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Checklist

Concussion Checklist for Coaches

What every coach needs to know about concussion recognition, removal, and return-to-play.

4 min read

Before the season

  • Complete your state-mandated concussion training
  • Confirm every athlete has a baseline test on file
  • Know your athletic trainer’s contact information
  • Distribute concussion fact sheets to athletes and parents

Sideline signs to watch for

  • Appears dazed, stunned, or confused
  • Forgets plays or instructions
  • Moves clumsily or unsteadily
  • Answers questions slowly
  • Loses consciousness (even briefly)
  • Shows behavioral changes or personality changes
  • Reports headache, nausea, dizziness, or sensitivity to light

When you suspect a concussion

  • Remove from play immediately. No exceptions, no “walk it off.”
  • Refer the athlete to the athletic trainer or team physician
  • Notify the athlete’s parent or guardian
  • Document the incident — time, mechanism, signs observed
  • Do not allow return to play the same day. Period.

Your legal responsibilities

Every US state has a concussion law. Most require that coaches remove athletes with suspected concussions, that those athletes be evaluated by a qualified clinician, and that they complete a formal return-to-play process before resuming contact. Failing to follow this protocol exposes you, your program, and your school to legal liability — and more importantly, it exposes the athlete to catastrophic injury if they return too early.

Before allowing return

  • Written clearance from a qualified clinician
  • Confirmation the athlete has completed the graduated return-to-play protocol
  • Athlete is back to their baseline on any objective tests