A concussion is defined as a ‘trauma-induced alteration in mental status that may or may not involve loss of consciousness.’ A concussion may be caused by a bump, blow or jolt to the head or body that causes the head and brain to move quickly back and forth.
Common Signs and Symptoms include
Headache, Pressure in the Head, Neck Pain, Nausea or Vomiting, Dizziness, Blurry Vision, Balance Problems, Sensitivity to Light, Sensitivity to Noise, Feeling Slowed Down, Feeling Like in a Fog, Difficulty Concentrating, Difficulty Remembering, Fatigue or Low Energy, Confusion, Drowsiness, Trouble Falling Asleep, More Emotional than Normal, Irritability, Sadness, Nervous or Anxious
Concussion signs and symptoms can appear immediately or may not be noticed until days or even weeks after the initial injury.
Following a concussion, students may have difficulties with short- and long-term memory, concentration and organization. They may require rest while recovering from injury (e.g., limit texting, video games, loud movies, or reading), and may also need to limit school attendance for a few days. As they return to school, the schedule might need to start with a few classes or a half-day. If recovery from a concussion is taking longer than expected, they may also benefit from a reduced class schedule and/or limited homework; a formal school assessment may also be necessary. Your school or physician can help suggest and make these changes. Students should complete the Return to Learn guidelines, successfully returning to a full school day and normal academic activities, before returning to play (unless your physician makes other recommendations). Go to the CIF website (cifstate.org) for more information on Return to Learn.
Concussion symptoms should be completely gone before returning to competition. A RTP progression is a gradual, step-wise increase in physical effort, sports-specific activities and then finally unrestricted activities. If symptoms worsen with activity, the progression should be stopped. If there are no symptoms the next day, exercise can be restarted at the previous stage. RTP after concussion should occur only with medical clearance from a physician trained in the evaluation and management of concussions, and a step-wise progression program monitored by the identified Concussion Monitor. Please see cifstate.org for a graduated return to play plan. [AB 2127, a California state law effective 1/1/15, states that return to play (i.e., full competition) must be no sooner than 7 days after the concussion diagnosis has been made by a physician.]
EDUCATION CODE - EDC
TITLE 2. ELEMENTARY AND SECONDARY EDUCATION [33000 - 65001] ( Title 2 enacted by Stats. 1976, Ch. 1010. )
DIVISION 4. INSTRUCTION AND SERVICES [46000 - 65001] ( Division 4 enacted by Stats. 1976, Ch. 1010. )
PART 27. PUPILS [48000 - 49703] ( Part 27 enacted by Stats. 1976, Ch. 1010. )
CHAPTER 9. Pupil and Personnel Health [49400 - 49590] ( Chapter 9 enacted by Stats. 1976, Ch. 1010. )
ARTICLE 5. District Medical Services and Insurance [49470 - 49476] ( Article 5 enacted by Stats. 1976, Ch. 1010. )
49475.
(a) If a school district, charter school, or private school elects to offer an athletic program, the school district, charter school, or private school shall comply with both of the following:
(1) An athlete who is suspected of sustaining a concussion or head injury in an athletic activity shall be immediately removed from the athletic activity for the remainder of the day, and shall not be permitted to return to the athletic activity until he or she is evaluated by a licensed health care provider. The athlete shall not be permitted to return to the athletic activity until he or she receives written clearance to return to the athletic activity from a licensed health care provider. If the licensed health care provider determines that the athlete sustained a concussion or a head injury, the athlete shall also complete a graduated return-to-play protocol of no less than seven days in duration under the supervision of a licensed health care provider. The California Interscholastic Federation is urged to work in consultation with the American Academy of Pediatrics and the American Medical Society for Sports Medicine to develop and adopt rules and protocols to implement this paragraph.
(2) On a yearly basis, a concussion and head injury information sheet shall be signed and returned by the athlete and the athlete’s parent or guardian before the athlete initiates practice or competition.
(b) As used in this section, “licensed health care provider” means a licensed health care provider who is trained in the management of concussions and is acting within the scope of his or her practice.
(c) This section does not apply to an athlete engaging in an athletic activity during the regular school day or as part of a physical education course required pursuant to subdivision (d) of Section 51220.
(Amended by Stats. 2014, Ch. 165, Sec. 3. (AB 2127) Effective January 1, 2015.)
Concussion Information Sheet (CIF)
Physician Letter to the School following Concussion (CIF)
Graded Concussion Symptom Checklist (CIF)
Acute Concussion Notification Form for Parents/Guardians (CIF)
Concussion Return to Learn Protocol (CIF)
Physician Recommended School Accommodations following Concussion
Concussion Return to Play Protocol (CIF)
Concussion 101 (NATA)
Management of Sport Concussion Position Statement (NATA)
Soft Headgear in Non-Helmeted Sports Position Statement (NFHS)
Play It Safer (CIF)
For additional questions or concerns regarding concussions, please contact the School Nurse or Athletic Trainer.