1 7 -3,e4w

Name Grade Student ID Sport Gender

Parent e- mail address:
Student email address:
2013 2014
Student Athlete and
Parent Packet
Office of Interscholastic Athletics
4400 Shell Street
Capitol Heights, MD 207 43
Phone: 301 - 669- 6000 Fax: 301 - 669- 6055
www.pgcps.org
Earl Hawkins, Director
Interscholastic Athletics
O'Shay Watson, Supervisor
Interscholastic Athletics
Member of the Maryland Public Secondary Public Schools Athletic Association
Pnnce George's County Public Schools
1 4201 SCHOOL LANE
UPPER MARLBORO, MARYLAND 207 7 2
Parental Permission for
Participation in Interscholastic Athletics
Please fill in the appropriate blanks and return this form to the head coach of the sport in which
you wish your son/daughter to participate. Permission to participate Is; not granted unless this form is
signed by the parent or legal guardian. Permission applies only to the sport specified. A new form
must be submitted if guardianship or insurance information changes.
My child, , has my permission to participate
First Name Last Name
in the following Prince George's County athletic program for the school year
SPORT
SCHOOL
Parent/Guardian Signature Date
Address
Horne Phone Work Phone
The school does not provide insurance coverage for athletes other than the group catastrophic
policy for county football programs. All participants should have their own insurance coverage in
effect at the time of participation to cover accidental injuries that might arise.
My child has injury insurance coverage under policy #
through
Insurance Company
Parent/Guardian Signature Date
In case of an emergency in which your child needs immediate medical treatment, we will send
him/her to the nearest hospital and notify you immediately. The phone numbers you supply are of
the utmost importance and should be updated when a change occurs. Please list your doctor's name
and phone number so that he may be contacted if necessary:
Name of Doctor
Phone Number(s)
PGIN 7 540- 2205 (4/95)
Board of Education of Prince George's County
;

O
ISTO Y FORM
(Note: This form is to be filled out by the patient and parent prior to seeing the physician. The physician should keep this form in the chart)
Date of Exam
Name Date of birth
Sex Age

Grade School

Sport(s)


Medicines and Allergies: Please list all of the prescription and over- the- counter medicines and supplements (herbal and nutritional) that you are currently taking
Do you have any allergies? 0 Yes 0 No If yes, please identify specific allergy below.
0 Medicines 0 Pollens DI Food El Stinging Insects
Explain "Yes" answers below. Circle questions you don't know the answers to.
GENERAL QUESTIONS Yes No
1 . Has a doctor ever denied or restricted your participation in sports for
any reason?
2. Do you have any ongoing medical conditions? lion, please identify
below: 0 Asthma 0 Anemia 0 Diabetes 0 Infections
Other:
3. Have you ever spent the night in the hospital?
4. Have you ever had surgery?
HEART HEALTH QUESTIONS ABOUT YOU Yes No
5. Have you ever passed out or nearly passed out DURING or
AFTER exercise?
6. Have you ever had discomfort, pain, tightness, or pressure in your
chest during exercise?
7 . Does your heart ever race or skip beats (irregular beats) during exercise?
8. Has a doctor ever told you that you have any heart problems? If so,
check all that apply:
0 High blood pressure 0 A heart murmur
El High cholesterol 0 A heart infection
0 Kawasaki disease Other:
9. Has a doctor ever ordered a testfor your heart? (For example, ECG/EKG,
echocardiogram)
1 0. Do you get lightheaded or feel more short of breath than expected
during exercise?
1 1 . Have you ever had an unexplained seizure?
1 2. Do you get more tired or short of breath more quickly than your friends
during exercise?
HEART HEALTH QUESTIONS ABOUT YOUR FAMILY Yes Na
1 3. Has any family member or relative died of heart problems or had an
unexpected or unexplained sudden death before age 50 (including
drowning, unexplained car accident, or sudden infant death syndrome)?
1 4. Does anyone in your family have hypertrophic cardiomyopathy, Marfan
syndrome, arrhythmogenic right ventricular cardiomyopathy, long QT
syndrome, short QT syndrome, Brugada syndrome, or catecholaminergic
polymorphic ventricular tachycardia?
1 5. Does anyone in your family have a heart problem, pacemaker, or
implanted defibrillator?
1 6. Has anyone in your family had unexplained fainting, unexplained
seizures, or near drowning?
BONE AND JOINT QUESTIONS Yes No
1 7 . Have you ever had an injury to a bone, muscle, ligament, or tendon
that caused you to miss a practice or a game?
1 8. Have you ever had any broken or fractured bones or dislocated joints?
1 9. Have you ever had an injury that required x- rays, MRI, CT scan,
injections, therapy, a brace, a cast, or crutches?
20. Have you ever had a stress fracture?
21 . Have %ou ever been told that you have or have you had an x- ray for neck
instability or atlantoaxial instability? (Down syndrome or dwarfism)
22. Do you regularly use a brace, orthotics, or other assistive device?
23. Do you have a bone, muscle, or joint injury that bothers you?
24. Do any of your joints become painful, swollen, feel warm, or look red?
25. Do you have any history of juvenile arthritis or connective tissue disease?
MEDICAL QUESTIONS Yes No
26. Do you cough, wheeze, or have difficulty breathing during or
after exeicise?
27 . Have you ever used an inhaler or taken asthma medicine?
28. Is there anyone in your family who has asthma?
29. Were you bom without or are you missing a kidney, an eye, a testicle
(males), your spleen, or any other organ?
30. Do you have groin pain or a painful bulge or hernia in the groin area?
31 . Have you had infectious mononucleosis (mono) within the last month?
32. Do you have any rashes, pressure sores, or other skin problems?
33. Have you had a herpes or MRSA skin infection?
34. Have you ever had a head injury or concussion?
35. Have you ever had a hit or blow to the head that bused Oonfusion,'
prolonged headache, or memory problems?
36. Do you have a history of seizure disorder?
37 . Do you have headaches with exercise?
38. Have you ever had numbness, tingling, or weakness in your arms or
legs after being hit or falling?
39. Have you ever been unable to move your arms or legs after being hit
or falling?
40. Have you ever become ill while exercising in the heat?
41 . Do you get frequent muscle cramps when exercising?
42. Do you or someone in your family have sickle cell trait or disease?
43. Have you had any problems with your eyes or vision?
44. Have you had any eye injuries?
45. Do you wear glasses or contact lenses?
46. On you wear protective eyewear, such as goggles or a face shield?
47 . Do you worry about your weight?
48. Are you trying to or has anyone recommended that you gain or
lose weight?
49. Are you on a special diet or do you avoid certain types of foods?
50. Have you ever had an eating disorder?
51 . On you have any concems that you would like to discuss with a doctor?
FEMALES ONLY
52. Have you ever had a menstrual period?
53. How old were you when you had your first menstrual period?
54. How many periods have you had in the last 1 2 months?
Explain "yes" answers here
hereby state that, to the best of my knowledge, my answers to the above questions are complete and correct.
Signature of athlete Signature of parent/guardian Date
2010 American Academy of Family Physicians, American Academy of Pediatrics, American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopaedic
Society for Sports Medicine, and American Osteopathic Academy of Sports Medicine. Permission is granted to reprint for noncommercial, educational purposes with acknowledgment.
HE0503
9- 2681 /041 0
CA :A"
THE ATHLETE WITH SPECIAL NEEDS:
SUPPLEMENTAL HISTORY FORM
Date of Exam
Name
Date of birth
Age Grade School Sport(s)
1 . Type of disability
2. Date of disability
3. Classification (if available)
4. Cause of disability (birth, disease, accident/trauma, other)
5. List the sports you are interested hyplaying
Yes No
6. Do you regularly use a brace, assistive device, or prosthetic?
7 . Do you use any special brace or assistive device for sports?
8. Do you have any rashes, pressure sores, or any other skin problems?
9. Do you have a hearing loss? Do you use a hearing aid?
1 0. Do you have a visual impairment?
1 1 . Do you use any special devices for bowel or bladder function?
1 2. Do you have burning or discomfort when urinating?
1 3. Have you had autonomic dysreflexia?
1 4. Have you ever been diagnosed with a heat- related (hyperthermia) or cold- related (hypothermia) illness?
1 5. Do you have muscle spasticity?
1 6. Do you have frequent seizures that cannot be controlled by medication?
Explain "yes" answers here
..
Please indicate if you have ever had any of the following.
* Yes No
Atlantoaxial instability
X- ray evaluation for atlantoaxial instability
Dislocated joints (more than one)
Easy bleeding
Enlarged spleen
Hepatitis
Osteopenia or osteoporosis
Difficulty controlling bowel
Difficulty controlling bladder
Numbness or tingling in arms or hands
Numbness or tingling in legs or feet
Weakness in arms or hands
Weakness in legs or feet
Recent change in coordination
Recent change in ability to walk
Spina bifida
Latex allergy
Explain "yes" answers here
I hereby state that, to the best of my knowledge, my answers to the above questions are complete and correct.
Signature of athlete Signature of parent/guardian Date
Sex
2010 American Academy of Family Physicians, American Academy of Pediatrics, American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopaedic
Society for Sports Medicine, and American Osteopathic Academy of Sports Medicine. Permission is granted to reprint for noncommercial, educational purposes with acknowledgment.
. J ov,
HYSIC L EXAMiNATION FORM
Name Date of birth
po- i'aiGkA R Nmins
1 . Consider additional questions on more sensitive issues
Do you feel stressed out or under a lot of pressure?
Do you ever feel sad, hopeless, depressed, or anxious?
Do you feel safe at your home or residence?
Have you ever tried cigarettes, chewing tobacco, snuff, or dip?
During the past 30 days, did you use chewing tobacco, snuff, or dip?
Do you drink alcohol or use any other drugs?
Have you ever taken anabolic steroids or used any other performance supplement?
Have you ever taken any supplements to help you gain or lose weight or improve your performance?
Do you wear a seat belt, use a helmet, and use condoms?
2. Consider reviewing questions on cardiovascular symptoms (questions 5- 1 4).
EXAMINATION
Height Weight 0 Male 0 Female
BP I ( / ) Pulse Vision R 20/ L 20/ Corrected OY ON
MEDICAL NORMAL ABNORMAL FINDINGS
Appearance
Marfan stigmata (kyphoscoliosis, high- arched palate, pectus excavatum, arachnodactyly,
arm span > height, hyperlaxity, myopia, MVP, aortic insufficiency)
Eyes/ears/nose/throat
Pupils equal
Hearing
Lymph nodes
Heart'
Murmurs (auscultation standing, supine, +/- Vaisalva)
Location of point of maximal impulse (PMI)
Pulses
Simultaneous femoral and radial pulses
Lungs
Abdomen
Genitourinary (males only)5
Skin
HSV, lesions suggestive of MRSA, tinea corporis
Neurologic'
MUSCULOSKELETAL
Neck
Back
, Shoulder/arm
Elbow/forearm
Wrist/hand/fingers
Hip/thigh
Knee
Leg/ankle
Foot/toes
Functional
Duck- walk, single leg hop
Consider ECG, echocardiogram, and referral to cardiology for abnormal cardiac history or exam.
Consider GU examIf In private setting. Having third party present Is recommended.
Consider cognitive evaluation or baseline neuropsychiatric testing if a history of significant concussion.
O Cleared for all sports without restriction
O Cleared for all sports without restriction with recommendations for further evaluation or treatment for
O Not cleared
0 Pending further evaluation
0 For any sports
0 For certain sports
Reason
Recommendations
I have examined the above- named student and completed the preparticipation physical evaluation. The athlete does not present apparent clinical contraindications to practice and
participate in the sport(s) as outlined above. A copy of the physical exam is on record in my office and can be made available to the school at the request of the parents. If condi-
tions arise after the athlete has been cleared for participation, the physician may rescind the clearance until the problem is resolved and the potential consequences are completely
explained to the athlete (and parents/guardians).
Name of physician (print/type) Date
Address Phone
Signature of physician MD or DO
02010 American Academy of Family Physicians, American Academy of Pediatrics, American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopaedic
Society for Sports Medicine, and American Osteopathic Academy pf Sports Medicine. Permission is granted to reprint for noncommercial, educational purposes with acknowledgment
HE05039.2681 /041 0
E'r.--- Av'r." S. - "'"'N*
CLEARANCE F RM
Name Sex 0 M 0 F Age Date of birth
O Cleared for all sports without restriction
O Cleared for all sports without restriction with recommendations for further evaluation or treatment for
O Not cleared
O Pending further evaluation
O For any sports
O For certain sports
Reason
Recommendations
I have examined the above- named student and completed the preparticipation physical evaluation. The athlete does not present apparent
clinical contraindications to practice and participate in the sport(s) as outlined above. A copy of the physical exam is on record in my office
and can be made available to the school at the request of the parents. If conditions arise after the athlete has been cleared for participation,
the physician may rescind the clearance until the problem is resolved and the potential consequences are completely explained to the athlete
(and parents/guardians).
Name of physician (print/type) Date
Address Phone
Signature of physician MD or DO
EMERGENCY INFORMATION
Allergies
Other information
MO American Academy of Family Physicians, American Academy of Pediatrics, American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopaedic
Society for Sports Medicine, and American Osteopathic Academy of Sports Medicine. Permission is granted to reprint for noncommercial, educational purposes with acknowledgment
MEDICAL CARD FOR ATHLETE
Office of Interscholastic Athletics

MEDICAL CARD FOR ATHLETE

PRINCE GEORGE'S COUNTY PUBLIC SCHOOLS
INSTRUCTIONS: This card should be kept on file in the medical kit for each sport. It should accompany the ath-
lete to the doctor or hospital when medical attention is required.
School Name Jersey Number
Student Name Phone # (
Alternate
Home Address Phone # (
Date of Birth
Physician
Family Physician Phone # (
Date of Last
Hospital Preference Tetanus Shot
Allergies
Medicine Administered on the Field
PGIN 7540-2212 (OVER)
MEDICAL CARD FOR ATHLETE
INSURANCE INFORMATION:
Does your son/daughter have medical insurance? Yes No
If Yes, name of insurance company
RELEASE FOR TREATMENT:
I hereby give permission to the attending physician or hospital to administer appropriate medical treatment in the
event I can not be reached.
Signature, Parent/Guardian

Date
This Card Must Be Kept On File In The Medical Kit For Each Sport. It Must Accompany
The Athlete To The Doctor Or Hospital When Medical Attention Is Required.
1111111111112111111411
laittaling31 1
ESCUELAS POBLICAS DEL CONDADO DE PRINCE GEORGE www.pgcps.org
PARA PUBLICAR
i.

h AUTORIZACION PARA PUBLICAR
2013-2014
Durante el transcurso del ciclo lectivo, la Junta Educativa del Condado de Prince
George y cada establecimiento del sistema de Escuelas Publicas del Condado de
Prince George Ilevaran a cabo actividades quo podran publicarse en los medios de
comunicacion local o nacional. Entre otras, tales actividades incluyen: entrevistas
con periodistas, fotografias individuales o grupales de los alumnos para peri6dicos
o publicaciones del sistema escolar (boletines de noticias, calendarios, folletos,
etc.), uso de fotografias en el sitio Web de PGCPS; y filmacion para noticieros
televisivos locales y nacionales, programaci6n de cable y filmacion de videos
promocionales del sistema escolar.
Por favor, responda marcando una respuesta a continuaciOn. Firme y envie de
regreso este documento a la escuela de su h ijo.
AutorizolAutorizamos la utilizacion del nombre, la voz, o representacion
fotografica de mi/nuestro h ijo por parte del personal de las Escuelas POblicas del
Condado de Prince George o por parte de redactores, periodistas o fot6grafos de
los medios noticiosos.
No autorizolautorizamos la utilizaciOn del nombre, la voz, o representacion
fotografica de mi/nuestro h ijo por parte del personal de las Escuelas POblicas del
Condado de Prince George o por parte de redactores, periodistas o fot6grafos de
los medios noticiosos.
Nombre del alum no Escuela
Firma del padre o tutor Firma del padre o tutor
Fech a
5
Junta Educative Del Condado De Prince George
Escuelas Pablicas del Condado de Prince George www.pgcps.org 14201 Sch ool Lane Upper Marlboro, MD 20772
DEPARTMENT OF PUBLICITY ANDPUBLICATIONS COMMUNICATIONS TOOLS June 2011
Parent/Athlete Concussion
Information Sheet
A concussion is a type of traumatic brain Injury
that changes the way the brain normally works. A
concussion is caused by bump, blow, or jolt to the
head or body that causes the head and brain to move
rapidly back and forth. Even a "ding," "getting your
bell rung," or what seems to be a mild hump or blow
to the head can be serious.
WHAT ARE THE SIGNS AND
SYMPTOMS OF CONCUSSION?
Signs and symptoms of concussion can show up right
after the injury or may not appear or be noticed until
days or weeks after the injury.
If an athlete reports one or more symptoms of
concussion listed below after a bump, blow, or jolt to
Did You Know?
. Most concussions occur without loss
of consciousness.
. Athletes who have, at any point in- their
lives, had a concussion have an increased
risk for another concussion.
. Young children and teens are more likely to
get a concussion and take longer to recover
than adults,
the head or body, s/he should be kept out of play the
day of the injury and until a health care professional,
experienced in evaluating for concussion, says s/he is
symptom- free and It's OK to return to play.
Appears dazed or stunned
. .
Is confused about assignment or position
Forgets an instruction
Is unsure of:game, sc.ore,or opponent
Moves clumsily
Answers questions slowly ,.
Loses consciousness (even briefly)
Shows mood, behavior, or- personality changes
Can't recall events priorto hit or fail
Can't recall events after hit or- fall
Headache or "pressure" in head
:at.ise4 or:Vomiting
Balance problems or dizziness
'Double or blurry Aston
Sensitivity to light
: ns.jilv.itY:i9:n.o.lsei
Feeling sluggish, hazy, foggy, or groggy
Concentration or memory problems
Confusion
t O.t."feeling right":or "feeling down"
It's better to miss one game than the whole season. For more information on concussions,
visit: www.ctic.gov/Concussion.
Student- Athlete Name Printed Student- Athlete Signature
Parent or Legal Guardian Printed Parent or Legal Guardian Signature
CONCUSSION DANGER SIGNS
In rare cases, a dangerous blood clot may form on
the brain in a person with a concussion and crowd
the brain against the skull. An athlete should receive
immediate medical attention if after a bump, blow,
or jolt to the head or body s/he exhibits any of the
following danger signs:
Remember
Concussions affect people differently. While
most athletes with a concussion recover
quickly and fully, some will have symptoms
that fast for days, or even weeks. A more seri-
ous concussion can last for months or longer,
One pupil larger than the other
Is drowsy or cannot be awakened
A headache that not only does not diminish,
but gets worse
Weakness, numbness, or decreased coordination
Repeated vomiting or nausea
4 Slurred speech
Convulsions or seizures
Cannot recognize people or places
Becomes increasingly confused, restless, or agitated
Has unusual behavior
4 Loses consciousness (even a brief loss of
consciousness should be taken seriously)
WHY SHOULD AN ATHLETE
REPORT THEIR SYMPTOMS?
If an athlete has a concussion, his/her brain needs time
to heal. While an athlete's brain Is still healing, s/he is
much more likely to have another concussion. Repeat
concussions can increase the time it takes to recover.
In rare cases, repeat concussions in young athletes can
result in brain swelling or permanent damage to their
brain. They can even be fatal,
WHAT SHOULD YOU DO IF YOU
THINK YOUR ATHLETE HAS A
CONCUSSION?
If you suspect that an athlete has a concussion,
remove the athlete from play and seek medical
attention. Do not try to judge the severity of the injury
yourself. Keep the athlete out of play the day of the
injury and until a health care professional, experienced
in evaluating for concussion, says s/he is symptom- free
and it's OK to return to play.
Rest is key to helping an athlete recover from a
concussion. Exercising or activities that involve a
lot of concentration, such as studying, working on
the computer, or playing video games, may cause
concussion symptoms to reappear or get worse.
After a concussion, returning to sports and school is
a gradual process that should be carefully managed
and monitored by a health care professional.
MENCION
CONMOCIM CEREBRAL
EN EL
DEPORTEJUVEML
Hoja informativa para los deportistas y sus
padres ace rca de las conmociones cerebrales
Una conmocion es un tipo de lesien cerebral
traumatica que ocasiona cambios en fa forma en que
funciona el cerebro normalmente. Una conmoclen
es causada por un golpe, impact a sacudida en fa
cabeza o el cuerpo que hace que la cabeza y el cerebra
se muevan rapida y repentinamente hacia adelante y
- hacia atras. Hasta un "chichoncitoll o lo que pareciera
ser tan solo un golpe o una sacudida !eve en la cabeza
pueden ser alga grave.
i,CUALES SON LOS SIGNOS Y
SiNT.OMAS DE UNA CONMOCION
CEREBRAL?
Las signs y sfntomas de una conmocien cerebral
pueden aparecer justo despues de una lesion a
puede que no aparezcan o se noten sino hasta dfas o
semanas despues de ocurrlda la leslOn.
Si un deportista presenta uno 0 made los sintornas
de una conmociOn cerebral indicados a continuaciOn,
Parece aturdido a desorientado
Esta confundldo en cuanto a su posicion de juego
Divide las instrucciones
No esta seguro del juego, de fa puntuacion o de adversarios
Se mueve con torpeza
Responde a las preguntas con lentitud
Plerde el conocimiento (aunque sea per poco tiempo)
Muestra cambios de anima, comportamiento o personalidacf
No puede recorder lo ocurrido antes del golpe o calda
No puede recorder fo ocurrido despu6s del golpe o caida
zSabia usted que...?
La mayoria de las conmociones cerebrates
ocurren sin perdida del conocimiento.
Los cleportistas que han sufrido una conmacion
cerebral en algCm rnomento- de sus vidas,
tienen un mayor riesgo de sufrir otra.
Los niflos pequefios y los adolescentes tienen
mAs probabilidad de sufrir una conmocien
cerebral y de que les tome mas tiempo
recuperarse que los adultos,
luego de un golpe, Impact o sacudida en la cabeza a
el cuerpo, no se le debe permitir continuar jugando el
dfa de la lesion y no debe volver a jugar hasta que un
profesional medico con experiencia en evaluacion de
conmoclones cerebrates Inclique que ya no presenta
sintomas y quo puede volver a jugar.
Dolor de cabeza a "presion" en la cabeza

:

:"
Nauseas o vornitos ::

Problemas de equitibrio o mareo
Vision borroa o doble.
Sensibilidad a la luz
Sensibiticiad al rUido - -
Sentirse dal!, desorientado, aturdido,atontado o grogui
Problemas de concentrecion:aemernoria.
Confusion
.
No 'Isentirs'e bien" a `.)con 6atias de no hacer nada"
Fecha
SIGNOS DE PELIGRO POR UNA
CONMOCION CEREBRAL
En casos poco frecuentes, en las personas que sufren
una conmocien cerebral puede formarse un coagulo
de sangre peligroso que podria hacer que el cerebro
ejerza presiOn contra el craneo. un deportista debe
recibir atenctOn medica de inmediato si luego de sufrir
un gotpe, impact a sacudida en ta cabeza o el cuerpo
presenta alguno de fos_siguientes signos de peligro:
Una pupila esta ms grande que la otra
Esta. mareado G no se puede despertar
Dolor de cabeza que es persistente y ademas empeora
Debilidad, entumecimiento o rnenor coordinacien
Nauseas o vemitos constantes
Dificultad para hablar o pronunciar as palabras
Convulsiones o ataques
- No puede reconocer'a personas a lugares
Se siente cada vez mas confundido, inquieto o agitado
Se comporta de manera poco usual
Pierde el conocimiento (las perdidas del
conocimiento deben considerarse coma alga seri
aunque sean breves)
LPOR QUE. DEI3E UN DEPORTISTA
NOTIFICAR A ALGUIEN SI TIENE
SINTOMAS?
Si un deportista sufre una conmocien, su cerebro
necesitara tiempo para sanar. Cuando el cerebro
de un deportista se esta curando,tiene una mayor
probabilidad de sufrir una segunda conmociOn.
Las conmociones repetidas to secundarlas) pueden
aumentar el tiempo que toma la recuperaciOn.
En casos poco frecuentes, repetidas conmociones
Recuercle
Las conmociones cerebrates afectan a las perso-
nas de manera diferente. Si toren la mayoria de
los deportistas que sufren una conmocion cere-
bral se recuperan en forma cornpleta y rapida,
algunos tienen sIntornas que duran dias a Indus()
semanas. Una conmocion cerebral ms grave
puede durar par meses o a6n mas.
cerebrates en los jOvenes deportistas pueden ocasionar
inflamacien del cerebro o daft cerebral permanente.
Incluso pueden ser mortales.
QUE DEBE I- IACER SI CREE QUE
SU DEPORTISTA HA SUFRIDO
UNA CON MOCION CEREBRAL?
slconsidera que un deportistallene uha conmociOn
cerebral, sequel del Juego y busque atenciOn medica
de inmediato. No intente juzgar usted misma la
seriedad de la lesion. Na pen Eta que el deportista
regrese a Jugar el mismo (Ha de la lesion y espere
a que un profesional medico con experiencia en la
evaluacien de conmociones cerebrates indique que ya
no presenta sintomas y que puede volver a jugar.
El descanso es la cave para ayudar a un deportista
a recuperarse despues de una conmocien cerebral.
Durante el ejercicio o las actividades que requieran de
mucha concentracien, como estudiar, trabajar en fa
computadora o los juegos de video, pueden causar que
los sintomas de la conmociOn cerebral reaparezcan
empeoren. Despues de una conmocien cerebral, volver
a practicar deportes y regresar a la escuela debe ser
un proceso gradual que tiene que ser controlado y
observado cuidadosarnente par un profesional medico.
Mejor perder un juego que toda la temporada. Para ms informacion sobre la conmocion
cerebral, visite: www.cdc.gov/Concussion.
Nombre del estudiante o deportista Firma del estudiante o deportista
Fecha Nombre del padre o tutor legal Firma del padre o tutor legal