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Matt Kaiserman St. Luke’s Concussion Clinic Community Relations Coordinator. October 5, 2012. St. Luke’s Concussion Clinic. St. Luke’s Concussion Clinic. National Legislative Climate. http://www.knowconcussion.org/resource/concussion-legislation-map/. HB 632. - PowerPoint PPT Presentation
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Matt KaisermanSt. Luke’s Concussion Clinic
Community Relations Coordinator
October 5, 2012
St. Luke’s Concussion Clinic
St. Luke’s Concussion Clinic
National Legislative Climate
http://www.knowconcussion.org/resource/concussion-legislation-map/
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.
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
•3 tenets of “ideal” concussion legislation• Educational Outreach• RFP/RTP Protocols• Parent Acknowledgement of Risk
HB 632 – In Comparison
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
http://stlukesonline.org/sports/
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
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.
Biannual Training of ATC’s & Coaches
• Coaches
• NFHS online education mandated by the IHSAA
• Print certificate of completion and keep on file• http://www.nfhslearn.com/electiveDetail.aspx?courseID=15000
• Athletic Trainers
• “Heads Up to Clinicians Concussion Training” provided online by the CDC
• Print certificate of completion and keep on file
• http://www.cdc.gov/concussion/
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
• Symptom awareness
• Emergency protocols
• Injury Evaluation
• Proper communication channels
• Athlete referral
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
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
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
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
Additional Resources
To find these materials online, please visit:www.stlukesonline.org/sports
Additional Online Resources
www.cdc.gov/concussionwww.nfhslearn.com
www.knowconcussion.orgwww.impacttest.com
To view the Idaho Concussion Law visit:http://legislature.idaho.gov/legislation/2012/H0632.pdf
Thank You
Matt KaisermanCommunity Relations Coordinator
St. Luke’s Concussion Clinic
111 W. State St.
Boise, ID 83702
p: (208) 381-9205 [email protected]
c: (208) 781-0875 [email protected]
Concussion Clinic: (208) 381-2665