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👉 Immediately stop activity and check for danger signs

Danger Signs

â–¡ Worsening, persistent headache
â–¡ Repeated nausea or vomiting
â–¡ Weakness, numbness, or poor coordination
â–¡ Slurred speech
â–¡ Seizures (e.g., shaking or twitching)
â–¡ Difficulty recognizing people or places
â–¡ Loss of consciousness (even brief)
â–¡ Uneven pupils or double vision
â–¡ Cannot be awakened or extreme drowsiness

✅ If Danger Signs Are Present (URGENT)

Immediate Actions

• Call 911
  OR
• Call parent/guardian to take youth to the hospital immediately (if safe)

Parent/Guardian Communication

• Notify immediately (within minutes)

Documentation

• Complete incident documentation
• Send documentation with youth to the hospital
• Provide a verbal briefing to parent/guardian or emergency responders

Reporting

Follow-Up

• Youth may not return without medical clearance
• Contact parent/guardian within 24 hours to confirm:
  • Diagnosis (if known)
  • Expected timeline for return
  • Activity restrictions or accommodations

👉 If NO danger signs are present:

• Monitor for symptoms for at least 30 minutes after injury
• Keep youth under supervision
• Restrict all physical and high-stimulation activity
• Provide first aid if needed

Monitoring Schedule

Check and document at:

• Immediately after injury (0 minutes)
• 15 minutes
• 30 minutes

👉 Documentation Requirement

• Record observations at each interval
• Document both the presence and absence of symptoms
• Include the time of each check

Symptom Checklist

Observed / Behavior

â–¡ Dazed or stunned
â–¡ Confusion
â–¡ Repeating questions
â–¡ Slow responses
â–¡ Memory gaps
â–¡ Personality or behavior changes

Physical

â–¡ Headache or pressure
â–¡ Nausea or vomiting
â–¡ Dizziness or balance issues
â–¡ Fatigue or feeling tired
â–¡ Vision problems (e.g., blurry)
â–¡ Sensitivity to light or noise
â–¡ Numbness or tingling
â–¡ Not “feeling right”

Cognitive

â–¡ Trouble thinking, concentrating, or remembering
â–¡ Slowed thinking
â–¡ Feeling foggy, hazy, groggy, or sluggish

Emotional

â–¡ Irritable
â–¡ Sad
â–¡ Nervous
â–¡ More emotional than usual

Re-check Danger Signs

â–¡ Worsening headache
â–¡ Repeated vomiting
â–¡ Weakness, numbness, or poor coordination
â–¡ Slurred speech
â–¡ Seizures
â–¡ Difficulty recognizing people or places
â–¡ Loss of consciousness (even brief)
â–¡ Uneven pupils or double vision
â–¡ Cannot be awakened or extreme drowsiness

✅ If Symptoms Are Present (NO Danger Signs)

Immediate Actions

• Notify parent/guardian at first sign of symptoms (do not wait until pickup)
• Recommend medical evaluation

Care & Supervision

• Keep youth under supervision until pickup
• Restrict all physical and high-stimulation activity

Documentation

• Complete incident documentation
• Record all symptom observations and monitoring times

Parent/Guardian Communication

• Provide incident documentation at pickup
• Verbally explain:
  • What happened
  • Symptoms observed
  • When symptoms appeared
• Provide concussion resources for guidance on symptom monitoring and when to seek medical care

Reporting

Follow-Up

• Youth may not return to full activity without medical clearance
• Before return, confirm with parent/guardian:
  • Diagnosis (if known)
  • Activity restrictions or accommodations

✅ If NO Symptoms Are Observed

Immediate Actions

• Remove from physical activity for at least 30 minutes
• Continue observation during this period

Documentation

• Complete incident documentation
• Record monitoring checks and confirm no symptoms were observed

Parent/Guardian Communication

• Notify the same day (at pickup or earlier if needed)
• Provide incident documentation at pickup
• Provide concussion resources for guidance on symptom monitoring and when to seek medical care

Reporting:

Follow-Up

• If symptoms develop later, treat as Symptoms Present scenario
• Check in with parent/guardian if youth returns and appears unwell