Concussion Information
A concussion is a type of brain injury (TBI) caused by a bump blow, or jolt to the head that can change the way the brain functions. Concussions can occur from a fall or a blow to the body that causes the head and brain to move quickly in any direction.
ER Visit
Concussions typically do not require a visit to the emergency room for evaluation as they rarely show up on diagnostic imaging. If an athlete exhibits any of the following symptoms, an ER visit is necessary: loss of conciousness, vomitting, lethargy, severe intolerable headache.
After an ER visit is pursued, a follow up evaluation with a Concussion Special or Personal Care Physician will be necessary further determination of a treatment plan.
Recommendations for Possible Concussion
headache: take Tylenol, can put ice on the head &/or neck
rest, nap, sleep: rest or take 15-20 minute nap
sleeping all day may disrupt "normal" sleep cycle which is needed for brain healing
no need to awaken during the night
cell phone & technology: limit use to short periods of time 20-30 minutes with a 1-2 hour break - avoid over stimulation
no headphones, earbuds, or video games
school work & technology: limit to short periods of time with rest break - avoid over stimulation
physical activity: may take a leisure walk (take the dog for a walk)
strenuous exercise & weight lifting should be avoided until cleared
State Law Requirements
In accordance with HB 2038, Natasha's Law, the Lewisville ISD has formed a Concussion Oversight Team (COT). The COT has developed the required LISD concussion policies and procedures including the return to play (RTP) protocol.
An athlete with a possible concussion will be removed from athletic activity for further evaluation by a Staff Athletic Trainer to determine if there is a suspected concussion. At times, the Staff Atheltic Trainer may recommend waiting 24 hrs and re-evaluating prior to entering concussion protocol.
Concussion Protocol Basics
An athlete with a suspected concussion must be referred and evaluated by a physician. As signs and symptoms of a concussion are similar to other illnesses, it is recommended that a "Concussion Specialist" be seen. However, the physician to be utilized is of the parent's choosing.
The physician may make recommendations with regard to academic accommodations (Return-to-Learn plan) for preventing over cognitive stimulation.
An athlete with a concussion will report to the athletic training room daily. The athletic training staff may begin a concussion rehabilitation program to assist with concussion healing. Rehabilitation may include light aerobic activity &/or vestibular exercises.
Once an athlete receives "clearance" from the treating physician, the athlete must complete LISD's Return-to-Play plan. The RTP involves a progression of aerobic activity, to non-contact activity, to full contact activity, and then finally resuming game playing. There are 6 stages with a minimum of 24 hours between each stage. If the treating physician has a specified RTP that plan will then be followed.
Additional Resources
LISD Parent Concussion Guide.pdfLISD Parent Concussion Guide
LISD Concussion Physician Form .pdfLISD Physician Form
UIL_Return_to_Play_Form.pdfUIL RTP Form