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Acknowledgement of the Health Effects of Concussions Parent/Guardian Acknowledgement I have read and understand the concussion information on the Heads-up handout that was given to me. I promise to
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How to fill out concussion signs and symptoms

01
Start by familiarizing yourself with the common signs and symptoms of a concussion, which may include headache, dizziness, nausea, sensitivity to light and noise, confusion, memory problems, and irritability.
02
Obtain a concussion signs and symptoms form or use an online template to make it easier to fill out the information.
03
Begin by providing the patient's personal details such as name, age, and contact information.
04
Record the date and time of the suspected concussion incident.
05
Document the specific signs observed, such as loss of consciousness, unsteady gait, disorientation, slurred speech, or changes in mood and behavior.
06
Note any symptoms reported by the patient, including headaches, blurry vision, difficulty concentrating, memory loss, or sleep disturbances.
07
Include information about any previous concussions the patient may have had.
08
If applicable, record details about the cause of the concussion, such as a sports-related injury or a fall.
09
It can be helpful to use a rating scale to quantify the severity of each symptom or sign, such as a scale from 0 (no symptoms) to 10 (severe symptoms).
10
Review and double-check the completed form for accuracy and completeness before finalizing it.
11
Ensure that the form is securely stored and easily accessible for future reference or sharing with healthcare professionals if needed.

Who needs concussion signs and symptoms?

01
Anyone who suspects they may have suffered a concussion or witnessed someone experiencing a potential concussion incident needs concussion signs and symptoms documentation.
02
This includes individuals involved in activities that carry a risk of head injuries, such as sports participants, athletes, recreational enthusiasts (e.g., cycling, skateboarding), and those in high-impact occupations (e.g., construction workers).
03
Healthcare professionals, including doctors, nurses, and athletic trainers, also need concussion signs and symptoms documentation to accurately assess and manage concussions.
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Concussion signs and symptoms include headaches, confusion, dizziness, nausea, balance problems, fatigue, sensitivity to light or noise, blurred vision, and difficulty concentrating.
Coaches, team administrators, and healthcare providers are typically required to file reports on concussion signs and symptoms for athletes.
To fill out concussion signs and symptoms, gather all relevant information about the athlete's condition, including observed symptoms, date of injury, and any medical evaluations, and complete the designated reporting form.
The purpose of documenting concussion signs and symptoms is to ensure proper assessment, monitoring of the injured individual, and adherence to safety protocols to prevent further injury.
Reported information should include the athlete's name, date of birth, date and time of injury, observed symptoms, and actions taken, such as medical evaluations or treatments.
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