In aligning with other soccer organizations, PPSA will follow these guidelines regarding a potential concussion:


Concussion: a traumatic brain injury that interferes with normal brain function. Medically, a concussion is a complex, pathophysiological event to the brain that is induced by trauma which may or may not involve a loss of consciousness (LOC). Concussion results in a constellation of physical, cognitive, emotional, and sleep-related symptoms. Signs or symptoms may last from several minutes to days, weeks, months or even longer in some cases.

Step 1:

Did a concussion occur? Evaluate the player and note if any of the following signs and/or symptoms are present:

  • Dazed look or confusion about what happened.
  • Memory difficulties.
  • Neck pain, headaches, nausea, vomiting, double vision, blurriness, ringing noise or sensitive to sounds.
  • Short attention span. Can’t keep focused.
  • Slow reaction time, slurred speech, bodily movements are lagging, fatigue, and slowly answers questions or has difficulty answering questions.
  • Abnormal physical and/or mental behavior.
  • Coordination skills are behind, ex: balancing, dizziness, clumsiness, reaction time.

Step 2:

Is emergency treatment needed? This would include the following scenarios:

  • Spine or neck injury or pain.
  • Behavior patterns change, unable to recognize people/places, less responsive than usual.
  • Loss of consciousness.
  • Headaches that worsen
  • Seizures
  • Very drowsy, can’t be awakened
  • Repeated vomiting
  • Increasing confusion or irritability
  • Weakness, numbness in arms and legs.

Step 3:

If a possible concussion occurred, but no emergency treatment is needed, what should be done now? Focus on these areas every 5-10 min for the next 1 – 2 hours, without returning to any activities:

  • Balance, movement.
  • Memory, instructions, and responses.
  • Attention on topics, details, confusion, ability to concentrate.
  • State of consciousness
  • Mood, behavior, and personality
  • Headache or “pressure” in head
  • Nausea or vomiting
  • Sensitivity to light and noise

Players shall not re-enter competition, training, or partake in any activities for at least 24 hours. Even if there are no signs or symptoms after 15-20 min, activity should not be taken by the player.

Step 4:

A player diagnosed with a possible concussion may return to play only after release from a medical doctor or doctor of osteopathy specializing in concussion treatment and management.

Step 5:

If there is a possibility of a concussion, do the following:

  • Coach notifies parents/guardians of potential concussion.
  • Coach notifies school PPSA coordinator by email of potential concussion for file.