Resources for Coaches and Schools

Concussions can happen at anytime to any player, so it's important to be prepared. Here are some resources to help you recognize a concussion and get your players the help they need. If you suspect a concussion, players must be removed from the play and cannot return until they have been cleared by a healthcare provider.

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Legislation Update

Beginning Jan. 1, 2014, all public and private schools are required to create a concussion policy. This law also requires public recreational leagues to provide an information sheet to all youth athletes’ parents or legal guardians informing them of the risks of concussions. Learn more.

We offer the following resources that may help you with the new legal requirements:

Concussion reference guide: This document is intended to serve as a guideline or a user’s manual for local school boards and governing bodies. It covers a range of topics from the definition of a concussion and ImPACT® testing, to cognitive rest and your role in managing concussions.

Concussion policy: download and modify this template (en Español) with your school or organization’s information.

Three-step concussion plan:

1. Educate—an educational fact sheet (en Español) for parents and athletes (modify this version (en Español) with your school or organization’s name and logo)
2. Recognize the signssideline reference card for coaches and athletic trainers and the guardian concussion notification sheet (en Español)
3. Return safely—return-to-school and activities guidelines to help educate teachers, nurses, coaches, athletic trainers, parents and athletes. See the box below to download these guidelines, as well as sport-specific guidelines. Schools may also need to consider a 504 plan for some students when returning after a concussion—learn more from the Georgia Department of Education. 

 

     
 
ReturnToActivitiesGuidelines
 
     

  • Book Reviews, Papers and Articles
      "Clinical Commentary: Pediatric Sports Specific Return to Play Guidelines following Concussion"
      Authors: Keith H. May, P.T., D.P.T., S.C.S., A.T.C., C.S.C.S., David L. Marshall, M.D., Thomas G. Burns, Psy.D., ABPP/CN, David M. Popoli, M.D., John A. Polikandriotis, Ph.D., MBA, MPH, FACHE. The International Journal of Sports Physical Therapy. Volume 9, Number 2. April 2014. Page 242

      "CHOA concussion consensus: establishing a uniform policy for academic accommodations
      Authors: David Popoli, M.D., Thomas G. Burns, Psy.D., ABPP/CN,, Meehan WP 3rd, Andrew Reisner, M.D. Clinical Pediatrics. 2014 Mar;53(3):217-24. doi: 10.1177/0009922813499070. Epub 2013 Aug 19.

      - "Concussion in Children."Dr. Reisner and the Children’s concussion team take a look at the history of concussions and provide insight into the definitions, guidelines and treatments for a condition that affects millions of children each year. Authors: Andrew Reisner, M.D., F.A.C.S., F.A.A.P.; Natalie Tillman, R.N., B.S.N.; Linda Cole, R.N.; Elizabeth Atkins, R.N.; Greg Pereira, R.N., B.S.N., M.B.A., Mary Thacher, R.N., MSN, CEN.   Concussions in Children.  Neuro Update Vol 5, Issue 1, 2011.

      - "Clinical Commentary: Pediatric Sports Specific Return to Play Guidelines following Concussion", Keith H. May, P.T., D.P.T., S.C.S., A.T.C., C.S.C.S., David L. Marshall, M.D., Thomas G. Burns, Psy.D., ABPP/CN, David M. Popoli, M.D., John A. Polikandriotis, Ph.D., MBA, MPH, FACHE. The International Journal of Sports Physical Therapy. Volume 9, Number 2. April 2014. Page 242

      - "CHOA concussion consensus: establishing a uniform policy for academic accommodations"  David Popoli, M.D., Thomas G. Burns, Psy.D., ABPP/CN,, Meehan WP 3rd, Andrew Reisner, M.D. Clinical Pediatrics. 2014 Mar;53(3):217-24. doi: 10.1177/0009922813499070. Epub 2013 Aug 19.

      - Burns, T.G. & Yosick, R.  (2012).  Book Review: Kirkwood, M.W., & Yeates, K.O.  (2012). Mild Traumatic Brain Injury in Children and Adolescents: From Basic Science to Clinical Management.  New York, NY.  The Guilford Press.  Applied Neuropsychology: Child, 2(1), pp.78-79.

       - Arenivas, A. & Burns, T.G.  (2012).   Recent Trends in Pediatric and Adolescent Concussion:  How to Diagnose and Treat This Condition.  Book Review:  Apps, J.N. & Walter, K.D.  (Eds).  (2012). Pediatric and Adolescent Concussion:  Diagnosis, Management, and Outcomes.  New York:  Springer.  The Clinical Neuropsychologist, 1-3.

      - May, K.M., Marshall, D.L., Burns, T.G., Popoli, D.M., & Polikandriotis, J.A.  (2014).  Pediatric Sports Specific Return to Play Guidelines Following Concussion.  International Journal of Sports Physical Therapy, 9(2),  pp. 242-255.

      - Popoli, D.M., Burns, T.G., Meehan, W.P., Reisner, A.  (2014).  CHOA Concussion Consensus:  Establishing a Uniform Policy for Academic Accommodations.  Clinical Pediatrics, 53(3), pp. 217-224.

      - American Academy of Pediatrics. Point of Care Quick Reference: Head Injuries. Pediatric Care Online.

      - Atabaki SM. Pediatric head injury. Pediatrics in Review. 2007 Jun; 28(6): 215-24.

      - Bin, SS, Schutzman SA and Greenes DS. Validation of a clinical score to predict skull fracture in head injured infants. Ped Emer Care 26 (9) Sept 2010: 633-639.

      - Brody AS, Frush DP and Brent RL Radiation risk to children from computed tomography. PED 120(3) Sept 2007; 677-682.

      - Centers for Disease Control and Prevention. Heads up: Concussion in youth sports.

      - Hall Eric J. Lessons we have learned from our children: cancer risks from diagnostic radiology. Pediatr Rad (2002)32:700-706.

      - Kluger J. (2011, January 31). Headbanger Nation. Time, 177, 42-51.

      - Kupperman N et al. Identification of Children at very low risk of clinically important brain injuries after head trauma: a prospective cohort study. Lancet 2009: 374:1160-70.

      - Palchak MJ et al. A decision rule for identifying children at low risk for brain injuries after blunt head trauma. Ann Emer Med Oct 2003: 42:4; 492-506.

      - Palchak MJ et al. Does an isolated history of low of consciousness or amnesia predict brain injuries in children after blunt head trauma? PED 113:6; June 2004; e507-513.

      - Pauline Anderson. (2010, September 10). New Guidance on Management of Increasing Problem of Sports-Related Concussions in Children. Medscape Medical News.

      - Practice Guidelines: The Management of Minor Closed Head Injury in Children. PED 1998; 104; 6:1407-1415.

      - Schnadower D et al. Controversies in the evaluation and management of minor blunt head trauma in children. Curr Opin Ped 2007;19:258-264.Schutzman SA et al. Evaluation and management of children younger than two years old with apparently minor head trauma: proposed guideleins. PED 107(5) May 2001 983-993.


  • Poster Presentations
      Reisner, A., Jain, S., Chern, J., Bookland, M.J., Weselman, L., Hall, L., Burns, T.G., Hogan, E., & Waldner, D. (2014). Effect of a Community Education Program on Pediatrician’s Management of Concussion. Poster presented to the World Congress on Controversies in Pediatrics in Prague, Czech Republic on April 24, 2014. Abstract published in the CoPedia – Perinatal Medicine, P14.

      Jain S, Reisner A, Weselman B, Chern J, Salzberg N, Hall LB, Burns TG Impact of a Concussion Education Program on the Management of Concussions. Society for Academic Emergency Medicine annual meeting, Dallas, May 2014. 

      Herzog, M., Polikandriotis, J., Burns, T.G., & Drews, C. (2014). Prevalence of Undiagnosed Concussion in Adolescent Athletes Based on Neuropsychological Declines. Presented as an oral presentation to the Council on Sports Medicine & Fitness at the American Academy of Pediatrics in San Diego, CA on October 11, 2014.

      Hall, L.B., Reisner, A., Jain, S., Chern, J.J., Weselman, B., Hogan, E., Speake, K., Johnson, E., Hatcher, B., Polikandriotis, J.A., Clark, G., Marshall, D., Waldner, D., Licata, R.M., Burns, T.G. (2014). Effects of a Community Education Program on Pediatrician’s Management of Concussions. Poster presented to the National Neurotrauma Society and the abstract published in the Journal of Neurotrauma, 31(12), p. A-60.

      Hayes, L.L., Arenivas, A., Sun, B., Jones, R.A., Burns, T.G., Palasis, S. (2014). Altered Neural Activation in Children with Sports Related Concussion. Oral Presentation to the Society of Pediatric Radiology (SPR) Annual Meeting in Washington, DC.

      Arenivas, A., King, T.Z., Sun, B., McManus, S.M., Brewster, R., Hayes, L., & Burns, T.G. (2014). Neural Activation on a Working Memory functional MRI task in Pediatric Sports-Related Concussion. Paper Presentation to the International Neuropsychological Society and abstract published in the Journal of the International Neuropsychological Society (in press).
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Our Approach

Learn more about how Children's helps to treat concussions.