Concussion Protocols Every Youth Coach Must Know in 2026

January 2026 legislation expands mandatory concussion protocols beyond football. If you coach, you are required to follow them. Failure = personal liability.

Stats

1 in 5

High school athletes suffer a concussion

Trends

40% ↑

Youth concussions this decade

What Is a Concussion?

A traumatic brain injury from a blow to the head/body. It doesn't require loss of consciousness, a head hit, or immediate symptoms.

Key rule: When in doubt, sit them out.

Signs & Symptoms

• Dazed or confused

• Slow to respond

• Forgets plays

• Balance issues

• Vomiting or nausea

• Sensitivity to light/noise

• Headache or pressure

• Dizziness or blurred vision

• Feeling foggy

The Protocol

Step 1: Remove Immediately

Stop play. Remove player from field. No 'one more play.'

Step 2: Notify Parent

Detail time, symptoms, and that you're following protocol. No downplaying. Document it.

Step 3: Monitor

Watch for worsening symptoms. Do NOT let them drive or be alone.

Step 4: Medical Clearance

Symptom-free + signed note from qualified medical pro. No clearance = no play.

Return-to-Play Progression

Stage	Activity
Day 1	Light activity (walking, gentle cycling).
Day 2	Sport-specific drills, no contact.
Day 3	Non-contact practice.
Day 4	Full-contact practice.
Day 5	Full game play.

Restarting at any point that triggers symptoms → stop and go back to physician.

Common Coaching Mistakes

• Relying on sideline tests as diagnostics

• Assuming no loss of consciousness means no concussion

• Believing symptoms resolve in 10 minutes

• Prioritizing a big game over safety

• Ignoring your legal obligation as a coach

Sub-Concussive Hits

Repeated minor impacts can accumulate damage. Limit full contact drills, emphasize technique, and follow USA Football / US Soccer guidelines.

Coach Certification

CDC HEADS UP NFHS Concussion in Sports USA Football Heads Up Concussion Clinic

Most states require 30-60 minute courses every 2-3 years. Keep certificates on file.

Coach Handbook Essentials

• Concussion checklist (laminate and carry it)
• Incident report template
• Return-to-play policy + medical clearance form
• Emergency contacts + local concussion specialists

The Bottom Line

Recognize the signs, remove the player, notify parents, and get medical clearance. No exceptions. Your job is to protect kids, not diagnose.

When in doubt, sit them out. That’s not overreacting. That’s coaching—and it keeps kids safe.