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What is Concussion?

Definition: Change in mental state (confusion) as a result of a trauma. May involve loss of consciousness

Girl covering earsTypical Symptoms include:

  • Headache
  • Dizziness
  • Nausea
  • Loss of balance
  • Feeling stunned or dazed
  • Double-vision Ringing in ears
  • Sensitivity to light/noise
  • Slurred speech
  • Emotional or personality changes

    What are the different types of concussion?

    First Degree: Brief period of confusion, with no loss of consciousness. Symptoms are gone in under 15 minutes.
    Second Degree: Loss of consciousness (however brief) or symptoms beyond 15 minutes.


    What to do?
    The Ontario Brain Injury Association, the Canadian Hockey Association, and the Hockey Development Centre of Ontario suggest these guidelines to help identify and care for concussion.


    Concussion Management
  • Loss of consciousness - initiate Emergency Medical Service
  • Rule out neck injury
  • Do not give medication
  • Notify parent or guardian
  • Return to play only with physician's permission

    Return to Play ... only begins after a physician has given the player clearance to return to activity. If any symptoms return, the player must be re-evaluated.

    Step 1: No activity, complete rest. Proceed to step 2 when player has no symptoms and doctor's clearance.
    Step 2: Light aerobic exercise such as walking or stationary cycling.
    Step 3: Sport-specific training (e.g. skating in hockey)
    Step 4: Non-contact training drills
    Step 5: Full-contact training after physician?s clearance
    Step 6: Game play

    Remember, "When in doubt, sit them out!"
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