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From HS Game Time:

RIVERSIDE - More and more, people have concussions on the brain these days.

There's been a surge in new literature on the topic as well as added media exposure, helping improve the public consciousness about how scary serious head injuries can be.

The National Federation of State High School Associations has taken heed, introducing a rule this year that requires game officials to remove an athlete who appears concussed from play for the day.

The California Interscholastic Federation took it a step further, implementing guidelines that forbid an athlete from returning to play without clearance from a licensed health care provider trained in the evaluation and management of concussions. Ideally, athletes will work their way back slowly only after first proving asymptomatic.

With studies having shown the adolescent brain to be three times more susceptible to catastrophic harm than those that are fully developed, the new protocols aim to do more to protect kids.

"A lot of coaches and families aren't understanding what's actually going on within the brain, and they're putting the kids out there too soon and they're getting a second concussion before the brain actually heals," said Dr. Chris Marker, the director of the new SPORT Concussion Clinic in Riverside.

Second-impact syndrome makes that dangerous. It is the term used to describe what happens if the brain swells rapidly after a person suffers a second concussion -- even a mild one -- before symptoms from an earlier one have subsided. The result can be traumatic brain injury or death.

With that in mind, increased vigilance and precaution are good things, mostly, according to those involved with high school athletics.

Read the entire article here.

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