Merchant Taylors' - Opposition Head Injury

Merchant Taylors' - Opposition Pupil Head Injury

Any boy displaying any signs or symptoms (no matter how short-lived) after a head injury should be suspected as having sustained a concussion. After initial assessment pitch-side they should be transferred to the medical centre to be kept under observation by the nursing team and reviewed by the duty doctor at the end of the session. If in doubt, sit them out. Please complete the form below to record the injury details.

Merchant Taylors' - Opposition Head Injury Form

Coach email (for report to be sent to) *

Form completed by: * Form completed by:

Player's Name *

Player Date of Birth *

Age Group *

History *

Examination Findings *

Comments/Advice *

Diagnosis *

CONCUSSION

Head Injury ( concussion not currently suspected)

Outcome *

Discharged with coach/parent/guardian

Sent to Medical Centre for further care

Referred for further medical care/investigation (non-urgent)

Referred to hospital (ASAP)

Emergency transfer to hospital (999 Ambulance)

OtherOther

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Merchant Taylors' - Opposition Pupil Head Injury

Merchant Taylors' - Opposition Head Injury Form

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