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Medical Options after Suspected Concussion/Head Injury 1) Athlete to report to coach/parent about injury/symptoms. a. Coach – when in doubt – sit them out b. Coach will contact parent/guardian and provide post injury information sheet. 2) Options for follow-up and ImPACT post injury testing: a. Contact Froedtert Medical Group – West Bend Rehabilitation and schedule a “Free Injury Assessment” (FIA) with a licensed athletic trainer. Phone #: (262) 306-6319 OR b. Contact Froedtert Concussion Clinics: (262) 836-6200 to schedule an appointment: Concussion clinics: Monday at West Bend Clinic 9:00 - 11:00 am Tuesday at Hartford Clinic 9:00 – 11:00 am Tuesday at West Bend Clinic 2:00- 4:00 pm Wednesday at OSSC 9:00-11:00 am Thursday at West Bend Clinic 2:00- 4:00 pm Friday at OSSC 9:00 – 11:00 am. ** If the patient has not been seen previously at the West Bend Clinic, you will be transferred to pre-registration before the appointment will be scheduled. **Appointment will be billed to insurance or may be private pay. **Please note that charges for ImPACT post injury test are for the administration of the test, not the test itself. c. If you are not within our network, we encourage you to see a physician/clinic that has the ability to administer and interpret the result of the post-injury ImPACT test. You can locate participating clinics/physicians at www.impacttest.com. 3) Return to play: a. Must be cleared by a physician with written documentation from the physician to be provided to coach/athletic trainer to begin return to play progression as outlined from information provided by www.wiaawi.org or www.impacttest.com b. In order to resume activity, the athlete must be symptom free and off of any pain control or headache medications. The athlete should be carrying a full academic load without any significant accommodations. Finally, the athlete must have clearance from an appropriate health care provider. c. The following allows for one step per 24 hours. The program allows for a gradual increase in heart rate/exertion, coordination, and then allows contact. If symptoms return, the athlete should stop activity and notify their healthcare provider before progressing to the next level. POST CONCUSSION RETURN TO PLAY GUIDELINES Return to Play Guidelines: Each level should take 24 hours with the athlete asymptomatic (symptom free) before moving to the next level in the progression. If any symptoms occur during the progression, the athlete should drop back to the previous level and try to complete that level after a 24 hour rest period. The progression levels are listed below: 1. Complete rest until the athlete is 100% symptom free 2. Light aerobic exercise (less than 70% of maximum heart rate) (walking, stationary biking) without resistance training (220-age = maximum heart rate) 3. Sport specific exercise (drills specific to athlete’s sport) 4. Non-contact training drills, (more intense sport drills with no contact from other players), as well as light resistance training 5. Full contact practice (following medical clearance) 6. Return to play (normal game play)