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PHOENIX - With a push from the NFL, all 50 states and the
District of Columbia passed youth concussion laws over
the span of about five years.
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.They were modeled after legislation passed in Washington
state in 2009. But an Associated Press analysis shows
just 21 of the laws that followed included all four key
elements in Washingtons bill.Washington state is the gold
standard, said Peter Carfagna, the founder of a sports
marketing company and a teacher at Harvard Law School. I
have a hard time thinking of a good reason why youd
deviate from it.Heres an explanation of why those basic
tenets are considered important:IMMEDIATELY REMOVING
ATHLETE SUSPECTED OF HAVING A CONCUSSIONThis is the most
rudimentary of the provisions, and yet its not mandated
by two states, Illinois and Wyoming.Immediately leaving a
game or practice is important because a person is at
increased risk for a second, more dangerous, concussion
while the brain is still healing from one.One and youre
out. No same-day return, said Richard Ellenbogen, co-
chairman of the NFLs head, neck and spine committee.
Anybody suspected — the key word is suspected — of
having a concussion, (is) pulled out.Arizona and South
Carolina allow a player to return the same day if cleared
by a doctor whos present.EDUCATING COACHESAs news about
head injuries connected to sports has spread, its become
easier to drive home the importance of recognizing
symptoms so a coach, for example, knows when to send a
player to the sideline.Awareness has risen, and were
evaluating more students for concussions than ever, said
Cynthia Clivio, a high school athletic trainer for the
private Kamehameha Schools in Hawaii. Part of it is, our
coaches are more educated.New Yorks law, for example,
says schools coaches, gym teachers, nurses and athletic
trainers must take a course that covers how to recognize,
treat and monitor students concussions.INFORMATION FORM
SIGNED BY ATHLETE AND PARENTPart of the process of
increasing awareness is making athletes and parents aware
of the dangers of concussions — and of the dangers of
continuing to play or practice when suspected of getting
a concussion.Dr. Dawn Comstock, who is studying the laws
effectiveness as part of a project funded by the Centers
for Disease Control, called those forms an important part
of the overall education piece.WRITTEN CLEARANCE BY A
HEALTH CARE PROVIDER WITH CONCUSSION TRAININGThe more
specific this part of a law, the lower the chances an
athlete will return to action before its safe.This
element of the laws was the least consistent. Only 30
states other than Washington contain both elements —
that the clearance be in writing, and that it come from a
health care provider with concussion training.That
language was very carefully chosen, said Jay Rodne, the
Republican who sponsored the law in Washington state. We
wanted to make sure ... a school district could not just
have an uncertified or unlicensed athletic trainer who
was given the title athletic trainer but had no
certification or no credentials to clear an
athlete.Rodne, along with academics who tracked the laws,
said advocacy groups for various types of health care
providers tried to influence decisions on who would be
allowed to clear athletes.As for requiring something in
writing, Harvards Carfagna said: Without having something
in writing to establish who gave the clearance, theres a
better chance it could be someone unqualified. Theres no
fingerprint.EVEN LAWS THAT MEET ALL FOUR STANDARDS ARENT
AS STRONG AS THEY COULD BERodne said enforcement
mechanisms were too costly to get approved.In Oklahoma
last year, a bill that failed would have suspended
athletic trainers, coaches or referees who allow an
athlete with a concussion to return to action later that
day.Other attempted improvements were rejected, too. In
Massachusetts, for example, baseline concussion testing
for all high school athletes — to allow someone treating
them to better gauge whether they have a head injury —
was considered in 2013. In Maryland, a 2014 bill would
have made players on one high school football team per
county wear concussion impact sensors to track brain
injuries.Our work is not done. Its not even close to
being done, Ellenbogen said. Were changing the culture,
but weve got to reach all Americans.___Follow AP Pro
Football Writer Howard Fendrich on Twitter at
http://twitter.com/HowardFendrichFollow AP National
Writer Eddie Pells on Twitter at
http://twitter.com/epells___Online:AP NFL website:
www.pro32.ap.org and AP NFL Twitter feed:
http://twitter.com/AP_NFL
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with a 6.LAKE BUENA VISTA, Fla. - David Price has two
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