Certified Concussion Management Specialists Training Resources

CMS


Instructions

This page provides an overview of the program agenda as well as links to required recorded sessions, important references, ancillary materials, and assessments.  Please be sure to login to each session at least 15 minutes early as we will spend a few moments going over important information prior to the start of the educational programming.  You must attend all sessions as scheduled.  There are no make-up sessions or refunds for failing to attend a required session.  Your attendance and participation is continuously monitored throughout the general sessions.

All participants will receive a follow-up email 1 hour after the final session.  Use the links in the follow-up email to link to this on-line syllabus page to view required recorded sessions and download ancillary materials.  You MUST register for and view all required recorded sessions.

There are 3 exams associated with this curriculum.  Each exam is made up of 10 multiple choice questions.  All exam questions are drawn directly from live webinar discussions, required readings, recorded sessions, and video demonstrations/learning labs.  ALL EXAMS MUST BE TAKEN USING THE EXAM LINKS PROVIDED IN THE FOLLOW-UP EMAIL.  No exceptions will be made.  You MUST complete all the exams to receive your CMS credential.  Upon submission of each test you will receive the correct answers and a test score.  Note each test score as you will be required to report the score on your Request for Credentialing form.

In addition to the general sessions requirements, you MUST also complete a case study/essay project.   A link to this project is provided below.  Upon completion of all program requirements, CMS candidates MUST complete and submit the Request for Credentialing form.  You will not receive CMS certification without completion of ALL program requirements.  All program requirements MUST be completed and the Request for Credentialing form received by SMC within 30 days of completion of final instructor led session unless prior arrangements have been made with the program’s primary instructor.

All CMS candidates are required to be current holders of CPR with AED certification through either the Americal Heart Association or American Red Cross.  A copy of your certification card must be submitted with your Request for Credential form.

Recorded Sessions Participants
Click Here for Important Details

Use this link to submit all requirements to the CMS Program Director via email

SUBMIT REQUIREMENTS HERE


Print Friendly Syllabus

Case Report
The case report is intended to be a reflective project, focusing on a challenging incident involving head trauma resulting from organized athletic participation.  Your case report should involve an incident that did not follow a typical return to play track, but rather was complicated or protracted.  As you reflect on this particular case, you should pay particular attention to describing acute differential diagnosis,  not only explaining what the diagnosis was, but what else it could have been, and any clinical criteria used to make the differential diagnosis.  Management should focus specifically on how modifying conditions, risk factors, and the neurometabolic cascade influenced your acute management, rehab and return to play decisions.  As you examine this case be cognizant of what you did do and what you might do differently, providing a logical argument for what you propose that is grounded in differential diagnosis, the neurometabolic cascade, modifying conditions and/or risk factors.

Essay Requirement

Request-for-Credentialing


Tuesday September 12, 2017

Live Session

10:00am – 10:30am: CMS Introduction
10:30am – 11:30am: Mechanism of and Pathophysiology of Injury Session Recording

Today’s PowerPoint Slides: Program Intro and Mechanism of and Pathophysiology of Injury

Instructor: Mike Cendoma, MS, ATC

Homework


Wednesday September 13, 2017

Live Session

10:00am – 11:00am: On-Field Management:  Assessment and Differential Diagnosis

Today’s PowerPoint Slides: On-Field Management_Assessment and Differential Diagnosis

Instructor: Mike Cendoma, MS, ATC

Homework


Thursday September 13, 2017

Live Session

10:00am – 11:00am: Protracted Recovery and Rehabilitation

Instructor: Tony Surace, MS, ATC

Today’s PowerPoint Slides: Protracted Recovery and Rehabilitation

Homework


Friday September 14, 2017

Live Session

10:00am – 11:00am: The SCAT5 and Step-Wise Concussion Recovery Progression
11:00am – 11:30am: Wrap-up

Today’s PowerPoint: Step-Wise Concussion Recovery Progression

Homework


Exams

  • There are 3 quizzes in this curriculum.  Please refer to your follow-up email for a link to this examination.  Examinations may only be completed on-line, using the follow-up email link.  No exceptions can be made.

Program Evaluation

  • Please note that the program evaluation must be completed using the link found in your follow-up email.  No exceptions can be made.

Comments

  1. Awesome – wouldl ike your thoughts on helmet removal of the speedflex helmets and some of the shoulder pads they have now – I would like to know if you can cut through the leather since they are not lace-ups

  2. Great questions. Check out our Speed FLex review from last year at https://www.youtube.com/watch?v=qjiqdvvtjZY&t=2s.

    To date, we have not found any shoulder pad design to be significantly problematic. Some will come off without cutting the plastic or the nylon breast plate fasteners. Even the heavy duty plastic breast plate fasteners can be cut with a pair of heavy duty bandage shears without too much trouble.

  3. I have a question to pose to the class. When an athlete gets hit, complains of “concussion-like symptoms” or is pointed out to you by a referee how do you decide whether they are taken out of the game and placed in your concussion protocol or allowed to RTP? Or asked another way, what is the clinical criteria for placing an athlete in the concussion protocol vs. allowing them to RTP after coming off the field; what is your criteria for crossing the line?

    I know that I hold kids out with any S/S of concussion, but I struggle with what is a S/S vs. what is an anecdotal complaint, emotional response, or relying on the observation of a less trained individual. I could sit 6 players on any give football game.

  4. In prep for the remainder of our remaining sessions, I did a re-read of the 2017 Consensus Statement (found on your CMS Resources Page). Interestingly, I found some insight regarding my previous post on when the clinical criteria for SRC line is crossed. See quotes followed by my interpretation.

    “The SCAT5 currently represents the most well-established and rigorously developed instrument available for sideline assessment.”

    This is telling me to use the SCAT5

    “Players with a suspected SRC following a significant head impact or with symptoms can proceed to sideline screening using appropriate assessment tools—for example, SCAT5. Both groups can then proceed to a more thorough diagnostic evaluation, which should be performed in a distraction-free environment (eg, locker room, medical room) rather than on the sideline.”

    This is telling me we can use the SCAT5 to help us decide if an athlete may have a SRC. A normal SCAT5 may indicate the possibility of RTP. If a possible SRC is indicated on the SCAT5, they are taken to the training room for further assessment by physician. If there is no physician to consult with, they enter the concussion policy. A physician knowledgeable in SRC management may permit same day RTP following further medical evaluation.

    “It is recognised, however, that abbreviated testing paradigms are designed for rapid SRC screening on the sidelines and are not meant to replace a comprehensive neurological evaluation; nor should they be used as a standalone tool for the ongoing management of SRC.”

    This is telling me that the SCAT5 can help me rule out a SRC on the sideline, but do not replace the need for physician referral when a potential SRC is identified on the SCAT5 and that the SCAT5 becomes less helpful in managing RTP longterm.

    Thoughts?

  5. Nicole Member says:

    Questions for today’s presenter…. First, thank you for your studies that show low-grade exercise can improve outcome then cocooning the athlete. You mentioned that athletes may suffer from depression due to prolonged concussion symtpoms at about the 2-3 week mark. One of your treatment strategies you mentioneed was postural training. I think most of us notes that the head down, forward rounded shoulder is the posture for depression (which amazing our culture encourages that posture, as it’s how we design our chairs and technology that encourages that rounded shoulder posture. Hence, often times leading me to wonder is it the posture that is causing depression or vice versa). I guess my question is have you noted athlete’s posture affecting outcome or prolong recovery in what you anticipated to be a mild concussion? And do you check for dyfunctional breathing patterns, (ie exhale is much longer than with inhale, which is typical in person with depression). Also, have you noted poorerr outcomes in those athletes with poorere diets (ie processed and high in sugars)?

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