OFFICIATING THE NFHS CONCUSSION RULES - MEMO 2011NF1

The NHFS guidelines governing removal of a player and return-to-play span
virtually all NFHS sports.  In some cases, state law provides for mandatory
removal of student athletes from games if signs, symptoms or behaviors consistent
with concussion are present.  In all cases, IAABO officials must be sensitive to their
increased legal responsibilities in this regard.  To that end IAABO officials working uner
NFHS rules, and for all levels of play involving student athletes are urged to utilize
the following recommended mechanics for RULES 2-8-5 and 3-3-8 of the 2011-2012
NFHS Basketball Rules.

I. THE RULE
2-8-5. The officials shall...immediately remove a player from the game who exhibits
signs, symptoms or behaviors consistent with a concussion as in 3-3-8. (See NFHS
Suggested Guidelines for Management of Concussion in Appendix B on page 75.)
3-3-8. Any player 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 game and shall not return to play
until cleared by an appropriate health care professional. (See NFHS Suggested Guidelines
for Management of Concussion in Appendix B....)
II.  BEFORE THE GAME
A. Review Mechanics and Rule thoroughly in pre-game conference
B. Secure from each Coach name and title of "Appropriate Health Care Professional"
("AHCP")
III. INJURY MECHANICS PLUS

A. Beckon Coach/Medical personnel
B. Observe player.  If no symptoms apparent, ask questions(s) per NFHS guidelines
C. Behaviors on list-careful observation - official - coach - ATC - physician
D. When directing removal of the student athlete from the game, use the language of the Rule.
E. Do NOT discuss cause of injury.
F. Do NOT converse with spectators/parents/opponents.
G. Partner should observe process while continuing to supervise court and players.
H. Words to never use
"He may have had a concussion."
"It looks like a concussion to me."
"I am removing her because I suspect a concussion."
I. Record Removal of Player, noting time of sub and if under 2-8-5/3-3-8

IV. INJURY MECHANICS - ALL INJURY SITUATIONS

A. Continue to supervise both teams and benches.
B. Do not render first aid
C. Keep opponents separated
D. Do not discuss cause of injury
E. Do not permit player to be moved, except under direction of medical personnel
V. RETURN-TO-PLAY(RTP)
A. Clear RTP with Appropriate Healthcare Professional BEFORE permitting substitution
B. Note name and title of Health-Care Professional and time of re-entry.
C. Partner should observe process while continuing to supervise court and players.
D. State law or association regulation may require a written authorization from the
Health Care Provider for Return-to-Play. Officials must retain all such authorizations and,
in some areas, will be required to file the authorizations with their association.  In all cases,
officials should retain a copy of every authorization received.
E. In some states, the Rule has be modified to eliminate same day return-to-play for a player
removed under Rules 2-8-2 and 3-3-8.  Under the modified rule, the player may not return-
to-play the same day or evening.
NOTE:  For boards in areas where (D) or (E) applies, please contact the IAABO Office for
modified rule mechanics.
VI. AFTER THE GAME
A. Communication as Appropriate
B. No public statements
C. No social media
D. Complete game report, (if required)