Among the new guidelines:
1. Injured players must recite three given numbers in reverse sequence.
2. Players will be asked to maintain a standing position with feel together, eyes closed, and hands on hips for 20 seconds.
3. An ordered list of words will be given as well, which players will be asked to repeat back. Order will not matter for this exercise.
4. Additional questions, basic in nature, will be asked.
Similar testing has been in place for a few years. The new guidelines create a new standardized protocol applicable in all venues. The newest changes come from a survey of medical staff from teams within the League. The existence of a standardized sideline practice will help take the guesswork out of diagnosing players.
The new standards parallel the protocol already in practice, but provide a level of uniformity that will hopefully dispel the influence and pressure of returning to the game too quickly. Further treatment will given if determined necessary. If a player exhibits any of the following, he will be considered in "no go" status, and pulled from the rest of practice or the game.
2. Amnesia, loss of memory
4. Neurological issues with balance, coordination, etc.
5. Inability to concentrate, trouble with recall and response to test questions
6. Headache, nausea, dizziness
7. Worsening symptoms
The standardized approach comes after years of further research that continues to point to the danger of repetitive head injuries and concussions, even when the concussion is considered mild.