BESE Rules for ACT 352

Pursuant to §1299.186(F) of this Act, the Louisiana State Board of Medical Examiners (LSBME) and the Louisiana High School Athletic Association’s (LHSAA) Sports Medicine Advisory Committee recommend the following Rules for a Sports Injury Management Program to the Louisiana Board of Elementary and Secondary Education (BESE):


Injury Management Program Rules for Serious Sports Injuries

§501. Injury Management Program (click HERE)

 §503. Protocol for Educational Training on Serious Sports Injuries (click HERE)

 §505. Injury Management Protocol for Serious Sports Injuries

A)  A student-athlete, who reports, or exhibits, any sign or symptom of a possible serious sports injury, defined as any loss of function as a result of a direct or indirect injury, shall immediately be disqualified from continued participation and be removed from practice, training or competition.

1. A direct injury refers to an injury which results from participation in the fundamental skills of the sport. This may include, but not limited to, fractures, dislocations, injuries to the eyes, dental, or any other acute episode of musculoskeletal injury.

2. An indirect injury refers to an injury caused by a systemic failure (usually cardiac or respiratory in nature) resulting from exertion while participating in an activity, or by a complication which may be secondary to a non-fatal injury. This may include, but not limited to, abnormal/difficulty in breathing, the appearance of dizziness or confusion or any other unusual behavior exhibited by a student-athlete.

B)  The student-athlete shall be evaluated for a serious sports injury, as determined by a doctor of medicine/doctor of osteopathic medicine (MD/DO), and appropriate medical treatment rendered in a timely manner.

1. If a MD/DO is not immediately available, the injured student-athlete may be triaged by an appropriate mid-level provider duly authorized by a MD/DO.

2. If no such caregiver(s) is immediately available, then the designated responsible school personnel shall ensure that medical treatment is rendered in a timely manner.

C)  If the student-athlete's injury is not a serious sports injury, then a return-to-play (RTP) clearance may be provided by an onsite MD/DO or an appropriate mid-level provider duly authorized by a MD/DO.

D)  A student-athlete with a serious sports injury may only be allowed to return to practice, training, or competition after a RTP clearance is provided by a MD/DO to the athletic trainer or coach. The clearance provided by a MD/DO shall include a step-wise RTP protocol.

E)  The game official's role during a contest shall be to ensure the immediate removal of any student-athlete who reports or exhibits any sign or symptom of a serious sports injury from that contest until a RTP clearance has been provided by an onsite MD/DO or an appropriate mid-level provider duly authorized by a MD/DO. [The game official shall always rule on the side of caution, with the health and safety of the athlete being his/her primary and foremost concern.]


 §701. Definitions

The following definitions are provided for these Rules

 .Appropriate Mid-Level Provider – a health care provider duly authorized by a supervising MD/DO to provide care for sports injuries in accordance with their respective scopes of practice. For the purpose of this Injury Management Program, the following health care providers may function as an appropriate mid-level provider onsite at any school-sponsored or sanctioned athletic activity:

  • A physician assistant licensed to practice in Louisiana
  • A registered nurse practitioner licensed to practice in Louisiana
  • An athletic trainer certified by LSBME to practice in Louisiana

Loss of function – any sign of inability to perform any sport specific activity or movement. This may include, but not limited to, walking/running with a limp or holding/protecting a body part, or any other impaired movement.

Responsible School Personnel – the individual(s) (i.e., head coach, assistant coach, etc.) designated by the respective school with the responsibility for student-athlete safety.

Return-to-Play (RTP) – A term used to describe when a student-athlete, who has followed a step-wise protocol, is released to return to practice or competition.

Step-wise RTP Protocol – a protocol, approved by a MD/DO, delineating a sequence of progressive activities (which may include strength, stability, agility, etc.) designed to allow the athlete a gradual return to physical activity, and eventually sport practice or competition.










 (click imabe above to view a section of BESE Bulletin 135)

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