start



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Computer Lab Baseline Testing

What is required for baseline testing? • Testing link

• Name / Date of birth

• No SS# or Student ID#

What internet connection speed is needed? • Reliable

• No dial up

• No time out set

• Wireless

ATC Recommendations

• 45 minute blocks (first year).

• Explain the test • Not an intelligence test

• Want to complete as fast and accurately as possible

• Difficult - not going to get everything right

• Read direction twice before starting test – raise hand with questions

• Take demographic section as a group • Type the link together

• Symptom inventory, start at own pace.



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ATC Recommendations cont.

• Educate staff / parents

• Have all the coaches test first

• Have coach present for testing

• Eliminate the mad rush

• End of school year testing

Baseline Testing

• Minimum interval between baseline tests is 2 years (until the age 19).

• Review athletes data to determine validity of baseline test.

• Repeat invalid baseline tests

• If invalid test is missed, simply use normative data during post-concussion evaluation



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Common Errors/Fixes • Forgot password

• Lost password box on results site

• “Error generating report” • Logout and back in / Restart

• Name listed twice • Different spelling or date of birth

• “Saving Data” screen remains on

– Must get to Print Confirmation screen

• Slowed down stimulus display – email for work around.

– Contact technical support to get “workaround” [email protected]

Support / Feedback

• 1.877.646.7991 Ext. 3 or [email protected]

• Technical / Program features or function

• What is going to make the program better for you?


Getting Started with ImPACT Handout

1

A-1 Getting Started

Section 3: Handout

Copyright © 2012 by ImPACT Applications, Inc. All rights reserved. No part of this publication maybe reproduced in whole or in part or transmitted in any form or by any means without the prior written permission of ImPACT Applications, Inc. For information regarding permission, please write to ImPACT Applications, Inc., [email protected] ImPACT™ and associated logos are trademarks of ImPACT Applications, Inc.

ImPACT Baseline Testing RULES

© Copyright 2011, Jon Almquist, all rights reserved, used with permission

THE IMPACT APPLICATIONS, INC. SOFTWARE IS A DIAGNOSTIC TOOL THAT PROVIDES BASIC DATA RELATED TO NEUROCOGNITIVE FUNCTIONING. THE SOFTWARE DOES NOT PROVIDE TREATMENT RECOMMENDATIONS OR A SPECIFIC MEDICAL DIAGNOSIS WITH RESPECT TO ANY PARTICULAR END USER. TRAINING PROVIDED OR FACILITATED BY IMPACT APPLICATIONS, INC. ON THE USE OF ITS SOFTWARE IS INTENDED TO PROVIDE USERS WITH THE ABILITY TO PROPERLY ADMINISTER THE TESTS EMBEDDED IN THE SOFTWARE AND TO BECOME FAMILIAR WITH THE TYPES OF DATA GENERATED BY THE SOFTWARE. TREATMENT DECISIONS THAT YOU AND/OR YOUR ORGANIZATION MAKE BASED ON THE DATA GENERATED BY THE SOFTWARE IS IN YOU AND/OR YOUR ORGANIZATION’S SOLE AND ABSOLUTE DISCRETION. BY PARTICIPATING IN THE TRAINING YOU AND YOUR ORGANIZATION ACKNOWLEDGE AND AGREE THAT IMPACT APPLICATIONS, INC., ITS OFFICERS, DIRECTORS, EMPLOYEES, AGENTS AND AFFILIATES AND THEIR RESPECTIVE SUCCESSORS AND ASSIGNS WILL NOT BE HELD LIABLE FOR CLAIMS OF MEDICAL MALPRACTICE, PRACTICING MEDICINE WITHOUT A LICENSE OR SIMILAR CLAIMS MADE BY YOU, YOUR ORGANIZATION OR ANY THIRD PARTY. TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, YOU AND YOUR ORGANIZATION AGREE TO HOLD IMPACT APPLICATIONS, INC., ITS OFFICERS, DIRECTORS, EMPLOYEES, AGENTS AND AFFILIATES AND THEIR RESPECTIVE SUCCESSORS AND ASSIGNS HARMLESS AND TO INDEMNIFY IMPACT APPLICATIONS, INC. AND ITS OFFICERS, DIRECTORS, EMPLOYEES, AGENTS AND AFFILIATES AND THEIR RESPECTIVE SUCCESSORS AND ASSIGNS AGAINST ANY AND ALL SUCH CLAIMS


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ImPACT™ and the ImPACT Logo are trademarks of ImPACT Applications, Inc. and are used herein with the express written permission of ImPACT Applications, Inc. and may not be duplicated, removed or altered without ImPACT Applications, Inc.’s written consent.

SPEED and ACCURACY

• Work as quickly and accurately as possible

• This is a timed test

• Look ONLY on YOUR screen

• Raise your hand and wait quietly if you have questions

• Do not advance to the next screen until you are told to do so



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You must do as well as you can on this baseline test. IF you suffer a concussion, this test can help us return you to sports in less time. If the test does not reflect your best work, we must treat your return to sports more conservatively, which will require more rest time following a concussion.



www.impacttestonline.com/”local_program”

Open Browser (Internet Explorer) and type in the following address:


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A-1 Getting Started

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Click HERE

Type in code: Fill with your code

Click here



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Language Selection

• Choose language


Before you begin…


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Before you begin…

SELECT THE SCHOOL YOU ATTEND

Name of Clinic/School

School 1 School 2 School 3



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SELECT YOUR BIRTHDATE

Name of Clinic/School

School 1



Sport and Health History

AS CLOSE AS POSSIBLE

WHICH HAND DO YOU USE


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• Select Second Language (leave blank if no other language is spoken at home)

IF ANOTHER LANGUAGE IS

SPOKEN AT HOME

Ethnicity


ANSWERING THIS QUESTION IS OPTIONAL


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• Years of education completed = your current grade MINUS 1

CHECK ANY/ALL THAT APPLY

CHOOSE ONE

CURRENT GRADE MINUS 1


• Type in your position (can be left blank) • Years of experience = high school years, not including this year

(e.g. freshmen = 0)

SELECT “HIGH SCHOOL”

Years playing high school sports

minus 1

Ok to leave blank


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• Select number of diagnosed concussions

• If 1 or more, complete the following questions

• If 0, leave it “0”

NUMBER OF DIAGNOSED CONCUSSIONS


• If you have had a concussion, select the approximate dates from the dropdown menu

• Click “Add Date”

• Add all concussion dates, up to 5 concussions

AFTER YOU SELECT A DATE, CLICK “ADD DATE”


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SELECT ANY AND ALL THAT APPLY


SELECT ANY AND ALL THAT APPLY



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SELECT HOURS OF SLEEP FROM LAST NIGHT

LIST ANY MEDICATIONS YOU ARE CURRENTLY TAKING

Date of MOST RECENT Concussion




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Current Symptoms and Conditions

ANSWER EVERY QUESTION

– “1” is very mild =>“6” is severe


Continue through 6 screens


“1” is very mild =>“6” is severe


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“1” is very mild =>“6” is severe © Copyright 2011, Jon Almquist, all rights reserved, used with permission




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STOP PAGE 6 – WAIT HERE


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STOP HERE and WAIT


DO NOT START TEST UNTIL TOLD TO DO SO

The rest of the test will be timed

DO NOT click “Next” until you are instructed to do so

REMEMBER: SPEED and ACCURACY

• Work as quickly and accurately as possible

• This is a timed test

• Look ONLY on YOUR screen

• Raise your hand and wait quietly if you have questions

• When you finish, remain QUIET, do NOT disturb others



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STOP HERE and WAIT


DO NOT START TEST UNTIL TOLD TO DO SO

The rest of the test will be timed

DO NOT click “Next” until you are instructed to do so


Begin Test

REMEMBER: SPEED and ACCURACY

Work as quickly and accurately as possible

Look ONLY on YOUR screen

Raise your hand and wait quietly if you have questions

When you finish, remain QUIET, do NOT disturb others

ImPACT's products provide information regarding potential cognitive decline and related symptoms that may be experienced after head trauma. ImPACT's products are not diagnostic, do not determine whether an individual has a particular head or brain injury and should not be used to make a return to play decision without an examination by

a qualified and licensed health care professional. Many jurisdictions have rules and regulations governing the process and procedures under which an individual may be returned to play. Please check the rules and regulations in your state, county, organization and/or school district for legal requirements and further guidance.

www.impacttest.com

Training Workshops/Webinars Frequently Asked Questions from Getting Started with ImPACT

Questions from Workshop Attendees

Answers

Q: Who do I call for more information?

A: Please Call (877) 646-7991, type in the proper extension

Q: Who can administer ImPACT?

A: An Athletic Trainer, Physician, Nurse, Neuropsychologist, Sports Medicine Clinician, Psychologist, Coach, Athletic Director can administer the baseline and post injury test. The administrator needs to have taken the test and be familiar with the testing protocol, we also suggest you take our free Getting Started with ImPACT webinar. Although many people can administer the tests, a medical professional who is legally allowed to make the return to play decision must be the one who interprets the post injury test results.

Q: How do I administer the test to multiple students at once?

A: ImPACT is a web based program, which allows you to log onto the test from multiple computers. We provide each client with a group baseline testing link. When you are administering the test you will need to instruct each student to go to your group testing link. It will then ask them to select the state your school is located in and to provide your Customer ID code. This will allow them to take a baseline test; this will not give them access to your customer testing center. The customer testing center that holds all of your records is protected by a different username and password. After they complete the baseline it will automatically be sent to your customer testing center.

Q: Do we need to use a social security number as the identification number when we take the test or can we use a different number?

A: Online ImPACT does not require a Social Security Number or other identification number. Name and date of birth are the only identifiers required.

Q: How does ImPACT compare to SCAT2?

A: The SCAT is an on-field measure and should never be used beyond the acute stages of the injury due to its lack of sensitivity/specificity. ImPACT is a post-injury office tool that allows one to document recovery and eventual RTP.

A-1 Getting Started Section 4: FAQ



www.impacttest.com

Q: Is ImPACT available in languages other than English?

A: The test is available in 17 languages currently: English, Portuguese, Swedish, Norwegian, German, French, Spanish, Italian, Czech, Russian, Mandarin, Finnish, Afrikaans, Hungarian Korean, Japanese and Cantonese

Q: What are the computer requirements for ImPACT?

A: Please click on the link to view the ImPACT’s technical facts. https://www.impacttestonline.com/customercenter/pdfs/ImPACT_Applications_Tech_Facts.pdf

Q: Why is the test running slow or freezing?

A: Slow running test, freezing screens, computer hanging are all signs of something else running at same time as the test. Examples of other things running: virus scan, time out monitors, network monitors, any background program, etc. If you are required to run these programs, we have developed a workaround that can be installed to minimize this problem. Contact [email protected] for a copy.

Q: What does it mean if the “Saving Data” screen does not go away?

A: It means the internet connection was lost during the testing procedure. Unfortunately the test has been lost and you will need to retest the athlete. To help limit this possibility, don't log in to Online ImPACT until the athlete is ready to start testing.

Q: Who should I Baseline?

A: We suggest baselines for all athletes. Some schools only test contact sports based on the American Academy of Pediatrics guidelines.

Q: How often should athletes be given a baseline test?

A: We suggest that athletes are tested every two years from 6th grade to senior year of high school. In college, athletes should only be tested once. At the professional level, each athlete should be tested once. ImPACT has normative data from age 10 to 59.

Q: Why does ImPACT discourage home based testing?

A: ImPACT is strongly opposed to “home based” testing and testing that is not appropriately supervised by a professional. Concussion is a brain injury and parents and other professionals who are not trained in concussion management should not be in a position of making decisions about return to sports, based on a neurocognitive test such as ImPACT.

Q: Is there any way to get a copy of a patient’s baseline test from another school/clinic to compare to the athlete’s post-injury test?

A: The ImPACT program allows you to print and/or save baseline tests to your desktop. If you need a student’s baseline you can have the school print it and give it to the student to bring to you, they can also email it to you. http://impacttest.com/pdf/improtocol.pdf

https://www.impacttestonline.com/customercenter/pdfs/ImPACT_Applications_Tech_Facts.pdf



www.impacttest.com

Q: What are ImPACT’s Best Practices recommendations for schools and teams? What type of multidisciplinary team should we have in place to use ImPACT?

A: To view ImPACT’s Best Practices please click on this link: http://impacttest.com/pdf/improtocol.pdf

Q: How do I get the baseline and post-injury test to show up on the same report?

A: After looking up the athlete under Test Look Up, click on the baseline test so it is highlighted blue. Then click on the post-injury test while holding down the control key. Both tests should now be highlighted blue. They will now both be on the report when you click Generate Report.

Q: Where do I find my customer ID code?

A: Sign into the customer center. On the home page go to the top right corner in red lettering—Customer ID Code. Click and follow the prompts.

Q: How often do you administer the ImPACT test during an athlete’s injury?

A: I (Dr. Collins/Lovell) evaluate the athlete within 72 hours of injury and then at weekly intervals, until they are asymptomatic at rest, asymptomatic with exertion, and all normal on ImPACT (return to play criteria). For those who take a long time to recover, this time interval can be extended. If the case is milder, I might evaluate them a few times within the first week. You should never test more than twice in a week.

Q: Do you administer the test when an athlete still has self-reported symptoms?

A: Yes, I (Dr. Collins/Lovell)do test athletes when they are symptomatic, to help monitor progress and help to determine school issues, return to exertion, etc.

http://impacttest.com/pdf/improtocol.pdf

Helpful Links Item Description Link Peer Reviewed Reference Articles

A list of ImPACT’s Peer Reviewed References www.impacttest.com/References.pdf

ImPACT Abstracts

A list of ImPACT Abstracts www.impacttest.com/pdf/7BImPACTAbstractspdf.pdf

ImPACT’s Client Resource Center

A wealth of information from downloadable forms to helpful links.

http://impacttest.com/resources client password: ImClient2011

ImCAT—ImPACT Concussion Awareness Tool app

This free app was developed to educate athletes, parents, teachers and coaches about common signs and symptoms of concussions.

http://impacttest.com/imcat

ImPACT’s Mobile Customer Center™ app

With this free app for iPhone, iPad and iPod Touch, ImPACT’s customers can access their account from an iOS device.

http://itunes.apple.com/us/app/impact-mobile-customer-center/id555073365

ImPACT’s Facebook Page

Like us on Facebook for updates and news. https://www.facebook.com/pages/ImPACT-Test-Concussion-Management-Program-for-Athletes/172173736183751

ImPACT’s Best Practices

For Schools and Teams https://www.impacttest.com/pdf/improtocol.pdf

ACSM Position Statement on Concussions

Revised consensus statement better guides team physicians in concussion management

http://www.acsm.org/about-acsm/media-room/news-releases/2011/11/16/same-day-return-to-play-no-longer-an-option-for-concussed-athletes

AMSSM’s Position Statement on Concussions

Concussion (Mild Traumatic Brain Injury) and the Team Physician: A Consensus Statement*

http://www.amssm.org/MemberFiles/TPCCStatement2006.pdf

CDC’s Heads Up Concussion Program

The Centers for Disease Control and Prevention is a great resource to gather additional information regarding concussions.

http://www.cdc.gov/concussion/headsup/

NATA’s Concussion Position Statement

National Athletic Trainers’ Association Position Statement: Management of Sport- Related Concussion

http://www.nata.org/sites/default/files/MgmtOfSportRelatedConcussion.pdf

NCAA Concussion Awareness

Direct link to the NCAA Concussion Awareness Website

http://www.ncaa.org/wps/wcm/connect/public/NCAA/Health+and+Safety/Concussion+homepage/Concussion+Landing+Page

NFHS Concussion in Sports

E-Learning Course for High School Coaches http://www.nfhslearn.com/electivedetail.aspx?courseid=15000

Vienna Concussion Guidelines

Summary and Agreement State of the 1st International Symposium on Concussion in Sport, Vienna 2001

www.impacttest.com/pdf/7CViennaConcussioninSportpdf.pdf

ImPACT Workshops: Helpful Links

and References

http://www.impacttest.com/References.pdf

http://www.impacttest.com/pdf/7BImPACTAbstractspdf.pdf

http://www.impacttest.com/pdf/7BImPACTAbstractspdf.pdf

http://impacttest.com/resources

http://impacttest.com/imcat



https://www.facebook.com/pages/ImPACT-Test-Concussion-Management-Program-for-Athletes/172173736183751



https://www.impacttest.com/pdf/improtocol.pdf







http://www.cdc.gov/concussion/headsup/






http://www.nfhslearn.com/electivedetail.aspx?courseid=15000

http://www.nfhslearn.com/electivedetail.aspx?courseid=15000

http://www.impacttest.com/pdf/7CViennaConcussioninSportpdf.pdf

http://www.impacttest.com/pdf/7CViennaConcussioninSportpdf.pdf

Documents

344 a-1 Getting Started VOD - Tauchen 92748