{"id":831,"date":"2023-11-09T15:00:08","date_gmt":"2023-11-09T21:00:08","guid":{"rendered":"https:\/\/prepathleticdirector.com\/?p=831"},"modified":"2023-11-09T15:00:08","modified_gmt":"2023-11-09T21:00:08","slug":"concussion-protecting-student-athletes-and-the-institution","status":"publish","type":"post","link":"https:\/\/prepathleticdirector.com\/articles\/concussion-protecting-student-athletes-and-the-institution\/","title":{"rendered":"Concussion: Protecting Student-Athletes And The Institution"},"content":{"rendered":"<p>During football season, it\u2019s not unusual to read about a teenage football player collapsing several weeks \u00adafter suffering a concussion. Afterward the athletic director may learn that the player returned to competition claiming no symptoms, when in fact he continued to experience headaches but told no one \u00adbecause he was afraid of missing playing time. Or the athletic director may walk into the principal\u2019s office with an advertisement for a coach-\u00adadministered computer-\u00adbased program promoting neurocognitive testing of athletes. He or she may tell the administrator how impor\u00adtant it is to have baseline data before returning a player to competition \u00adafter a head injury. How should the man\u00adag\u00ader of an educational institution deal with the potentially life-\u00adthreatening consequences of head injury?<\/p>\n<p>The athletic director can take several steps to make sure that coaches and staff members are prepared to respond to concussions:<\/p><div class=\"prepa-billboard-ad-in-content\" style=\"text-align: center;\" id=\"prepa-3863788456\"><div data-cfpa=\"1819\" data-cfpw=\"1819\" id=\"prepa-186197762\"><a data-bid=\"1\" data-no-instant=\"1\" href=\"https:\/\/prepathleticdirector.com\/athleticdirector-supplier-connect\/1819\" rel=\"noopener\" class=\"notrack\" target=\"_blank\" aria-label=\"Tiny-Mobile-Robots_Digital_Prep-Athletic-Director_950X250_6_2024_V1\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/prepathleticdirector.com\/wp-content\/uploads\/2024\/06\/Tiny-Mobile-Robots_Digital_Prep-Athletic-Director_950X250_6_2024_V1.png\" alt=\"\"  srcset=\"https:\/\/prepathleticdirector.com\/wp-content\/uploads\/2024\/06\/Tiny-Mobile-Robots_Digital_Prep-Athletic-Director_950X250_6_2024_V1.png 950w, https:\/\/prepathleticdirector.com\/wp-content\/uploads\/2024\/06\/Tiny-Mobile-Robots_Digital_Prep-Athletic-Director_950X250_6_2024_V1-300x79.png 300w, https:\/\/prepathleticdirector.com\/wp-content\/uploads\/2024\/06\/Tiny-Mobile-Robots_Digital_Prep-Athletic-Director_950X250_6_2024_V1-768x202.png 768w, https:\/\/prepathleticdirector.com\/wp-content\/uploads\/2024\/06\/Tiny-Mobile-Robots_Digital_Prep-Athletic-Director_950X250_6_2024_V1-500x132.png 500w\" sizes=\"(max-width: 950px) 100vw, 950px\" width=\"950\" height=\"250\"   \/><\/a><\/div><script type=\"text\/javascript\">;new advadsCfpAd( 1819 );<\/script><\/div>\n<ol>\n<li>At the beginning of \u00adevery season, the school\u2019s team physician should pre\u00adsent an in-\u00adservice program for coaches and athletic event staff about recognizing the observable be\u00adhav\u00adiors and student-\u00adreported symptoms that are signs of concussion. Most impor\u00adtant, the team physician is responsible for sending a clear message: \u201cWhen in doubt, sit the athlete out!\u201d Such in-\u00adservice programs recognize the fact that a certified athletic trainer or team physician is not in attendance at \u00adevery practice and emphasizes the school policy directing staff to err on the side of student safety.<\/li>\n<li>On the issue of \u00adwhether a school should have protocols for baseline concussion testing or neurocognitive evaluation in response to suspected concussions, the answer is yes, and most athletic governance organ\u00adizations have rules and many states have laws that detail such concussion protocol mandates. Such testing programs should be administered by a certified athletic trainer, a physician, or other qualified personnel and never by a coach. The coach \u00adwill always be in a conflict-\u00adof-\u00adinterest position and thus should not be involved in athlete treatment, testing, or the decision to return an athlete to play \u00adafter a concussion, which may very well rely on comparisons to such baseline data. Although the coach plays an impor\u00adtant role in recognizing behavioral symptoms or listening to an athlete describe his or her symptoms, assessments of physical condition and decisions to return from injury rightfully belong to trained certified medical or athletic training personnel.<\/li>\n<li>The decision to return to competition should not depend solely on athlete-\u00adreported symptoms \u00adbecause the athlete also has a conflict of interest. Research demonstrates that athletes underreport their conditions \u00adbecause of a desire to return to competition (Conway et al., 2020). Although athlete reporting plays a role, neurocognitive testing must ultimately guide any such decision.<\/li>\n<li>Following a concussion, the athlete should be referred to a physician for medical evaluation, on the same day as the injury if any of the following occurred: loss of consciousness; amnesia lasting longer than 15 minutes; vomiting; motor, sensory, or balance deficits; or symptoms that worsen. Immediate transport to the hospital emergency room should occur in the case of pulse or respiration irregularity or decreases; unequal, dilated, or unreactive pupils; lethargy; confusion; seizures; and other symptoms. All \u00adthese operating rules should be covered in the physician education program at the beginning of the season and be given to coaches and staff in writing. Clear protocols for responses to concussion must be communicated to coaches and staff.<\/li>\n<li>The school should have conservative policies in place to deal with athletes who suffer repeated concussions, from removal for the rest of the game to disqualification from participation for the rest of the season to complete disqualification from participation in contact sports. \u00adThese policies should be established in consultation with a physician and be based on continuation of symptoms, repeated concussions, and other physician-\u00addetermined \u00adfactors.<\/li>\n<li>Policies should exist that require a physician or certified trainer to give oral and written instructions to parents regarding home care \u00adafter an athlete suffers a concussion, especially with regard to ingesting alcohol, drugs, or other substances that affect cognitive functioning.<\/li>\n<\/ol>\n<p>One of the best resources for the athletic director and school administrator is the\u00a0<i>Consensus statement on concussion in sport\u2014\u00adthe 5th international conference on concussion in sport held in Berlin, October 2016<\/i>\u00a0(McCrory, 2016) and the NCAA Sports Science Institute\u2019s collection of concussion resources (NCAA, 2021).<\/p>\n<p>In summary, responsible \u00adhandling of concussions means<\/p>\n<ul>\n<li>assessment of neurocognitive baseline data by qualified personnel,<\/li>\n<li>adequate preparation of on-\u00adthe-\u00adfield staff in symptom recognition and conditions for emergency treatment versus physician referral,<\/li>\n<li>oral and written communication with parents and caregivers regarding home care of the athlete following a concussion, and<\/li>\n<li>conservative decisions about returning to play only \u00adafter qualified medical personnel are sure that the athlete is symptom-\u00adfree.<\/li>\n<\/ul>\n<p><em>This is an excerpt from\u00a0<a class=\"linkBlog-to-product\" href=\"https:\/\/us.humankinetics.com\/products\/athletic-directors-desk-reference-2nd-edition-with-hkpropel-access\">Athletic Director&#8217;s Desk Reference 2nd Edition With HKPropel Access<\/a> by Donna A. Lopiano &amp; Connee Zotos, published by\u00a0<a href=\"https:\/\/us.humankinetics.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Human Kinetics<\/a>. Donna A. Lopiano, PhD, is president of Sports Management Resources, a consulting firm that draws on the knowledge of experienced former athletic directors to assist scholastic and collegiate athletic departments in solving challenges in growth and development. She served for 18 years as the director of women\u2019s athletics at the University of Texas at Austin and is a past president of the Association for Intercollegiate Athletics for Women. During her tenure at the University of Texas, she built what many believe to be the premier women\u2019s athletic program in the country, twice earning the award for top program in the nation. Connee Zotos, PhD, has over 38 years of experience in scholastic and collegiate athletics as a basketball and field hockey coach, Division II and Division III athletic director, and professor. Zotos served as the director of athletics at Drew University and William Smith College and director of women\u2019s athletics at Philadelphia College of Textiles and Science. She has published numerous articles in refereed and nonrefereed journals and is a noted speaker and author on tiered funding models in collegiate athletics, coaches\u2019 employment and compensation packages, coach evaluation systems, and gender equity in sport.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>During football season, it\u2019s not unusual to read about a teenage football player collapsing several weeks \u00adafter suffering a concussion.<\/p>\n","protected":false},"author":3,"featured_media":832,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[4,29],"tags":[415,416],"class_list":["post-831","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles","category-sports-medicine","tag-concussion","tag-head-injury","et-has-post-format-content","et_post_format-et-post-format-standard"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.6 (Yoast SEO v27.0) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Concussion: Protecting Student-Athletes And The Institution<\/title>\n<meta name=\"description\" content=\"During football season, it\u2019s not unusual to read about a teenage football player collapsing several weeks \u00adafter suffering a concussion.\" 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