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CONCUSSION FACT SHEET FOR ATHLETES What is a concussion? A concussion is a brain injury that: Is caused by a bump, blow, or jolt to the head or body Can change the way your brain normally works Can

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How to fill out concussion fact sheet for

Point by point, here is how to fill out a concussion fact sheet:

01

Start by entering the relevant personal information, such as the patient's full name, date of birth, and contact details. This will help identify the individual who experienced the concussion.

02

Next, indicate the date and time of the concussion occurrence. It is important to record the precise moment when the injury took place to accurately track the progression of symptoms and recovery.

03

Provide a description of how the concussion happened. Include details about the event or activity that led to the head injury, such as a sports-related incident, fall, or accident. This information will help healthcare professionals better understand the circumstances surrounding the concussion.

04

Indicate any immediate symptoms that the individual experienced following the head injury. This may include headaches, dizziness, confusion, nausea, or loss of consciousness. Documenting these symptoms is crucial for medical professionals to assess the severity of the concussion and formulate an appropriate treatment plan.

05

Specify any medical attention received after the head injury. This could involve visits to a healthcare provider, emergency room, or sports medicine specialist. Include details such as the name of the healthcare professional, the facility visited, and any treatments or tests conducted.

06

Record any ongoing symptoms or changes noticed since the concussion occurred. These may include difficulties with memory, concentration, sleep disturbances, sensitivity to light or noise, or mood changes. Documenting these symptoms will aid in monitoring the individual's progress and adjusting treatment plans accordingly.

Who needs a concussion fact sheet?

01

Athletes: Concussion fact sheets are essential for athletes participating in contact sports, such as football, soccer, or hockey. By having athletes and their coaches fill out these sheets, it enables proper concussion management and facilitates the return-to-play protocol.

02

Schools and educational institutions: Schools should maintain concussion fact sheets for students, especially those involved in physical education classes or extracurricular activities. Having this information on file ensures that teachers and staff can promptly respond to any head injuries and provide necessary support.

03

Medical professionals: Doctors, nurses, and healthcare providers should familiarize themselves with using concussion fact sheets to accurately document and evaluate concussions among their patients. These records are vital for tracking the progression of symptoms, determining treatment plans, and ensuring a safe and complete recovery.

In conclusion, filling out a concussion fact sheet involves providing personal information, describing the injury, documenting symptoms, and detailing medical attention received. This information benefits athletes, schools, and medical professionals in properly managing concussions and enabling appropriate care.

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