Editing Perception management (section)

=== Training ===
{{Update section|date=February 2022|reason=Things have happened since 2008}}
For many years people{{who|date=October 2013}} viewed concussions and big tackles in football games as athletes just "getting their bell rung" and coaches implored them to "shake it off and get back in the game". However, a concussion is a [[traumatic brain injury]] that may temporarily interfere with the way the brain works and can affect memory, judgment, reflexes, speech, balance, coordination and sleep patterns.<ref>{{Cite journal|last1=Patterson|first1=Faith|last2=Staton|first2=A.|date=2009-04-01|title=Adult-Acquired Traumatic Brain Injury: Existential Implications and Clinical Considerations|url=https://meridian.allenpress.com/jmhc/article/31/2/149/83362/AdultAcquired-Traumatic-Brain-Injury-Existential|journal=Journal of Mental Health Counseling|language=en|volume=31|issue=2|pages=149–163|doi=10.17744/mehc.31.2.1p42572p01435173|issn=1040-2861|url-access=subscription}}</ref><ref>{{Cite journal|last1=Barry|first1=Nicole C.|last2=Tomes|first2=Jennifer L.|date=2015-10-21|title=Remembering your past: The effects of concussion on autobiographical memory recall|journal=Journal of Clinical and Experimental Neuropsychology|language=en|volume=37|issue=9|pages=994–1003|doi=10.1080/13803395.2015.1038981|pmid=26300529|s2cid=33167920|issn=1380-3395}}</ref><ref>{{Cite journal|last1=Covassin|first1=Tracey|last2=Moran|first2=Ryan|last3=Wilhelm|first3=Kristyn|date=December 2013|title=Concussion Symptoms and Neurocognitive Performance of High School and College Athletes Who Incur Multiple Concussions|journal=The American Journal of Sports Medicine|language=en|volume=41|issue=12|pages=2885–2889|doi=10.1177/0363546513499230|pmid=23959963|s2cid=44264067|issn=0363-5465}}</ref> A study from the National Center for Injury Prevention found that 47 percent of high school football players say they suffer a concussion each season, with 37 percent of those reporting multiple concussions in a season. Serious injuries deserve appropriate attention to treatment and to prevention. With a concussion, function may be interrupted but there is no structural damage to the brain, so a physical examination often appears normal. The [[American College of Sports Medicine]] estimates that 85 percent of sports-related concussions go undiagnosed because athletes deny or fail to report symptoms and because subtle changes in brain function may not be obvious on a single examination. In May 2008, the CDC implemented new standards for concussion management, which required athletes who are involved in a play where a concussion was possible (a direct blow to the head) to be evaluated by a certified athletic trainer or a qualified physician if available. The standards go on to say that if the athlete has any signs of a concussion, they are not able to return to play for the rest of the game or practice.<ref>{{Cite journal|last1=Guskiewicz|first1=Kevin M.|last2=Bruce|first2=Scott L.|last3=Cantu|first3=Robert C.|last4=Ferrara|first4=Michael S.|last5=Kelly|first5=James P.|last6=McCrea|first6=Michael|last7=Putukian|first7=Margot|last8=McLeod|first8=Tamara C. Valovich|date=October 2004|title=Recommendations on Management of Sport-related Concussion: Summary of the National Athletic Trainers' Association Position Statement|journal=Neurosurgery|volume=55|issue=4|pages=891–896|doi=10.1227/01.neu.0000143800.49798.19|pmid=15458597|issn=0148-396X}}</ref> According to the ''New York Times'', this seems like a good policy in theory, but with football season being over for a large majority of high schools (football having the highest risk of concussion), experts found that athletes have found ways to get around the standards, such as denying any concussion symptoms they are having, learning how to answer questions to hide any signs of concussion, or not saying anything about the possible concussion to the athletic trainer or physician working at the game. With these strategies, athletes put themselves at risk for the "second concussion", which can leave permanent brain damage and can even lead to death. Although in theory these new standards for concussions are great for significantly reducing the risk of missing symptoms that appear after 24 hours and preventing any further brain damage, but with athletes now hiding possible concussions from athletic trainers and physicians, these standards may actually have a negative effect on concussion management.<ref>{{cite news|author=Schwarz, A.|date=7 June 2009|title=New guidelines on young athletes' concussions stir controversy|url=https://www.nytimes.com/2009/06/08/sports/08concussions.html|work=New York Times}}</ref><ref>{{cite news|last=Welge|first=J|title=Concussions are not something to mess around with|url=http://football.dailyherald.com/story/?id=50569|access-date=20 November 2011|newspaper=Daily Herald|date=October 5, 2007}}</ref>