A concussion is a brain injury that is caused by a blow to the head or body that may results in improper brain functioning. A concussion can range from mild to very sever and manifests itself differently in each individual. Signs and Symptoms of a concussion include but are not limited to: Headache Personality changes Dizziness Vision changes Nausea/vomiting Amnesia Tinnitus Sensitivity to Light and/or noise Disorientation Loss of consciousness Balance problems Difficulty concentrating Symptoms of a concussion are unique to each individual and may change or worsen over time. Activities that require prolonged concentrations such as studying, working on a computer, video games, etc may also worsen concussion symptoms. What should I do if I suspect I have a concussion? The primary objective of the University of Toledo Sports Medicine Staff is to provide the best possible care to each and every student athlete. It is the responsibility of the to report any and all injuries, including the suspicion of concussion to a member of the Sports Medicine Staff. Proving such information will help to guide a safe recovery and return to play as directed by the Sports Medicine Staff. Concussion Disclosure I, _______________________________, understand and recognize that in order to ensure the best possible medical care I am responsible to disclose any and all information regarding an athletic or non-athletic related injury to the University of Toledo Sports Medicine Department. Additionally, I hereby affirm that I have received and understand educational material related to concussion and will specifically disclose to the University of Toledo Sports Medicine Department any sign or symptom of concussion that I may experience. I understand that my failure to do so may be detrimental to my medical care and I may suffer unnecessary harm. ___________________________________________ _________________ Student-Athlete Signature Date The University of Toledo Department of Sports Medicine Concussion Management Policy What is a concussion?
A concussion is a brain injury that is caused by a blow to the head or body that may results in improper brain functioning. A concussion can range from mild to very sever and manifests itself differently in each individual. Signs and Symptoms of a concussion include but are not limited to: Headache Personality changes Dizziness Vision changes Nausea/vomiting Amnesia Tinnitus Sensitivity to Light and/or noise Disorientation Loss of consciousness Balance problems Difficulty concentrating Symptoms of a concussion are unique to each individual and may change or worsen over time. Activities that require prolonged concentrations such as studying, working on a computer, video games, etc may also worsen concussion symptoms. What should I do if I suspect I have a concussion? The primary objective of the University of Toledo Sports Medicine Staff is to provide the best possible care to each and every student athlete. It is the responsibility of the to report any and all injuries, including the suspicion of concussion to a member of the Sports Medicine Staff. Proving such information will help to guide a safe recovery and return to play as directed by the Sports Medicine Staff. Concussion Disclosure I, _______________________________, understand and recognize that in order to ensure the best possible medical care I am responsible to disclose any and all information regarding an athletic or non-athletic related injury to the University of Toledo Sports Medicine Department. Additionally, I hereby affirm that I have received and understand educational material related to concussion and will specifically disclose to the University of Toledo Sports Medicine Department any sign or symptom of concussion that I may experience. I understand that my failure to do so may be detrimental to my medical care and I may suffer unnecessary harm. ___________________________________________ _________________ Student-Athlete Signature Date The University of Toledo Department of Sports Medicine Concussion Management Policy What is a concussion?