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Revised June 2011 FAULTIER COUNTY PUBLIC SCHOOLSATHLETIC TRAINING CONCUSSION HISTORY FORM *Please answer all questions thoroughly and as accurately as possible *Return this form the Athletic Training
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How to fill out concussion-assessment and -management techniques

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How to fill out concussion-assessment and -management techniques

01
Begin by gathering information about the individual's medical history, including any previous concussions.
02
Use a standardized concussion assessment tool, such as the SCAT5 or the Child SCAT5, to assess symptoms, cognitive function, balance, and coordination.
03
Conduct a thorough physical examination, including tests of memory, concentration, and balance.
04
Monitor the individual for any worsening symptoms and seek medical attention if necessary.
05
Develop a customized management plan based on the individual's specific symptoms and needs, which may include rest, gradual return to physical activity, cognitive rest, and other interventions.
06
Educate the individual and their caregivers about the signs and symptoms of concussion, the importance of rest and recovery, and when to seek medical help.

Who needs concussion-assessment and -management techniques?

01
Athletes participating in contact sports
02
Individuals who have suffered a head injury
03
Military personnel
04
Individuals with a history of concussions
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Concussion-assessment and -management techniques are protocols used to evaluate and handle concussions in athletes.
Coaches, athletic trainers, and medical staff are typically required to file concussion-assessment and -management techniques.
Concussion-assessment and -management techniques are usually filled out by documenting the athlete's symptoms, conducting a physical evaluation, and following specific return-to-play guidelines.
The purpose is to properly assess, diagnose, and manage concussions in athletes to ensure their safety and well-being.
Information such as the athlete's symptoms, physical exam findings, date of injury, and progress in the return-to-play protocol must be reported.
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