• Worsening headache or repeated vomiting
  
  
• Seizure or convulsions
  
  
• Increasing confusion, agitation, or unusual behavior
  
  
• One pupil larger than the other
  
  
• Slurred speech, weakness, numbness, or poor coordination
  
  
• Cannot be awakened or condition worsens

A player with a suspected concussion must be evaluated by an appropriate healthcare professional. Cheltenham Little League requires written clearance before the player can begin any return-to-play progression. Families should follow medical guidance regarding rest, school accommodations, and activity restrictions.

A player may return to baseball or softball activities only after symptoms have resolved, written medical clearance has been provided, and the league has confirmed approval to begin a gradual return-to-play progression.

• Light aerobic activity
  
  
• Sport-specific activity such as light throwing or drills (no contact)
  
  
• Non-contact training drills with increased intensity
  
  
• Full practice participation if approved
  
  
• Return to game play

 

If symptoms return at any stage, the player must stop activity and only resume after being symptom-free and medically cleared.

• Monitor the player at home after the injury
  
  
• Follow medical recommendations
  
  
• Provide required medical documentation to the league
  
  
• Report any returning or new symptoms to the coach and Safety Officer

 

Submit medical clearance and return-to-play documentation to the Cheltenham Little League Safety Officer. Email: [email protected]

• Remove a player immediately when a concussion is suspected
  
  
• Never allow same-day return to play
  
  
• Notify the parent/guardian and Safety Officer
  
  
• Document the injury or incident as required by the league
  
  
• Support recommended rest and recovery guidance

For questions regarding this protocol or a player's return-to-play status, please contact the Cheltenham Little League Safety Officer.