Clip from Concussion Movie

HEADS UP TO CONCUSSION AN EC INITIATIVE

EC CONVENTION APRIL 6-9 2017

INTRODUCTION

Objectives and Outcomes

• The basics - what is a concussion, signs and

symptoms

• Second Impact Syndrome

• FEI position on concussion protocols

• Canadian Sport Position

• What other sports are doing

• Process

• EC Concussion Rules

• EC Return to Play From

• Case Study

• Questions

In the Media

Signs and Symptoms

• Loss of Consciousness

• Slow to get up

• Dizziness

• Nausea

• Confusion

• Appears dazed or stunned

• Can’t recall events

• Grabbing or Clutching Head

• Headache

• “Pressure” in the head

• Fatigue

• Altered behaviour

• Blurry/ Double Vision

• Sensitivity to Light

• Sensitivity to noise

• Difficulty Concentrating

• Feeling sluggish, foggy, groggy

• More emotional than usual

• Does not feel “right”

• Numbness or tingling

• Sadness

• Slurred Speech

• Irritable

Second Impact Syndrome (SIS)

• Rapid swelling of the brain caused by a second impact

sustained a first concussion which has not healed

• This condition is largely fatal and the catastrophic result of

returning to play before a complete return to play protocol

has been followed

Position on Concussion • FEI stresses the importance of recognising concussions and consulting the

appropriate medical treatment if concussion has occurred, promotes the use

and availability of the concussion recognition tool (CRT)

• Provides guidelines for diagnosis and management at FEI events organiser

guidelines for on site medical personnel, a quiet area for athlete evaluation,

a mechanism for communication of athlete eligibility to compete

• Onsite medical officers should meet the following requirements: be familiar

with the latest international concussion in Sport guidelines, SCAT, ability to

perform a neurological exam, completion of CDC Heads Up for Concussion

online module

• Athletes are prohibited from competing if the Event Medical Officer finds any

of the CRT measures are positive

Position of Canadian Sport on Sport

Specific Concussion Policies

• 1.4 million over 2 years for focussing on concussion education,

prevention, diagnosis, management, and development of Return to Play

protocols for athletes and students

• Federal/Provincial working group for Concussion in Sport created in 2015

• Governor Generals conference on Concussion in Sport: We can do

Better

• Currently planning a multi sport event to discuss and plan for

harmonisation and development of sport specific protocols on a national

scale which EC will participate in

Position of Canadian Sport on Sport

Specific Concussion Policies

“Concussion in sport is a public health problem and a major concern for those

involved in high risk sports,” says Dr. Pierre Frémont, Chair of the CCC and

Associate Professor, Faculty of Medicine, Université Laval. “We know that

when appropriate concussion management protocols are in place, the number

of actual properly identified concussions increases five-fold. This occurs

because coaches, parents, players and health care providers are properly

educated on recognizing symptoms and knowing what to do. Without such a

protocol, many concussions are going unnoticed and untreated and therefore,

participants are at risk of longer term negative consequences.”

-Dr. Pierre Fremont, August 21 2014

Other Federations/Sports

1• Recognise the need for a national concussion policy to educate, recognise, manage return to play

processes

2

• Review of other policies and other sports in Canada

• Communication with Parachute Canada to understand their views on Sport Specific Return to Play Protocols and collaboration on the Return to Play Form

3

• Formation of working group to include many different stakeholders, led by Jessica Dilliott Head of Sport Science

• Rachel Hubert, Dr. Rob Stevenson, Doug Orr, Fan McAvity, Ann Welch, Jan Stephens, Jane Tidball, Chris Pack

4• Multiple meetings and feedback sessions, discussions, trial of potential situations leading to final draft of

rules

5• Rules posted for member/stakeholder comment for 30 days

6• Final meeting of working group to finalise 2017 rules and discuss rollout and next steps

7

• Posting of final rules

• Educational Webinars for officials and show organisers, facebook live for wider member audience, launching of the concussion awareness age at equestrian.ca

Accident Injury Report Form

Case Study

Questions