Concussion Management

  • Cuba-Rushford Athletics

    Concussion Management and Protocol

    In recent years, there has been a significant amount of research into sports-related head trauma and Concussions.  Cuba-Rushford Central School has established this protocol to provide education about head trauma for school personnel, parents, and athletes.  This protocol outlines procedures to follow in managing head injuries, and outlines school policy as it pertains to return to play issues after head trauma.           

    Cuba-Rushford Central School seeks to provide a safe return to activity for all athletes after injury, particularly after a concussion.  In order to effectively and consistently manage these injuries, procedures have been developed to aid in insuring that concussed athletes are identified, treated and referred appropriately, receive appropriate follow-up medical care, and are fully recovered prior to returning to activity.

    Follow up care during school while dealing with a concussion is coordinated by the school nurse in conjunction with the student’s classroom teachers.



    I.          Recognition of Concussion                                                                                   

    II.        Guidelines and procedures for coaches                                                

    III.       Follow-up care during the school day                                                                

    IV.       Return to play procedures                                                                        


    I.          Recognition of Head Trauma                                                                        

                A.         General Information- SCAT FORM                                                

    A blow to the head can disrupt the normal function of the brain.  Doctors often call this type of brain injury a "Concussion" or a head trauma.  They may describe these injuries as "mild" because concussion are usually not life threatening.  However, the effects of a concussion can be serious.

                B.         Signs and Symptoms                                                                      

                            1.         Signs observed by others                                                  

                                        a.         Athlete appears dazed or stunned                                 

                                        b.         Confusion                                                     

                                        c.         Forgets plays                                                           

                                        d.         Unsure about game, score, opponent                            

                                        e.         Moves clumsily                                                       

                                        f.          Balance problems                                                  

                                        g.         Personality change                                     

                                        h.         Responds slowly to questions                            

                                        i.          Forgets events prior to injury                                           

                                        j.          Forgets events after injury                                    

                                        k.         Loss of Consciousness      


                            2.         Signs reported by the athlete                                                      

                                        a.         Headache                                                     

                                        b.         Fatigue- Low energy, drowsiness                        

                                        c.         Nausea or vomiting                                    

                                        d.         Double vision or blurry vision                                          

                                        e.         Sensitive to light or noise                                    

                                        f.          Feels sluggish (slow-moving)                                          

                                        g.         Feels "foggy"                                                           

                                        h.         Problems concentrating                                        

                                        i.          Problems remembering                                         

                                        j.          Neck or head pain


                            3.         Danger Signs- Should be taken to the Emergency Care                       

                                        a.         Loss of Consciousness                                          

                                        b.         Headaches get worse                                            

                                        c.         Weakness, numbness, or decreased coordination     

                                        d.         Repeated vomiting                                                 

                                        e.         Cannot be awakened                                             

                                        f.          One Pupil larger than the other                           

                                        g.         Convulsions or seizures                                        

                                        h.         Slurred Speech


                            4.         Parents always have the option of emergency transportation.         

    II.        Guidelines and procedures for coaches- FILL OUT INJURY REPORT            

                A.         RECOGNIZE, REMOVE, REFER                                                          

                            1.         Recognize:  All coaches should become familiar with the signs and          

                                        symptoms of  Head Trauma.                                                         

                            2.         Remove                                                                     

                                        a.         If a coach suspects the athlete has sustained head trauma

                                                    the athlete should be removed from activity until evaluated           


                                        b.         Any athlete who exhibits signs or symptoms of a concussion

                                                    should be removed immediately, assessed, and should not

                                                    be allowed to return to activity that day.                                   

                            3.         Refer                                                                         

                                        a.         Coaches should report all head injuries to the Athletic Director

                                                    and School Nurse                                                   

                                        b.         Coaches are responsible for contacting the athlete's parents

                                        c.         Remind the athlete to report directly to the school nurse before

                                                    school starts, on the day he/she returns to school after the injury.


                            1.         The Coach should insure that the athlete will be with 

                                        a responsible individual, who is capable of monitoring the athlete and 

                                        understanding the home care instructions.                                                         

                            2.         The Coach should continue efforts to reach the parents.                  

                            3.         If there is any question about the status of the athlete, the athlete should

                                        be referred to an emergency care facility for evaluation.  A coach should

                                        accompany the athlete and remain with the athlete until parents arrive.

                            4.         Athletes with suspected head trauma should not be permitted to drive.

    III.        Follow-up Care during the school day                                                                      

                A.         Responsibilities of the School Nurse                                                    

                            1.         The athlete will be instructed to report to the school nurse prior to his/her 

                                        return to school                                                                

                            2.         Notify the school staff of athlete's injury                                              

                            3.         Notify the student's Physical Education teacher that the athlete is restricted                                     from all physical activity until further notice                                 

                            4.         Monitor the athlete on a regular basis during the school day         

                B.         Responsibilities of the Classroom Teacher                                          

                            1.         Monitor the student closely and recommend appropriate academic          

                                        accommodations for students exhibiting symptoms of head trauma or     

                                        post-concussion syndrome                                                           

                            2.         Notify School Nurse of student's progress or lack of progress          

    IV.        Return to Play Procedures                                                                             

                A.         Returning to activity on the same day of injury                                    

                            1.         An athlete who exhibits signs or symptoms of head trauma should not

                                        be permitted to return to play on the day of the injury, unless cleared      

                                        by the School Physician or a Certified Athletic Trainer.                      

                            2.         "WHEN IN DOUBT, HOLD THEM OUT"                               

                B.         Return to play after head trauma                                                

                            1.         The athlete must meet all of the following criteria in order to resume


                                        a.         Asymptomatic at rest and with normal exertion                      

                                        b.         Have written clearance from primary care physician or specialist


                            2.         One the above criteria are met, the athlete will be progressed back to full

                                        activity following a stepwise process under the supervision of a Coach.

                            3.         Progression is individualized, and will be determined on a case by case