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The Citadel Sports Medicine Concussion Protocol for Intramural, Club and Recreational Athletics 2015 2016 Team, Club or Activity Per guidelines established by the National Collegiate Athletic Association
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How to fill out a concussion protocol - form:

01
Start by carefully reading the instructions provided on the form. Familiarize yourself with the purpose and requirements of the protocol.
02
Provide personal information accurately. Fill in your name, date of birth, and contact information. It's important to ensure the accuracy of this information for effective communication and record-keeping.
03
Document the date and time of the concussion incident. This includes when and where the concussion occurred, as well as any specific details about the situation.
04
Describe the symptoms experienced as a result of the concussion. This may include headache, dizziness, memory problems, or sensitivity to light or noise. Be as specific as possible to provide a complete picture of the symptoms.
05
Include information about any medical evaluations or treatments received. If you have sought medical attention following the concussion, provide details of the healthcare provider and any tests or treatments undergone.
06
List any medications currently being taken, including over-the-counter drugs or supplements. This is important for healthcare professionals to consider when managing your concussion.
07
Provide information about your medical history, especially any previous concussions or head injuries. Include details of any pre-existing conditions that could affect the evaluation or management of your concussion.
08
If you are a student-athlete, indicate any impact on your ability to participate in sports or physical activities. This can help determine the appropriate timing and approach for returning to play safely.
09
Sign and date the form to affirm that the information provided is accurate and complete. By signing, you consent to the concussion protocol and allow authorized personnel to access the information for appropriate management.

Who needs a concussion protocol - form?

01
Athletes: Those participating in contact sports like football, rugby, soccer, or hockey are more prone to concussions. The concussion protocol form ensures proper evaluation and management of head injuries among athletes to promote their safety and well-being.
02
School staff and administrators: Schools may require concussion protocol forms to be completed for students involved in physical education classes, sports teams, or other extracurricular activities. It helps in tracking and managing concussion incidents within the school community.
03
Healthcare professionals: Doctors, nurses, and other medical personnel use concussion protocol forms to gather essential information about the concussion incident, symptoms, and medical history. This aids in making accurate diagnoses and providing appropriate treatment plans.
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The concussion protocol form is a document outlining the procedures to be followed in the event of a suspected concussion.
Coaches, medical personnel, and administrators are typically required to file the concussion protocol form.
Concussion protocol forms can usually be filled out by providing information about the individual suspected of having a concussion and detailing the steps to be taken in response.
The purpose of the concussion protocol form is to ensure that proper procedures are followed in the event of a suspected concussion to protect the health and safety of the individual.
Information such as the date and time of the suspected concussion, symptoms observed, and any steps taken should be reported on the concussion protocol form.
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