}  “Athletic Trainers (ATs) are health care professionals who collaborate with physicians. The services provided by ATs comprise prevention, emergency care, clinical diagnosis, therapeutic intervention and rehabilitation of injuries and medical conditions.” -NATA

}  Injury/Illness Prevention and Wellness Protection

}  Clinical Evaluation and Diagnosis }  Immediate and Emergency Care }  Treatment and Rehabilitation }  Organizational and Professional Health and

Well-Being

}  Coaches }  Parents }  Athletic Director }  Physician

}  NJSIAA }  Concussion Consent Form }  Baseline IMPACT testing }  On-Field Assessment }  Post-Injury Assessment/Physician Follow Up }  Return to Play Criteria

}  IMPACT Test ◦  Baseline Tests Performed on all High Risk athletes �  Football �  Wrestling �  Hockey �  Lacrosse �  Rugby

}  25-30 minute online test }  Measures: ◦  Symptom score ◦  Verbal and Visual Memory ◦  Processing Speed and Reaction time

}  Sport Concussion Assessment Tool (SCAT) 3 - Symptom Evaluation - Cognitive Assessment

- Orientation -  Immediate Memory - Concentration

- Balance Examination - Coordination Evaluation - Delayed Recall

}  Cranial Nerve Evaluation I.  Olfactory II.  Optic III.  Occulomotor IV.  Trochlear V.  Trigeminal VI.  Abducens

•  Cranial Nerve Evaluation VII.  Facial VIII. Acoustic/Vesitublocochlear IX.  Glossopharyngeal X.  Vagus XI.  Spinal Accessory XII.  Hypoglossal

}  Monitor Symptoms }  Eliminate as much stimulation as possible ◦  Rest in dark room ◦  Avoid use of technology ◦  Limit time reading and or studying

}  Acetaminophen ◦  Avoid aspirin and ibuprofen

}  Removal from participation }  Physician follow-up }  Post-Injury IMPACT test

•  Asymptomatic for 1 week •  Physician Clearance for Rehab •  5 step return-to-play rehabilitation protocol – Light aerobic exercise – Moderate aerobic exercise – Sport specific exercise – Non-contact training drills – Full Contact practice

•  Clearance by Certified Physician (NJSIAA guideline)