PDF INFORMATION PACKAGE

PDF INFORMATION PACKAGE

PDF INFORMATION PACKAGE

CMP Program Development Guide
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The Principal of the school will be designated as the School CMP Leader. He/she will be the person who is ultimately responsible for overseeing the implementation of the CMP Student-Athlete Concussion Management Program at the school. 

The School CMP Leader may delegate some of his/her responsibilities to the Vice-Principal and/or the Physical Education Department Head. These people must be qualified School CMP Coaches and will be designated as School CMP Assistant Leaders. 

The School CMP Leader will be responsible for facilitating the training and certification of all other School CMP Coaches at the school. He/she may delegate this responsibility to one or more of the School CMP Assistant Leaders following the inaugural training & certification session.

SCHOOL CMP COACH

Anyone taking the course who has a teaching certificate, whether they are active or not, will be designated as a certified School CMP Coach. 

A School CMP Coach is qualified to facilitate training courses for Student-Athletes.

A School CMP Coach is also qualified to administer the baseline and/or post-injury ImPACT test to student-athletes.

COMMUNITY CMP COACH

Anyone who does not have a teaching license or certificate will be designated as a certified Community CMP Coach.

A Community CMP Coach will be permitted to assume any of the responsibilities on the coaching staff such as coach, assistant coach, manager, trainer, etc.

With no disrespect to the quality and dedication of community volunteers, the Community CMP Coach will not be authorized to facilitate CMP Concussion Management Certification Courses or administer the ImPACT test to student-athletes. These responsibilities will be assigned to the School CMP Head Coach and/or one of the other School CMP Coaches at the school.

SCHOOL CMP HEAD COACH

The School CMP Leader will appoint one School CMP Coach associated with the team to act as Head Coach for the team and that person will be called the School CMP Head Coach.

Note that a Community CMP Coach is not qualified to be appointed as the Head Coach since these are school-sanctioned activities and we feel that a staff member should be responsible for the concussion management program with the team. 

This does not mean that the School CMP Head Coach needs to the be the main "coach" on the bench. It is simply referring to the CMP Concussion Management Program. In fact, it is quite possible that the School CMP Head Coach may only be responsible for this function and may not even get involved in the general operations of the team. However, as you will see, there are a lot of responsibilities associated with the role of School CMP Head Coach.

NOTE: If the program is being implemented on a Board-wide basis, then it is suggested that the Director of Education arrange a special session attended by all Principals, Vice-Principals and Physical Education Department Heads in order to provide consistency of training and establish board-wide expectations for the administration of the program. It will be easy for one person, likely a Supervisory Officer, to be designated at the facilitator of this large-group session since the video is very helpful with respect to guiding the facilitator as to when to refer to the web site for additional information.

This pretty well assures that there will be consistency at the school with respect to having trained and certified persons who are not only responsible for the overall operation of the school, but who will also be the people monitoring the concussion management program. This will make it easier for individual schools to comply with current and/or future legislative requirements that secondary schools establish a concussion management program.

The Principal will become the School CMP Leader by virtue of his/her position of responsibility for the general operation of the school.

The Vice-Principal(s) and/or the Physical Education Department Head will be designated as School CMP Assistant Leaders.

The school Principal will be the official School CMP Leader, even if he/she delegates much of the responsibilities to one or more of the School CMP Assistant Leaders in order to align the responsibility for the CMP Student-Athlete Concussion Management Program with the responsibilities inherent in his/her position of responsibility for the school.

We are not trying to add to the workload of the school Principal, however, concussion management is becoming such an incredibly important responsibility for schools that we feel it deserves the attention of the person who is ultimately responsible for the general well-being of all students, including student-athletes. 

DETERMINING DESIGNATED TEAMS

The School CMP Leader, in consultation with appropriate school and board personnel, will designate the sports and activities at the school that will fall under the CMP Student-Athlete Concussion Management Program. 

Those will be the sports and activities for which there is significant risk of head injury, including but not limited to: football, hockey, soccer, basketball and volleyball for both boys and girls. 

Keep in mind that the CMP program is designed for up to six hundred (600) student-athletes per school, so there should be little to no need to restrict anyone from the program.

TRAINING & CERTIFICATION OF TEAM COACHING STAFF

1. The coaching staff for any of the designated teams will include head coaches, assistant coaches, trainers, managers, teacher supervisors and anyone else who will be assisting the team in any way. 
    

2. The School CMP Leader will ensure that "all" of the members of the coaching staff who are also teachers on staff at the school are certified School CMP Coaches. It is recommended that while we only require two certified coaches per team, all of the professional licensed teachers should be CMP certified in order to provide maximum effectiveness for the program.
    

3. If there is more than one School CMP Coach working with the team, then one of them will be designated as the School CMP Head Coach and will be the person responsible for overseeing the CMP Concussion Management Program with that team. Keep in mind that the School CMP Head Coach does not have to be the person who is the "Head Coach" of the competitive side of the team. The School CMP Head Coach is responsible for administering the Student-Athlete Concussion Management Program with the team, so this becomes somewhat of a managerial role.
    

4. If there is only one certified School CMP Coach working with the team, then that person will be deemed the School CMP Head Coach. The major responsibilities of the School CMP Head Coach include receiving the permission forms from parent/guardians; the training and certification of the student-athletes; making sure that all of the student-athletes have valid ImPACT baseline test scores; and overseeing the identification and rehabilitation of injured student-athletes. This is a very important position on the team. The School CMP Head Coach will report directly to the School CMP Leader or a designated School CMP Assistant Leader assigned to the team. 
      

5. The School CMP Leader or designate will be responsible for making sure that at least two (2) members of the Coaching staff for any of its designated teams or activities, including any of the current teachers on staff who are part of the team,  have been certified through the CMP Training Program. This means, for example, that if the coaching staff consists of three teachers and two volunteers from the community, then all three teachers must be certified and this will meet the requirement. However, if only one teacher is part of the coaching staff and the rest are volunteers from the community, then that means the teacher must be certified and in this case take on the School CMP Head Coach role, plus at least one of the other volunteers must attend a CMP Training Course in order for the team to be qualified to begin practice and/or play.
   
   NOTE: We strongly recommend that all community volunteer coaches be required to take the training program at the earliest opportunity. The training will be of benefit to the volunteers while working with the school team and also with any of the minor sports organizations with which they may be involved. This is not a waste of time for them and will certainly give parents more confidence knowing that all members of the coaching staff are certified.
    

6. The qualifications of the members of the coaching staff will be confirmed from their record on the CMP National Registry. The School CMP Leader must make sure to confirm that the coaching staff members are members in good standing with the CMP National Registry. Therefore, anyone who wishes to confirm their membership simply needs to email a confirmation to the School CMP Leader by logging into their National Registry Personal File.
    

7. If there is any training necessary, the School CMP Leader or designate will be responsible for facilitating a CMP video-enhanced internet-based training course session and validating the certification of those in attendance.
      

8. The School CMP Leader should make sure that sufficient opportunities are provided during the year for members of the Coaching staff as well as any other teachers, non-teachers, volunteers who are not yet on the CMP National Registry, to take part in a CMP Concussion Management Certification Course. We recommend that the School CMP Leader or designated School CMP Assistant Leader organize one such session at the beginning of each semester. We would also suggest that this might be a good exercise to do during one of the Professional Activity Days during the school year. It would be a way of certifying all members of the teaching staff at once so that they are all qualified for future participation with school teams.
    

9. Keep in mind that a person needs only take the CMP Concussion Management Certification Course once. Then, to remain a member in good standing the person needs only acknowledge the receipt and reading of the Continuing Education Bulletins that are emailed out several times per year in order to renew their membership.

 
INTRODUCTION

We realize that there are a lot of things that are involved in running a successful high school sports team. However, since we are mainly concerned with the CMP Student-Athlete Concussion Management Program at this time, we will focus our comments and guidelines on the roles and responsibilities that fall upon the School CMP Head Coach and the rest of his/her coaching staff.

INITIATING THE PROCESS

If a student-athlete receives a serious blow to the body or head during practice or competition that in the opinion of any one or more of the School CMP Coaches, a Community CMP Coach,  the Parent/Guardian, or a School CMP Leader, may have been sufficient enough to have caused a concussion, then the player “must” be observed extremely closely in the ensuing minutes following the incident. It may not be necessary to initiate the CMP protocol yet, so we don't want to overreact, but once a significant force has been experienced by the body, all CMP trained partners must direct their attention to the student-athlete to look for signs of a possible concussion.

If during this observation period any of the universally accepted signs or symptoms of concussion are evident, then the player must be removed from further play and the CMP Concussion Identification & Rehabilitation Protocol will be initiated immediately. Those signs are listed below.

We will always acknowledge that individuals have different thresholds when it comes to brain trauma. Some forces that would injure one person may not have an affect on another. However, we must all pay particular attention to a person who seems to have suffered a significant blow. There may not be a need to keep the player out of the game, but if there is "any" indication that an injury may have been suffered, the player is to be immediately removed from action.

NO HESITATION OR DEBATE

There can be no hesitation in making this decision. There can be no debating the merits of the decision. In other words, if a parent/guardian of a student-athlete approaches the coach during the game and informs that coach that his/her son/daughter appears to have been injured and that the parent/guardian would like to initiate the CMP Concussion Identification & Rehabilitation Protocol, there is to be no hesitation on the part of the coach. The student-athlete will be removed from action immediately and the process will begin. 

The fact that we have so many pairs of eyes observing student-athletes in competition should help us to spot the accepted signs that will give us cause for concern.

We expect the School CMP Head Coach to step in at that moment and make sure that the proper procedures are followed. That is why, when the School CMP Head Coach is absent from the game or practice, there should be a clearly designated person who will assume the role. It must also be pointed out at this time that there should always be two (2) CMP certified coaches present for all team activities. At least one of them must assume the role of School CMP Head Coach if the official Head Coach is absent.
  

SIGNS TO LOOK FOR

Keep in mind that while every one of our partners must be on the look out for the signs listed below, when a student-athlete suffers a serious blow to the head or body, a great deal of responsibility falls upon the shoulders of the School CMP Head Coach to take charge of this part of the process.

Once again, we are not suggesting that every time forceful contact is made with a student-athlete we should be pulling the player from the game. However, knowing what we know about concussions, and especially when we are now aware of the fact that upwards of 80% of all concussions go unreported when they first occur, it is critical that the School CMP Coaches be on the lookout for tell-tale signs of concussion after a significant blow to the body or head has occurred. 

If any of the following are observed, we “must” assume that a concussion has occurred until we have evidence to the contrary. We should never ignore any of these signs in a student-athlete who:

1. appears to be dazed or stunned immediately after the incident, even if only for a few seconds;
    

2. seems to be confused about his position or assignment during the game or on the bench;  
    

3. is not sure of the score, the period, the opponent, the time, etc. when questioned by coaches;  
    

4. seems to move clumsily on the field/ice or around the bench/dressing room, displaying balance issues;  
    

5. responds to questions with a bit of hesitation or not at all, demonstrating a delay in processing information;  
    

6. seems irritable or displays uncharacteristic mood/personality changes which are out of the ordinary;  
    

7. can’t recall the play where he got injured, even if he says he is fine;  
     

8. can’t recall what happened after he got injured;
    

9. seems easily distracted with poor concentration;
    

10. has a vacant stare or seems to have glassy eyes;
     

11. is slurring his speech;
     

12. seems to be having minor convulsions or seizures;

SYMPTOMS TO LOOK FOR

Besides the “signs” that may be evident, if the student-athlete reports any of the following symptoms, the School CMP Coach or the Community CMP Coach must remove the player from further play. Symptoms will usually be identified by the student-athlete but he/she may not articulate the symptom clearly. We must be able to "read' the student-athlete. 

The following self-admitted symptoms are absolutely serious enough to assume a concussion has occurred so the CMP Concussion Identification Protocol will immediately be put into action when the student-athlete:

• complains of headache or pressure inside the head, even if it is only a slight pain;  
   

• complains of dizziness or trouble keeping his balance;  
   

• is feeling nauseous or feels like vomiting, even if it is well after the incident;
     

• complains of vision problems;  
   

• states that he is sensitive to light or noise;  
   

• complains about feeling sluggish, foggy or groggy;  
     

• says he/she is feeling confused;  
    

• says he/she is just not feeling right;
   

• says he/she is seeing stars;
   

• complains about a ringing in his/her ears  

HIDDEN SYMPTOMS

Even if there are no apparent signs and the student-athlete reports no symptoms, if a School CMP Coach, the parent/guardian and/or the School CMP Leader has a strong suspicion that a particularly hard blow to the body or head area may be cause for concern, then it is at the discretion of any one or more of them to initiate the protocol and request that the School CMP Coach remove the player from further action.

The School CMP Head Coach must make sure that everyone associated with the team understands that we will always err on the side of caution. When it comes to head injuries, we must demonstrate that it is well worth the inconvenience of going through the process and finding out that the student-athlete did not suffer a concussion. It is much better for us to be safe than sorry, because the consequences of making a mistake are serious. There is a growing body of evidence that concussions during teen years, especially repeat concussions, tend to change the course of a person's life.

SIGNIFICANT CHALLENGES

When it comes to identifying concussion in student-athletes, we run into several significant challenges:

1. Student-athletes may have sustained a concussion and may actually not be aware of it at the time. Many symptoms may not appear for hours or days after the incident. This is why it is so difficult to identify a concussion, but the School CMP Head Coach and his/her coaching staff must do everything they can to spot the tell-tale signs. We have a lot of eyes on our student-athletes, at the game, at home and in the classroom. It should be pretty hard for signs to go undetected.
    

2. Student-athletes may think there is something wrong but haven’t told anyone about how they feel in order to remain playing. Teenagers are natural risk-takers and they get a "chemical rush" in their brains from playing sports. They may even try to hide symptoms for a while, but a careful observer should be able to spot some signs that would indicate trouble. The student-athlete has also agreed to abide by the Student-Athlete Concussion Management Protocols in order to be on the team, so just remind him/her of this commitment if there is any arguing about being pulled from the game.
    

3. Student-athletes may think there is something wrong but haven't told anyone about how they feel because they are unable to articulate their symptoms. Once again, careful observations by our CMP partners after a significant blow to the head or body should be able to identify subtle signs of concussion. It is also why we ask CMP Coaches to "talk" to the student-athlete when he/she comes to the sidelines. All the person needs to tell you is that he/she doesn't feel right and that is enough to initiate the protocol. Again, please make sure that student-athletes must let their coach or parent know when something just doesn't feel right.

SIDELINE CONCUSSION EVALUATION

1.  Once it is suspected that the student-athlete  may have suffered a concussion and he/she is removed from play, the School CMP Head Coach or one of the other School CMP Coaches who can leave the playing area will administer the SCAT2 Sport Concussion Assessment Tool sideline concussion evaluation test. 
   
   For a copy of this test, CLICK HERE >>>> 
   
   All School CMP Coaches must have copies of this test available at all practices and games in case it is needed. Keep in mind that a large percent of concussions occur during practices.
     
   This will be done in a quiet place on the sideline or preferably in the dressing room. There should be no distractions while the test is being administered and the results are being recorded. 
    

   Guide To the SCAT2 Evaluation There are sections of the SCAT2 evaluation that are clearly beyond the scope of what a normal School CMP Coach would be comfortable evaluating, so please be aware that the main purpose of doing this test is to provide the treating physician with some valuable information about the condition of the student-athlete immediately after the injury. Make sure that you fill out the information at the beginning of the test with the student's name, team, date and time of injury, etc.  You do not need to concern yourself with adding or interpreting the scores to the various sections, but be aware of the following:  The Symptom Evaluation will be helpful for the physician, so go through all of the questions and record the score that the student-athlete gives on a scale of 0 to 6. As mentioned, do not worry about adding the scores.   Section 2, the Physical Score is important. Make sure you record whether there was any loss of consciousness. This is a simple Yes or No answer.   Don't do Section 3, the Glasgow coma scale.   You can do Section 4, the Maddocks Score. Keep in mind that you may need to alter the questions somewhat depending on the nature of the sport.   You can do Section 5, the Cognitive Assessment section. That is pretty straight forward.   Do the Balance Examination and the Coordination Examination. Please read the instructions carefully in advance so that when you explain what you are looking for from your student-athlete you can give him/her the proper instructions.    The questions and the balance tests are the important pieces of this exercise. The answers may give you some indication of how urgent it may be to take the student-athlete to the doctor.    The Delayed Recall score is important for the physician. Do this Section 8.    There is no need to do any of the other sections or add the scores, but there is a place for additional comments. Please try to give a detailed explanation of how the injury occurred. You may need a separate sheet of paper for this. It is important. Make sure you make a copy for the parent/guardian. You need to keep one for your School CMP Head Coach and your School CMP Leader.

    

2. Once the CMP Sideline Concussion Evaluation Test has been completed, a copy will be made for the School CMP Head Coach and the original will be given to the Parent/Guardian to bring along with him/her when the student-athlete is brought to a physician for an examination. The Parent/Guardian will be encouraged to bring their child to a physician at the earliest opportunity. The Guide for Parent/Guardians is an important section of this web site.  
    

   Student-Athlete Must Go Home With A Responsible Adult: It is very important to remember that a Student-Athlete who is injured and has a suspected concussion must always be taken home by a responsible adult. If the parent/guardian is not at the game or practice, then you must try to contact them and see if they can come and pick up their child. If not, then it is important that another adult take responsibility for bringing the child home and making sure that he/she is not left alone. Under no circumstances should the student-athlete drive him/herself home or be left home alone.

   Go To Hospital If Conditions Change It is not always necessary to go to the hospital the night of the injury. However, if the student-athlete lost consciousness for even a brief period of time, you must get the student to the hospital to be checked for structural damages. Also, once the athlete is brought home, if symptoms worsen during the evening, then it is strongly advised that the child be brought immediately to the hospital. We never want to take chances when symptoms begin to get worse. And, once at home, the child should never be left along during that first night.

    

3. The School CMP Coach doing the sideline evaluation will provide the parent/guardian with an Injury Package that contains a number of clearance forms that will be needed in the coming days and weeks as the student-athlete goes through the process. It is important that the parent/guardian receive this package. CLICK HERE for a copy.
    

4. The Parent/Guardian will also be advised to contact the School CMP Head Coach within 24 to 72 hours to arrange for a post-injury ImPACT test to be given to the student-athlete at the school. It is important that the School CMP Head Coach make sure that the parent/guardian calls to make this arrangement. If the parent/guardian does not call, then the School CMP Head Coach must call the parent/guardian. It would be a nice gesture on the part of the School CMP Head Coach to make the phone call the following morning in any event just to check up on the condition of his/her player.
    

5. At the earliest opportunity, the School CMP Head Coach will provide the School CMP Leader or designate with a copy of the Sideline Concussion Evaluation test along with a detailed account of the incident. The School CMP Leader will begin a special file for the student-athlete in order to gather all of the relevant documents, clearance forms and reports that may be forthcoming as a result of the initiating of the CMP protocol.
   
   NOTE: If you have 600 students covered under this program, it is quite possible that you will end up starting as many as 60 to 120 of these files each school year.
    

6. It is important that we document all steps in the process and we keep accurate and complete records. We have a responsibility for the well-being of every student enrolled at the school and we must always be certain that we have done everything possible to fulfill our responsibilities. The student-athlete file is something that we can turn to in the future when making decisions that are in the best interests of the student. For example, it may be noted that a particular student has suffered several concussions in the previous year or two. That may have a tremendous influence in the School CMP Leader's final decision on whether or not to give the student-athlete clearance to play for the school team.
    
   POST-INJURY ImPACT TEST
    

7. When the parent/guardian brings in his/her child for the post-injury ImPACT test, it critical that that this test be done in a quiet place without distractions. The student-athlete will already be feeling pressure to perform well on the test or face a lengthy rehabilitation process which may keep him out of action for the rest of the season. Conditions must be perfect so that the student-athlete can do the test in as relaxed a state as possible.
    

8. If possible, the School CMP Head Coach should try to have the School CMP Leader or designate supervise the test. Otherwise, it can be administered by any other certified School CMP Coach. At this point it might be recommended that the School CMP Head Coach for the student-athlete remain out of the testing room so that there can be no perceived conflict of interest with respect to the results of the test. Some people may claim that the School CMP Head Coach will try to influence the student-athlete to perform well in order to be able to return to play faster. Having a 3rd party, especially if that is the School CMP Leader, will alleviate any of this concern.
    

9. The School CMP Leader or designate  will notify CMP (Dr. Czarnota will give the School CMP Leader a contact email and/or phone number) that a post-injury ImPACT test has been submitted and will provide all of the necessary details about the incident and the student-athlete involved. This information will normally be sent by email and the School CMP Leader or designate must make sure that he/she receives confirmation that the message has been received. Follow up if confirmation does not come within a reasonable amount of time.
    

10. If the results of the post-injury ImPACT test show evidence of diminished functioning as compared to the student-athlete’s baseline score, CMP will advise the School CMP Leader or designate that clearance to return to physical training should be delayed until another test can be performed at a date that will be recommended by CMP. 
     

11. The School CMP Head Coach will then notify all of the student-athlete's classroom teachers about the incident and remind teachers about the CMP Guide for Teachers (CLICK HERE).
     

12. The School CMP Leader or designate will administer subsequent post-injury ImPACT tests as directed by CMP. Once the test results have returned to baseline levels, CMP will so advise the School CMP Leader of the return to baseline. For a sample of this notification click here>>>.
     

13. CMP will not be giving an official “clearance to return to physical training” because there is so much that we do not know about the student-athlete. The responsibility that has been taken on by our Consulting Neuropsychologist, Dr. Michael Czarnota, is to examine the post-injury test results and let the school know when the student-athlete’s scores have returned to baseline levels. This would be a sign that the cognitive functioning in the areas covered by the ImPACT test has been restored.
     
    This is an important thing to keep in mind. Just because the ImPACT test results have returned to baseline levels, one must not automatically assume that the student-athlete has recovered sufficiently to resume physical exertion. It is a good sign, but it is not an absolute sign. At CMP we feel that the parent/guardian will be in a better position to know when their child is "back to normal". Even the classroom teacher will be in a good position to know if there is still "something going on". 
     
    Nevertheless, the return of the ImPACT results to baseline levels is a significant sign that cognitive functioning has been restored. Until then, it must be assumed that there are still problems going on in the brain.
     

14. As well as the notice that the ImPACT test results have returned to baseline levels, the School CMP Leader must have received the following before allowing the student-athlete to resume physical training. It is expected that the School CMP Head Coach will make sure that these forms are collected and brought to the School CMP Leader. It will be the responsibility of the Student-Athlete's parent/guardian to bring the forms he/she received in the Injury Package back to the school.
     
          - Medical Clearance to Resume Physical Training from the treating physician:
          - Parental Clearance to Resume Physical Training from the student-athlete’s parent;
          - Written confirmation from the student-athlete that he/she is symptom free;  
          - A satisfactory written and/or oral report from the classroom teacher and/or guidance counsellor will be obtained by the School CMP Leader or designate.
     
    RESUMPTION OF PHYSICAL TRAINING 
     

15. If after receiving all of the above forms, and after talking to the student-athlete him/herself, the School CMP Leader or designate is completely satisfied him/herself that the student-athlete has recovered sufficiently from the concussion; the School CMP Leader may then issue a School Clearance to Resume Physical Training and give this clearance form to the School CMP Head Coach 
     

16. Once the School CMP Head Coach receives the School Clearance to Resume Physical Training from the School CMP Leader, the CMP Coaching staff will start the student-athlete on a physical training program that will include a gradual step by step progression designed to eventually prepare the student-athlete for a return to full contact practice and competition.
    

    Step-By-Step Gradual Physical Training Program
    
    The supervised training will consist of light aerobic exercises such as walking or stationary cycling that gradually increases in length and resistance. 
    
    If there is no recurrence of symptoms, then this will progress into sport-specific training, such as skating in hockey; running in soccer, etc. At this stage you should be working on the specific skills that will be needed in your sport. 
    
    If no symptoms return while performing the sport-specific skills, you can progress into non-contact training drills. This can be done with teammates who understand that under no circumstances are you to be involved in contact, whether that contact be accidental or deliberate. This is extremely important for your team to know and accept.
     
    The Parent/Guardian will play a role in this physical training program and will monitor their child for any signs that symptoms are returning. Home observation is critical at this point because the child may actually be reluctant to report any symptoms to the coach.
     
    If the Student-Athlete experiences any symptoms while going through the step-by-step progression, he/she will be required to return at least one step until the symptoms disappear. At no time should the student-athlete be engaging in any activity that brings on symptoms.
    
    Each of the preceding steps should take at least one day to complete. This is not a time to rush into things since a return of symptoms could easily occur and seriously delay recovery.
     
    RESUMPTION OF ATHLETIC COMPETITION

17. If the School CMP Head Coach, the Parent/Guardian and the student-athlete are satisfied that the step-by-step progression has been successful and there has been no return of concussion-like symptoms during the training, then the School CMP Head Coach will meet with the School CMP Leader and may then recommend that the student-athlete is ready to return to full contact practice and competition.
     

18. If the School CMP Leader accepts the recommendation, he/she will issue a School Clearance to Resume Athletic Competition and the student-athlete will be permitted to return to full contact practice and competition.  
     
    CONTINUAL MONITORING OF THE STUDENT-ATHLETE  
     

19. Due to the fact that people who suffer one concussion are more susceptible to repeat concussions, the student-athlete will be carefully monitored by “all partners” for any further incidents that may cause another concussion.

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