AGES 12 AND UNDER Cncussins and Athlete Safety LESSON WORKBOOK MICHAEL STUART
2 Cncussins in Hckey A cncussin is a traumatic brain injury. There is n such thing as a minr brain injury. A player des nt have t be kncked ut t have a cncussin. Less than 10% f players actually lse cnsciusness when they sustain a cncussin. 3 Areas f Fcus 1.) Cncussin mechanism, yuth vulnerability and preventin 2.) Cncussin diagnsis and initial management 3.) Cncussin fllw-up evaluatin, recvery and return t play. Cncussin Mechanism, Yuth Vulnerability & Preventin Cncussins generally ccur because f a blw t the head, neck r bdy. Players ften dn t have the puck r have just released the puck. Many cncussins ccur because f illegal hits r cllisins r frm blws frm an ppnent s shulder r elbw. Cncussins ften result frm pen-ice, unanticipated hits.
3 Yuth Vulnerability The yuth hckey player s brain Is mre susceptible t cncussin. Is harder t diagnse Takes lnger t recver Mre likely t have a recurrence Is vulnerable t lng-term effects Every yuth hckey player is a student in additin t an athlete. Therefre, cncussin in a child has additinal effects. Participatin in ther sprts and athletic activities Educatinal perfrmance Scial develpment Cncussin Preventin Fcus n eliminating behavirs Teach players technical skills Heighten awareness f cllisins Athletes / caches cnfrm t the rules f the game Officials need t cnsistently enfrce the rules. Rule changes & enfrcement Teach bdy cntact & bdy checking in practice Eliminate head cntact Eliminate fighting Cncussin Diagnsis & Initial Management Cncussin Symptms Headache Nausea Pr balance Dizziness Duble visin Blurred visin Decreased cncentratin Impaired memry Light sensitivity Nise sensitivity Sluggish Fggy Grggy General cnfusin
4 Cncussin Signs Player appears dazed r stunned Player is cnfused abut his r her assignment Mves clumsily Answers slwly Behavir r persnality changes Unsure f the scre r ppnent Can t recall events befre the injury Can t recall events after the injury Initial Management If the player is unrespnsive call fr help and dial 911 Resuscitate as necessary if the athlete is nt breathing start CPR D nt mve the athlete D nt remve the helmet D nt rush the evaluatin Assume a neck injury until prven therwise 3 D nt have the athlete sit up r skate ff until yu have determined: N neck pain N pain, numbness r tingling N midline neck tenderness Nrmal muscle strength Nrmal sensatin t light tuch If the athlete is cnscius and respnsive withut symptms r signs f a neck injury. Help the player ff the ice t the lcker rm Perfrm an evaluatin D nt leave the player alne Ask the player hw he r she feels (keeping cncussin symptms in mind) Assess his r her rientatin (day, scre, ppnent, perid) Test immediate memry (have them repeat a list f wrds) Cncentratin (fr example list the mnths f the year in reverse rder) Balance (single, duble & tandem stance with eyes clsed fr 20 secnds) Delayed Recall (repeat the previus 5 wrds) Emergency Transprt (necessary when ) Cervical spine injury Prlnged lss f cnsciusness Fcal neurlgical deficit Decreasing level f cnsciusness Wrsening symptms Unequal pupil size Uncntrlled vmiting Suspected skull fracture Seizure activity
5 Initial Management 1.) N athlete shuld return t play 2.) Infrm the player s parents 3.) Refer t qualified health-care prfessinal 4.) Medical clearance is required t return t play Cncussin symptms and signs evlve ver time the severity f the injury and estimated time t return t play are unpredictable. When in dubt, sit them ut. Observatin by family members. Next day fllw-up. Return t play prtcl After clearance, the student-athlete begins a 6 step prcess. Activities are stpped if symptms appear during any level. Activities can resume the next day at the previus level if n symptms exist. Each phase requires a minimum f 1 day befre advancing Level 1 Cmplete physical and cgnitive rest. N schl, exercise, vide games r text messaging Level 2 Light aerbic exercise N resistance training Abbreviated schl schedule Level 3 Sprt-specific exercises N resistance training Part-time schl Level 4 Nn-cntact practice Light resistance training Part-time schl Level 5 Full cntact practice Full time schl with limitatins Level 6 Return t unrestricted cmpetitin and schl activities
6 Resurces USA Hckey www.usahckey.cm CDC www.cdc.gv Heads Up Hckey HUHPrgramGuide.pdf
7 NOTEPAD: