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HeadButtConcussion, a form of mild traumatic brain injury (TBI), is a common consequence of trauma to the head in youth sports and related recreational activities. An estimated 1.6 to 3.8 million sports-related concussions occur in the United States each year. While the majority of concussions are self-limited injuries, catastrophic results can occur and the long-term effects of multiple concussions are unknown. A history of prior concussion significantly increases risk for recurrent concussions.

The effect of concussion on developing brains is of particular concern. Children with concussion, particularly multiple concussions, are at high risk for developing headaches and suffering from impaired memory, cognitive function, attention, or other behavioral changes. Unfortunately, during the last decade, emergency department visits for sports- and recreation-related TBIs, including concussions, among children and adolescents has been increasing over the past years.

This toolkit is designed to aid program administrators, coaching directors, coaches and others with a concussion management plan. Because each youth sports program is unique, different parts of the plan can be adapted to your program but the basic concepts of an overall plan will be the same. If you have any questions or concerns about this toolkit please click the following link to Contact the Brain Injury Association of VT.


Below are links to documents for your viewing - click one to open.

  1. Acknowledgement of School Concussion Task Force
  2. Introduction – Brief Background
  3. Overview of a concussion management plan
  4. Education Resources for Coaches, Officials, Faculty, Athletes and Parents
    Sample athlete/parent acknowledgement form
    *See Section 10 for additional web based training resources
  5. Sample Action Plan – Return to Activity (RTA) and Return to Play (RTP)
    Action Plan with 4 components:
    a) Program should designate an individual(s) who make the initial decision to remove a student athlete from play when it is suspected the athlete may have suffered a concussion;
    b) Outline the steps required before a child can return to athletic or other activity;
    c) Designate an individual who will make the final decision regarding the child’s return to athletic activity; and
    d) Program should designate the responsibility for informing parents/guardians if a child sustained a concussion during an activity of the youth sports or recreation program.
  6. Understanding Vermont’s law regarding school sports and concussion; the need for better communication between a child’s school and outside athletic and recreation related activity.
    School Sports and Concussion Toolkit

    Best Practice RTA and RTP forms and tools – Best practice is one that uses the most up to date scientific evidence and recommendations for concussion care. Using these ensures that a concussed child gets the best care possible.

  7. Return to Activities:
    When can I return to activities?
    School Sports and Concussion Toolkit – Section 7
  8. Return to play (RTP)
    Standard RTP guidelines
    Concussion on-the-Field Management Plan (flowchart/algorithm) for coaches
    Return to Play Protocol and forms
    Sports Specific RTP Documents
    Sports specific RTP videos
  9. Reduce the Risk of Concussions
    Techniques that reduce the potential for concussions
  10. Resources
    General Resources
    Educational Resources
    Health Care Professionals