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Is North Carolina’s New Concussion Law Best in the Country?
The Gfeller-Waller Concussion Act – named after two football players who died after suffering concussions in 2009 – was signed into law by North Carolina Gov. Bev Perdue late last week. Every member of the state’s House and Senate endorsed the law, which head-injuries expert Kevin Guskiewicz calls the best in the country.

"It has such a strong educational component," Guskiewicz, a University of North Carolina professor and director of the Matthew Gfeller Sport-Related Traumatic Brain Injury Research Center, told the Raleigh News & Observer. "I suspect we will hear from other states wanting to copy it."


The North Carolina High School Athletic Association adopted a concussion policy soon after Jaquan Waller, a junior at Greenville Rose High, and Matthew Gfeller, a sophomore at Winston-Salem Reynolds High, both died in August 2009 while playing football. The state’s Gfeller-Waller Act now extends protections into middle school athletics, as well as adds education and emergency planning requirements.


Similar to concussion laws in 20 other states, North Carolina’s law requires student-athletes at public high schools and middle schools to be removed from participation if there is a suspicion that the athlete has suffered a concussion. The student-athlete cannot return to participation until cleared by a medical professional – a mandate that might have saved Waller’s life. The running back received a concussion in practice on a Wednesday but two days later played in a game in which he was hit hard enough to induce second-impact syndrome. Unlike Waller, Gfeller's injury came from a single blow.


Additionally under the new law, public high school and middle school coaches, trainers, athletes and parents will receive information about concussions each year, and schools will be required to formulate emergency action plans. "These are things that we should have already been doing," Perdue told reporter Tim Stevens.


"Hopefully, what starts at the high school and middle school level filters down to Little League, Pop Warner and youth soccer," Guskiewicz added. "We absolutely have to eliminate the idea of someone having their bell rung or getting a little dinged. We have to raise the awareness of the severity of concussions, and this law does that."


At least one park and recreation organization has already attempted to tackle concussions. Grade school football players in New Jersey will undergo computerized cognitive baseline testing this fall under a new policy devised by the Franklin Lakes (N.J.) Recreation and Parks Committee and adopted by the Borough Council.

Posted At 10:00 AM • Comments (7)

How about now they pass a law that requires a Certified Athletic Trainer in all high schools? Who else to better care for the student athlete than a qualified allied health professional?
Comment By squeeze4 At 6/21/2011 4:46 PM
Agree with Squeeze4. They mandate school nurses, they should also mandate the athletic trainer--if they can afford to do sports (and pay the multi-million$$ lawsuits post-mortem) then they should hire athletic trainers to cover all sports--if they can not afford the standard of care required to implement the law, then don't make the law, or don't do the activity.
Comment By apollo At 6/22/2011 12:14 PM
When will the public and school officials realize that certified athletic trainers (not 'trainers') are educated and trained to deal with all sport injuries, including concussions. In my experiences ATCs are much more educated in this area compared to family physicians and nurses.
Comment By LJATC At 6/23/2011 9:00 AM
I too agree wtih LJATC about how concussions are handled in the ER and by family physicians. I an a contracted ATC for local high schools and made calls to get an MD on board to evaluate all head injuries and no one was interested to take on the liability of dealing with 'minor'. But on the same note had an ER MD ready to sign off on a student athlete after 2 days that was still showing signs and symptoms of a concussion to play in a game within the same week! One of 50 states mandate ATCs;
Comment By adam At 6/27/2011 11:07 AM
I think this law is going way way overboard. In our country the sports medicine MD and 'trainers' are jumping and calling every little hit a 'concussion'. I hate to tell them but football requires hitting or getting hit and every hit is not a concussion. Although this has been a MONEY boom to this physician's practice as he has the majority of the 2 highschool's players from our county in his office for weeks and weeks of 'concussion' protocol. I also do not want athletic trainers and orthopedic sports doctors treating my son for a possible neurologic injury. Neurologists need to be doing this. The way this law was implemented and now being handled is terrible and needs to be looked at again. I have been in the medical field for almost 20 years and have never seen the explosion of bogus concussion dx from 'trainers' as I have now. I am totally against my so being labled has having a concussion dx in error. A DX stays on a person's medical record for life and this dx is being handed out like candy. Hey, but why not, if I was an MD and could make all the money off something like this gift dropped in my lap, you wouldnt??!! They see $$$$$$$ signs and a gold mine from this law.
Comment By JoAnn At 9/9/2011 9:51 PM
Joann AT, I respectfully and strongly disagree with you opinion that Athletic Trainers and Medical Doctors diagnose concussions to make a profit. Currently Athletic Trainers have no ability to bill for services rendered outside of a clinic. Also the physiology of each human is different. One minor collision may be nothing to a player while another player the impact could be enough to cause damage. Warranting caution and proper evaluation. Further, high school age and below children have immature brains. It is of the utmost importance to protect the brain. Mismanagement of a mild or sever traumatic brain injury could leave you with a grown adult that has the capacity of a child. I encourage you to take the time and watch espn.go.com/video/clip?id=5163151 this is the real danger in mismanagement of a concussion. Lastly I will leave you with this, if the AMA (American Medical Assoc) has in written statement supported the use of an Athletic Trainers and has approved our practices, specifically in concussion management. Then I have no choice but to side with a organization that is consistently made up of the best medical doctors including the neruo specialists that you feel so strongly about. I have had years of educational experiences in my undergraduate, graduate and as a professional in the area of concussion and proper management. As a profession Athletic Trainers pride themselves on being up to date and well educated specifically in the area of concussion. I do not know a single medical professional that would misdiagnosis a concussion because 'they see $$$$$$ sign and a gold mine from this law' I encourage you to speak with your Athletic Trainer at your school and your physician. I am sure you will find individuals who are intelligent and more than qualified. Best of luck to you and yours, may you never experience the pain of the family in the video I posted for you and please do not take concussions lightly.
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Comment By MrAli At 2/9/2013 6:23 AM
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