110 / 138
110
DoDEA School Health Services Manual 2942.0 Volume 1 Revised: 2016 DRAFT
While falls are the most common cause of these concussions in children, sports
related concussions in school
‐
age children are rising at an increasing rate (NASN, 2012).
Concussions are considered to be a mild form of a traumatic brain injury that can have
a serious effect on a young, developing brain. Most children and teens recover quickly
and fully, but some could have concussion symptoms that last for weeks or even
months. The potential for their occurrence in children is greatest during activities where
collisions can occur, such as during physical education (PE) class, playground time, or
school
‐
based sports activities (CDC, 2009).
1) Facts
•
All concussions are serious
•
Most concussions occur without loss of consciousness
•
Recognition and proper response to concussions when they first occur can
help recovery and prevent further injury, or even death.
2) Recognizing a concussion; ask the injured student or witnesses of the
incident about:
•
Any kind of forceful blow to the head or to the body that resulted in rapid
movement of the head.
•
Any change in the student’s behavior, thinking, or physical functioning.
3) Signs and Symptoms of Concussion
•
Signs observed
Appears dazed or stunned
Is confused about events
Answers questions slowly
Repeats questions
Can’t recall events prior to the hit, bump, or fall
Can’t recall events after the hit, bump, or fall
Loses consciousness (even briefly)
Shows behavior or personality changes
•
Danger signs of concussion
•
One pupil larger than the other, pupil not reactive to light
•
Drowsy or cannot be awakened
•
A headache that gets worse and does not go away
•
Weakness, numbness, or decreased coordination
•
Repeated vomiting or nausea
•
Slurred speech
•
Seizures
•
Cannot recognize people or places
•
Becomes increasingly confused, restless, or agitated
•
Loses consciousness