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74.2(A) F3Concussion Signs and SymptomsChecklist Students Name: Students Grade: Date/Time of Injury: Where and How Injury Occurred:(Be sure to include cause and force of the hit or blow to the head.)
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How to fill out concussion signs and symptoms

01
To fill out concussion signs and symptoms, follow these steps:
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Start by observing the person for any physical symptoms such as headache, dizziness, or vomiting.
03
Take note of any cognitive symptoms like confusion, memory problems, or difficulty concentrating.
04
Look for emotional or mood-related symptoms such as irritability, sadness, or increased sensitivity.
05
Assess the person for any sleep-related symptoms like excessive drowsiness or difficulty falling asleep.
06
Document all the observed signs and symptoms in a detailed manner.
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Make sure to include the date and time of observation for accurate monitoring.
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If possible, obtain additional information from the person experiencing the symptoms or from witnesses.
09
Consult with a healthcare professional to validate the signs and symptoms and receive appropriate guidance.

Who needs concussion signs and symptoms?

01
Concussion signs and symptoms are needed by various individuals and organizations, including:
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- Healthcare professionals who diagnose and treat concussions
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- Coaches, trainers, and sports officials who need to monitor athletes for potential head injuries
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- Parents and caregivers who want to identify and address concussions in loved ones
05
- Schools and educational institutions that prioritize student safety during physical activities
06
- Workplaces and employers interested in providing a safe environment for their employees
07
- Researchers and organizations collecting data on concussions for further analysis and prevention strategies
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Concussion signs and symptoms include headaches, confusion, dizziness, nausea, balance problems, sensitivity to light or noise, blurred vision, and difficulty concentrating.
Individuals involved in sports, coaches, and medical personnel are typically required to file concussion signs and symptoms when they identify a potential concussion in an athlete.
Concussion signs and symptoms should be documented using a standardized form that includes personal information, observations of symptoms, and any actions taken or referrals made.
The purpose of documenting concussion signs and symptoms is to ensure proper evaluation and treatment of the individual and to monitor their recovery from a concussion.
The report should include the date and time of the injury, observed symptoms, any known medical history related to concussions, and actions taken following the symptoms.
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