Purpose:  The following concussion management protocol is designed to inform parents/guardians/coaches and physicians of the mandatory LISD procedures in concussion management. The protocol is in response to House Bill 2038 and the University Interscholastic League regulations.


Removal from participation

In the event that an athlete is subjected to a mild jolt or a blow to the head or body, the athlete will be immediately examined by the coach/es of the sport or by other qualified school personnel. These individuals will check for the following symptoms or signs:

·   headache

·   nausea

·   balance problems or dizziness

·   double or fuzzy vision

·   sensitivity to light or noise

·   feeling sluggish

·   feeling foggy or groggy

·   concentration or memory problems

·   confusion

·   appears dazed or stunned

·   is confused about what to do

·   is unsure of game, score, or opponent

·   moves clumsily

·   answers questions slowly

·   loses consciousness

·   shows behavior or personality changes

·   can’t recall events prior to hit

·   can’t recall events after hit


If there is the slightest concern or suspicion about observed symptoms or signs that an athlete is exhibiting, the LISD coach should not hesitate in removing the individual from further activity and take appropriate steps to seek additional medical treatment. The LISD coach or staff will call 911 (on LAFB the emergency number is 671-0911) any time an athlete has a loss of consciousness for any duration of time or exhibits any of the following: decreasing levels of consciousness, drowsy or lethargic manner, cannot be awakened, difficulty getting his or her attention, irregularity in breathing, severe or worsening headaches, persistent vomiting, or any subsequent seizures.


A student may also be removed from play or competition by a physician, a licensed health care professional, the student’s parent or guardian if any one of these individuals believes the student might have sustained a concussion during the practice or competition.


If, a LISD coach is making the decision to remove an athlete from participation, his or her decision shall not be refuted by the athlete or by the athlete’s parent/s or guardian/s and the athlete will not be allowed to continue participation in any LISD sponsored practice or competition until the return-to-play criterion has been satisfied.

In the event that a physician, a licensed health care professional, or the student’s parent/s or guardian/s make the decision to have a student removed from participation for reason/s that are believed or suspected to be related to a possible concussion, this decision shall not be refuted by a LISD coach or other LISD staff. 

Follow-up care for an athlete who has been removed from participation

When an athlete is participating in a school sponsored event such as a practice or a competition, and if an athlete is removed from participation for reason/s that are believed or suspected to be related to a possible concussion, and if a LISD coach is making the decision to remove an athlete from participation, this coach will:

1.   Ensure that the athlete is evaluated by an appropriate health-care professional as soon as necessary depending upon the severity of the observed symptoms and signs. If deemed necessary, emergency medical services will be called and the athlete should be taken to an emergency room as soon as possible or at the recommendation of the emergency medical staff and/or parent/s or guardian/s of the athlete.

2.   Inform the athlete’s parent/s or guardian/s about the possible concussion and give them information on concussion severity and the required steps that they must take prior to return-to-play.



A LISD athlete who is removed from play or competition for reasons related to a suspected concussion will only be allowed to return to play or competition when that athlete has fulfilled all return-to-play requirements as noted in House Bill No. 2038.

The LISD coach or other LISD staff will not authorize a student/athlete’s return-to-play. The LISD coach or other LISD staff will keep the athlete out of all LISD sponsored play or competitions the day of the injury and future play or competitions until an appropriate health-care professional documents that he or she is symptom-free and gives the release for return to activity.

Progressive Physical Activity Program

When an athlete has fulfilled these return-to-play requirements, the athlete will begin a progressive physical activity program as specified below. This progressive physical activity program will be followed by the LISD coach unless he or she is given medical clearance to forego these activities or given other additional prescribed activities from the athlete’s treating physician or a licensed health care professional supervising their care.

  • Light aerobic exercise (5 to 10 minutes) on an exercise bike, or similar stationary exercise machine, or light jog; no weight lifting, resistance training, or other exercises.
  • Moderate aerobic exercise (15 to 20 minutes) of running at moderate intensity in the gym or on the field without equipment.
  • Non contact training drills in full motion. The athlete may begin weight lifting, resistance training, and other exercises.
  • Full participation in practice and training.
  • Full game play.


If symptoms of a concussion re-occur, or if concussion signs and/or behaviors are observed at any time during the return to activity program, the athlete will be required by the LISD coach or LISD staff to discontinue all activity and be re-evaluated by their health care provider.