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ArizonaInterscholasticAssociation, Inc. MildTraumaticBrainInjury(MTB)/Concussion AnnualStatementandAcknowledgementFormI, (student), acknowledgethatIhavetobeanactiveparticipantinmyownhealth andhavethedirectresponsibilityforreportingallofmyinjuriesandillnessestotheschoolstaff(e.g.,
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How to fill out concussion or mild traumatic

01
Begin by gathering all necessary information such as personal details, medical history, and any previous concussions or traumatic brain injuries.
02
Use a reliable concussion assessment tool to evaluate the severity of the symptoms and overall impact on cognitive functions.
03
Document any physical, cognitive, or emotional symptoms experienced by the individual. This may include headache, dizziness, confusion, irritability, or difficulty concentrating.
04
Ensure proper rest and avoid activities that may worsen the symptoms. This may include limiting physical exertion, screen time, and mentally demanding tasks.
05
Seek medical attention if necessary or if symptoms worsen. A healthcare professional can provide a more comprehensive evaluation and develop an appropriate treatment plan.
06
Follow any recommendations provided by healthcare professionals, such as medication, physical therapy, cognitive rehabilitation, or specialized interventions.
07
Keep track of progress by regularly monitoring symptoms and any changes in cognitive abilities. Make adjustments to the treatment plan as needed.
08
Gradually increase activities and return to normal routines under the guidance of healthcare professionals to ensure a safe recovery.
09
Take preventive measures to minimize the risk of future concussions or traumatic brain injuries. This may include wearing protective gear during sports or implementing safety measures in the workplace or home.
10
Stay proactive in managing and addressing any lingering symptoms or concerns. Regular check-ups with healthcare professionals can help identify any long-term effects or complications.

Who needs concussion or mild traumatic?

01
Anyone who has experienced a head injury, particularly an injury that resulted in a sudden jolt or blow to the head, may need to consider concussion or mild traumatic brain injury assessment.
02
Individuals who have symptoms such as headache, dizziness, sensitivity to light or noise, difficulty concentrating, memory problems, irritability, depression, or changes in sleep patterns following a head injury may also need to be evaluated for concussion or mild traumatic brain injury.
03
Certain high-risk groups, such as athletes participating in contact sports, military personnel, and individuals involved in high-risk occupational activities, should be particularly vigilant about concussion or mild traumatic brain injury assessment as they are more prone to such injuries.
04
It is always recommended to consult with a healthcare professional for a proper evaluation and diagnosis if there is any suspicion of concussion or mild traumatic brain injury.
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Concussion or mild traumatic brain injury is a type of brain injury that is caused by a bump, blow, or jolt to the head.
Anyone who experiences a concussion or mild traumatic brain injury is required to file a report with the appropriate authorities.
To fill out a concussion or mild traumatic brain injury report, one must provide details about the incident and any symptoms experienced.
The purpose of filing a concussion or mild traumatic brain injury report is to track and monitor incidents of brain injuries for research and prevention purposes.
Information that must be reported on a concussion or mild traumatic brain injury includes date of incident, symptoms experienced, and any medical treatment received.
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