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2018 2019CONCUSSION AND HEAD INJURY REPORT Student: Grade: Student ID #: Date of Incident:School: Sport: Coach:Concussions and Head Injuries On, the Student listed above was involved in the following

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How to fill out concussion and head injury

01

First, ensure the person's safety by removing them from any immediate danger.

02

Check for any visible signs of injury, such as bleeding or bruising.

03

Assess the person's level of consciousness by asking them simple questions or having them follow simple commands.

04

If the person is conscious and able to comply, instruct them to rest and avoid any activities that may worsen their symptoms.

05

Encourage the person to drink plenty of fluids to stay hydrated.

06

Monitor the person's symptoms and seek medical attention if they worsen or do not improve.

07

Follow the healthcare provider's instructions for monitoring and managing the concussion or head injury.

Who needs concussion and head injury?

01

Anyone who has experienced a blow, jolt, or bump to the head should be evaluated for a possible concussion or head injury.

02

This includes athletes participating in contact sports, individuals involved in accidents, and anyone who displays symptoms such as headache, dizziness, confusion, nausea, or memory problems.

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What is concussion and head injury?

Concussion is a mild traumatic brain injury that occurs after a blow or jolt to the head. Head injury refers to any trauma to the head that can result in damage to the scalp, skull, or brain.

Who is required to file concussion and head injury?

Healthcare providers, coaches, and school staff who suspect or diagnose a concussion or head injury are required to file a report.

How to fill out concussion and head injury?

The report should include details of the individual, the nature of the injury, symptoms, treatment received, and any recommendations for follow-up care.

What is the purpose of concussion and head injury?

The purpose of filing a report on concussion and head injury is to ensure that proper care and monitoring are provided to individuals who have experienced these types of injuries.

What information must be reported on concussion and head injury?

Information on the individual, the injury, symptoms, treatment, and follow-up care should be reported.

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