Laserfiche WebLink
<br />Appendix C <br />PR.561.SCO <br />OCDSB 910: Concussion Awareness Tool <br /> <br /> <br />Identification of Suspected Concussion <br />Any blow to the head, face or neck, or a blow to the body that transmits a force to the head, may cause a concussion. If a <br />any one or more and/or <br />student displays of the signs or symptoms outlined in the chart below the student fails the Quick <br />If student needs <br />Memory Function Assessment, the student shall be considered to have a suspected concussion. <br />medical attention, call 911 immediately. <br /> <br />1. Check appropriate box <br /> <br />An incident occurred involving _________________________________ (student name) on ________________ (date). <br /> <br /> The student reported symptoms of a concussion as outlined below; OR <br /> <br /> None of the symptoms described below were reported at the time. <br /> <br /> <br />Signs and Symptoms of Suspected Concussion <br />Possible Signs Observed <br />Possible Symptoms Reported <br />A sign is something that is observed by another <br />. <br />A symptom is something the student will feel/reportPlease <br />person (e.g., parent/guardian, teacher, coach, <br />note any symptoms reported by student. <br />supervisor, peer). <br />Physical Physical <br /> headache vomiting <br /> <br /> pressure in head slurred speech <br /> <br /> neck pain slowed reaction time <br /> <br /> feeling off/not right poor coordination or balance <br /> <br /> ringing in the ears blank stare/glassy-eyed/dazed or vacant look <br /> <br /> seeing double or blurry/loss of vision decreased playing ability <br /> <br /> seeing stars, flashing lights loss of consciousness or lack of responsiveness <br /> <br /> pain at physical site of injury lying motionless on the ground or slow to get up <br /> <br /> nausea/stomach ache/pain amnesia <br /> <br /> balance problems or dizziness seizure or convulsion <br /> <br /> fatigue or feeling tired grabbing or clutching of head <br /> <br /> <br /> sensitivity to light or noise <br /> <br /> Cognitive <br />Cognitive <br /> difficulty concentrating <br /> <br /> difficulty concentrating or remembering easily distracted <br /> <br /> slowed down, fatigue or low energy general confusion <br /> <br /> dazed or in a fog cannot remember things that happened before <br /> <br /> <br />and after the injury (see Quick Memory Function <br />Emotional/Behavioural <br />Assessment on page 2) <br /> does not know time, date, place, class, type of <br /> <br /> irritable, sad, more emotional than usual <br /> <br />activity in which he/she was participating <br /> nervous, anxious, depressed <br /> <br /> slowed reaction time (e.g., answering questions <br /> <br /> <br />or following directions) <br />Other <br /> <br /> _______________________________________ <br /> <br />Emotional/Behavioural <br /> _______________________________________ <br /> <br /> strange or inappropriate emotions (e.g., <br /> <br /> _______________________________________ <br /> <br />laughing, crying, getting angry easily) <br /> _______________________________________ <br /> <br />NOTE: Continued monitoring of the student is important as signs and symptoms of a concussion may <br />appear hours or days later. If any signs or symptoms worsen, call 911. <br /> <br /> <br />OCDSB 910 <br /> <br />