Play Smart. Play Hard. IHSA Safety Campaign

Player Safety Toolkit

NSWERS reso ND A urce S A s ION ST UE Q

H O W es Y r O u U ig C f A & N

s H t E c L P a F

Prepared for Illinois High School Student-Athletes, Parents, Coaches & School Personnel

ILLINOIS HIGH SCHOOL ASSOCIATION W

As an individual in high shool athletics, you share in our belief that high school athletics bring tremendous value to you, E including lifelong lessons in hard work, perseverance and teamwork. Some of you may even have career aspirations in athletics, though even if you don’t, you are undoubtedly creating memories that will likely last a lifetime. L C At the same time, we recognize there is an element of risk in athletics, and that head injuries have specifically drawn a great deal of recent attention. While the Illinois High School Association (IHSA) remains extremely proud of the progress O we have made in the area of player safety, we know there is more work to be done, as nothing is more important than your health and welfare. To that end, we are launching the Play Smart. Play Hard.™ campaign as part of our commitment M to engaging in open dialogue with you, your parents, coaches, school and community on how we can better help you to stay safe while playing the sports we all love. E How is the IHSA helping to protect our student-athletes? Play Smart. Play Hard.™ builds on the initiatives and programs the IHSA already has in place to safeguard your health and welfare. These include: • Actively supporting legislation , including U.S. Senator Dick Durbin’s Protecting Student Athletes from Concus - sions Act, to strengthen procedures for preventing, detecting and treating student-athletes who suffer con - cussions. • Implementing current rules and proposing additional measures aimed at limiting the amount of full-contact practice for high school football teams. • Strengthening its Return To Play policy, which now requires players exhibiting any signs or symptoms of a con - cussion to be removed from play and prevented from returning until cleared by a certified athletic trainer or licensed physician. • Requiring all IHSA athletic directors, coaches and volunteers to pass a concussion awareness and certification test every two years. The test is based on the IHSA’s online course, “Sports Concussions and Traumatic Brain Injury Training,” developed in partnership with the Brain Injury Association of Illinois and Illinois Principals As - sociation, as well as the National Federation of State High School Associations’ (NFHS) online course, “Con - cussion in Sports,” developed in partnership with the Centers for Disease Control and Prevention (CDC). • Requiring you and your parents to read and sign a Concussion Information Sheet. • Creating the Illinois Advisory Council on Player Safety to facilitate open and transparent dialogue around head injuries and other player safety issues, review IHSA’s current programs and offer new recommendations to en - sure the IHSA remains a leader in student-athlete safety standards and protocols. Allison Hieb , junior soccer player at Normal Community West High School, and Cole Steward , three-sport sophomore at Salem High School, will be representing IHSA student-athletes on the Council, which also includes: • Tregg Duerson, former Loyola Academy and University of Notre Dame football player and son of deceased NFL veteran Dave Duerson • Napoleon Harris, Illinois State Senator and former NFL linebacker • Tory Lindley, Associate Athletic Director and Head Athletic Trainer at Northwestern University • Dustin Fink, certified athletic trainer and author of The Concussion Blog • Sara Flanigan, co-founder and current president of the Illinois Spirit Officials Association, and a mother of two young athletes • Dennis Piron, Batavia High School Football and Track & Field Coach who coached son throughout his high school football career • Maintaining partnerships with other state associations, the NFHS and the medical community to stay abreast of new research, injury prevention developments and best practices related to all player safety issues. Three immediate ways you can help: 1. Review the materials in this toolkit to better protect yourself while you play the sports you love. 2. Visit www.playsmartplayhard.org to learn more about how to prevent and recognize the symptoms of head injuries. 3. Have a conversation with your parents and coaches about how to Play Smart and Play Hard. Where can I find out more information? More information about Play Smart. Play Hard.™ , including how you can support our campaign, can be found on www.playsmartplayhard.org . Should you have any questions or comments about this campaign or the materials con - tained in this toolkit, please direct those to [email protected].

Thank you,

Marty Hickman Executive Director IHSA QUESTIONS & ANSWERS A Q A Q A Q A Q A Q A Q : : : : : : : : : : : :

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FACTS & FIGURES What

FURTHERING OUR COMMITMENT TO ENHANCING THE SAFETY OF ILLINOIS’ STUDENT-ATHLETES AND COLLABORATING WITH OTHERS WHO SHARE THAT MISSION

Introducing the Illinois Advisory Council on Players Safety

Who TREGG DUERSON NAPOLEON HARRIS DUSTIN FINK TORY LINDLEY IHSA Alumnus Illinois State Senator Certified Athletic Trainer MA Certified Athletic Trainer

SARA FLANIGAN DENNIS PIRON COLE STEWARD ALLY HIEB IHSA Official IHSA Coach IHSA Student-Athlete IHSA Student-Athlete

Player Safety Our Partners Join the How Toolkit conversation Resources for athletes, parents, coaches and schools #playsmartplayhard #PSPH for more information, please visit www.playsmartplayhard.org RESOURCES

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ILLINOIS HIGH SCHOOL ASSOCIATION 2715 McGraw Drive • Bloomington, IL 61704 • www.ihsa.org • Phone: 309-663-6377 • Fax: 309-663-7479 •

IHSA Protocol for Implementation of NFHS Sports Playing Rule for Concussions

“Any athlete who exhibits signs, symptoms, or behaviors consistent with a concussion (such as loss of consciousness, headache, dizziness, confusion, or balance problems) shall be immediately removed from the contest and shall not return to play until cleared by an appropriate health care professional.”

The above language, which first appeared in all National Federation sports rule books for the 2010-11 school term, reflects a strengthening of rules regarding the safety of athletes suspected of having a concussion, but not a revision in primary responsibilities in these areas. Previous rules required officials to remove any athlete from play who was “unconscious or apparently unconscious.” This revised language reflects an increasing focus on safety, given that the vast majority of concussions do not involve a loss of consciousness. However, the revised language does not create a duty that officials are expected to perform a medical diagnosis. The change in rule simply calls for officials to be cognizant of athletes who display signs, symptoms, or behaviors of a concussion from the lists below and remove them from play.

NOTE: The persons who should be alert for such signs, symptoms, or behaviors consistent with a concussion in an athlete include appropriate health-care professionals, coaches, officials, parents, teammates, and, if conscious, the athlete him/herself.

Definition of a Concussion A concussion is a traumatic brain injury that interferes with normal brain function. An athlete does not have to lose consciousness (be “knocked out”) to have suffered a concussion.

Behavior or signs observed indicative of a Symptoms reported by a player indicative of a possible concussion possible concussion •Loss of consciousness •Headache •Appears dazed or stunned •Nausea •Appears confused •Balance problems or dizziness •Forgets plays •Double or fuzzy vision •Unsure of game, score, or opponent •Sensitivity to light or noise •Moves clumsily •Feeling sluggish •Answers questions slowly •Feeling foggy or groggy •Shows behavior or personality changes •Concentration or memory problems •Can’t recall events prior to or after the injury •Confusion

This protocol is intended to provide the mechanics to follow during the course of contests/matches/events when an athlete sustains an apparent concussion. For the purposes of this policy, appropriate health care professionals are defined as: physicians licensed to practice medicine in all its branches in Illinois and certified athletic trainers.

1. During the pre-game conference of coaches and officials, the official shall remind the head coaches that a school-approved appropriate health care professional will need to clear for return to play any athlete removed from a contest for an apparent head injury. 2. The officials will have no role in determining concussion other than the obvious situation where a player is unconscious or apparently unconscious as is provided for under the previous rule. Officials will merely point out to a coach that a player is apparently injured and advise the coach that the player should be examined by the school-approved health care provider. 3. If it is confirmed by the school’s approved health care professional that the student did not sustain a concussion, the head coach may so advise the officials during an appropriate stoppage of play and the athlete may re-enter competition pursuant to the contest rules. 4. Otherwise, if an athlete can not be cleared to return to play by a school-approved health care professional as defined in this protocol, that athlete may not be returned to competition that day and is then subject to the IHSA's Return to Play (RTP) Policy before the student-athlete can return to practice or competition. 5. Following the contest, a Special Report shall be filed by the contest official(s) with the IHSA Office through the Officials Center. 6. In cases where an assigned IHSA state finals event medical professional is present, his/her decision to not allow an athlete to return to competition may not be over-ruled.

Additional information regarding concussion has been made available to IHSA member schools and licensed officials and can be accessed on the IHSA Sports Medicine website at http://www.ihsa.org/Resources/SportsMedicine.aspx.

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ILLINOIS HIGH SCHOOL ASSOCIATION 2715 McGraw Drive / Bloomington, Illinois / 61704 [email protected]