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Moore Public Schools Athletic Department Concussion and/or Head Injury Reporting and Tracking Form Students Name: Sport at Time of Injury: Date of Injury: Sideline Check List: (circle yes, no or not
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First, it is important to ensure the person's safety. Move them to a quiet and calm area, away from any potential hazards.
02
Check for any signs of concussion or head injury, such as loss of consciousness, dizziness, nausea, blurred vision, or confusion.
03
If the person is unconscious or experiencing severe symptoms, call emergency services immediately.
04
When filling out the concussion or head injury report, provide detailed information about the incident, including the date, time, location, and any witnesses present.
05
Describe the specific symptoms experienced by the person, such as headache, memory problems, sensitivity to light or noise, or balance issues.
06
Include any information about previous head injuries or medical conditions that may be relevant to the current situation.
07
Follow any additional instructions provided by healthcare professionals or medical personnel.

Who needs concussion andor head injury?

01
Anyone who has experienced a head injury, whether due to a sports-related incident, accident, or fall, should be evaluated for a concussion or head injury.
02
Those who exhibit symptoms such as headache, confusion, dizziness, memory problems, or changes in behavior after a head injury should seek medical attention.
03
Concussions and head injuries can occur in people of all ages, from young children to the elderly, so it is important to be aware of the signs and take appropriate action.
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Concussion is a type of traumatic brain injury that is caused by a blow to the head or body. A head injury is any trauma that affects the scalp, skull, or brain.
Healthcare providers, coaches, and school officials are required to file reports of any concussion or head injury.
The concussion report should include information on the cause of the injury, symptoms experienced, and any medical treatment received.
The purpose of reporting concussion and head injuries is to ensure that individuals receive appropriate medical care and to track trends in head injuries.
Information such as the individual's name, age, date of injury, symptoms, and treatment received must be reported on concussion and head injuries.
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