Avon Grove Wildcats Boys Lacrosse

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Parents,

Each year, the wildcat lacrosse community is looking to increase awareness on injuries that may occur during the course of the season. In this article we are focusing on concussions. While this may not seem like a common occurrence, we feel it is important to ensure every parent, coach, player, and volunteer is aware of the potential dangers of concussions. Please take some time to review the instructional video below, as well as read through the content on this page.


Concussions in Football from National Athletic Trainers' Assn on Vimeo.

 

Avon Grove Wildcats-LACROSSE
PROPOSED CONCUSSION POLICY
“If in doubt…sit them out”
 

  1. Identify head injury occurrence …IMMEDIATE REMOVAL from PLAY
  2.  Observation / Medical evaluation
  3. Determine injury severity /  Return to play plan

 
 

1. IDENTIFY HEAD INJURY OCCURANCE

  • Witnessed or reported event
  • … AWARENESS of Symptoms of Concussion   COACHES-PLAYERS PARENTS
  • IF IN DOUBT ….SIT THEM OUT”

 
 

2. OBSERVATION

  • No participation until all doubt about safety of return

 
 

3. DETERMINE INJURY SEVERITY

  • Requires combined efforts of all parties involved, DEFER TO MEDICAL EVALUATION
  • Symptom observation over time …. REQUIRES AWARENESS of Symptoms ( See  tracking work sheet)
  • Player – parent – coach – medical provider   -  AGW LAX “MEDICAL ADVISOR”?

 

CONCUSSION Grading System

GRADE 1       (MILD)                     No L.O.C., Post Traumatic Amnesia <30 min
                                                                          
Post Injury Symptoms < 24 hrs
 
GRADE 2      (MODERATE)        LOC < 1 min/ PTA >30min          but <24 hrs
                                                                          
Post Injury Symptoms >24 hrs… but < 7 days
 
GRADE 3      (SEVERE)                LOC>1 min / Post Traumatic Amnesia >24hrs
                                                                           
Or Post Injury Symptoms > 7 days
 

RETURN TO PLAY GUIDELINE

GRADE  1 (MILD)   
1st occurrence: min 2-7 days’ REST, return if ASYMPTOMATIC ONLY
After all symptoms have ceased, player may START w/light aerobic exercise… if he continues to remain symptom free, he progress to non-contact play…FULL return ONLY if player remains SYMPTOM  FREE throughout staged return to play activities
2nd occurrence:  min 14 days rest, return if ASYMPTOMATIC ONLY
Follow similar graduated return to light ...moderate ….fullreturn ONLY IF PLAYER REMAINS COMPLETELY SYMTOM  FREE THROUGHOUT       
 
GRADE 2 (MODERATE)
1st occurrence:  min 7-14 days SYMPTOM FREE non participation
REFER for MEDICAL EVAL, CONSIDER CAT SCAN or MRI
MANDATE to REQUIRE “CLEARANCE NOTE” for return to play  FROM “MEDICAL PROVIDER”
After all symptoms have ceased, player may START w/light aerobic exercise… if he continues to remain symptom free, he progress to non-contact play…FULL return ONLY if player remains SYMPTOM  FREE throughout staged return to play activities
2nd occurrence:         2-4 week min SYMPTOM FREE non participation
                                    Consider season termination
 
GRADE 3 (SEVERE)       
1st occurrence:          TRANSFER from FIELD TO E.R. for EVAL
                                    Min 2-4 week REST, guarded SLOW RETURN only
 
2nd occurrence          SEASON TERMINATION
 
 
Click HERE for a printable version of this document and checklist below
 

GRADED SYMPTOM CHECKLIST:
Injury                      2-3hrs post   24 hrs post     48 hrs post      7 days post

 
Blurred Vision
Dizziness
Drowsiness
Easily Distracted
Fatigue
“In a Fog”
Headache
Atypical Emotions
Irritability
Loss of Consciousness
Loss of Orientation
Memory Problems
Nausea /Vomiting
Nervousness
Personality Change
Poor Balance
Poor Concentration
Ringing in Ears
Sadness
LIGHT Sensitivity
NOISE Sensitivity
Altered SLEEP pattern