<strong>the</strong> bulletinnews from our campus & communityConcussion Protocol<strong>Noble</strong>s Ahead of <strong>the</strong> GameTwenty years ago, when an athletesustained a head injury, <strong>the</strong> studentwould trot to <strong>the</strong> sidelines, get a quickassessment from <strong>the</strong> athletic trainer, <strong>and</strong>ei<strong>the</strong>r take a seat or return to play. It wasusually as simple as that.Decades later, modern research isfueling national concern about concussions<strong>and</strong> head trauma <strong>and</strong> <strong>the</strong>ir effects.The evolution of head-injury treatment<strong>and</strong> protocol at <strong>Noble</strong>s is consistent withdevelopments in testing, treatment <strong>and</strong>best practices for helping athletes recover<strong>and</strong> return to <strong>the</strong> classroom <strong>and</strong> athletics.“Our response [to <strong>the</strong> research] isthoughtful <strong>and</strong> deliberate” says Dean ofStudents Erika Guy. “We try our best tostay ahead of <strong>the</strong> curve for <strong>the</strong> health <strong>and</strong>safety of students.”One new st<strong>and</strong>ard—beyond a basicon-site field test by an athletic trainer—isImPACT (Immediate Post-concussionAssessment <strong>and</strong> Cognitive Testing),introduced in <strong>the</strong> early 2000s. <strong>Noble</strong>swas one of <strong>the</strong> first schools in <strong>the</strong> Independent<strong>School</strong> League (ISL) to use <strong>the</strong>program, which administers baseline<strong>and</strong> post-injury neurocognitive testingto evaluate brain functions. In 2008,<strong>the</strong> athletics department formalizedprotocol for assessing head injuries <strong>and</strong>concussions, <strong>and</strong> established <strong>the</strong> <strong>Noble</strong>sConcussion Management Team (CMT),a committee to improve collaboration<strong>and</strong> oversight.“At that point, <strong>the</strong> athletic assessmentwas separate from academics,” explainsAssistant Dean of Students <strong>and</strong> formerDirector of Athletics Bob Moore. Theschool nurses introduced a separateprotocol to assess how <strong>and</strong> when astudent returns to <strong>the</strong> classroom. It wasprogressive, but still not where it neededto be. <strong>Noble</strong>s needed to streamline protocolsfor athletic <strong>and</strong> academic assessmentin response to a head injury.”There needed to be a clear exchangeof information among coaches, trainers<strong>and</strong> nurses as well as teachers, deans<strong>and</strong> advisors. The school convened itsassembly highlightsSharing a Passion to an organizationScience teaching she is passionatefellow Lindsey Tonge about, Camp Sunshine,introduced students a retreat in Casco,Maine, for kids withlife-threateningillnesses <strong>and</strong> <strong>the</strong>irfamilies. She sharedstories <strong>and</strong> memoriesof working at <strong>the</strong> camp<strong>and</strong> invited studentsto learn more.Wind, String <strong>and</strong>Orchestra ConcertStudents <strong>and</strong> facultywere treated to apreview of <strong>the</strong> wind,string <strong>and</strong> orchestraconcert. The orchestraperformed “Hoe-Down”from <strong>the</strong> “Rodeo” balletby Aaron Copl<strong>and</strong>.<strong>Noble</strong>s vs.Cotting GameGraduate Will R<strong>and</strong>le’09 returned to <strong>Noble</strong>s4 <strong>Noble</strong>s spring 2013illustration by stephanie dalton cowan
y <strong>the</strong> minute Did you know? “<strong>Noble</strong>s Minute”is a video series that highlights daily happenings <strong>and</strong> eventson campus. Go to youtube.com <strong>and</strong> search “<strong>Noble</strong>s Minute.”CMT <strong>and</strong> developed a single concussionprotocol for all students. The firststep occurs long before an athlete evensuits up; every <strong>Noble</strong>s student takes <strong>the</strong>baseline ImPACT test prior to participationin athletics. It is administered whenstudents enter <strong>Noble</strong>s, <strong>and</strong> it is readministeredperiodically to ensure accurateinformation.The operating procedure goes intoeffect at <strong>the</strong> point of impact. After astudent sustains a suspected or diagnosedconcussion, <strong>the</strong> school notifies <strong>the</strong> parentor guardian (or vice versa, depending onwhere <strong>and</strong> when <strong>the</strong> injury occurred).The parent or guardian is also responsiblefor notifying <strong>the</strong> student’s physician. Theschool nurse or athletic trainer communicates<strong>the</strong> official diagnosis to <strong>the</strong> CMT.After <strong>the</strong> concussion diagnosis <strong>and</strong>ImPACT testing, <strong>the</strong>re is a minimumfive-day period during which physicalactivity at <strong>Noble</strong>s is prohibited. Then, if<strong>the</strong> student is symptom free, <strong>the</strong> ImPACTtest is readministered, <strong>and</strong> a concussionspecialist reviews results. Academicaccommodations are also made after adiagnosis. “It starts with rest,” explainsGuy. “Students should rest away fromschool before returning to class, first asa passive learner. They slowly becomemore active in class, at a safe pace.”Communication among <strong>the</strong> CMT,parents, teachers, advisor, student <strong>and</strong>physician is thorough <strong>and</strong> frequent, <strong>and</strong>only after a student is allowed to fullyreturn to academics can he or she becleared for physical activity. “The averagereturn is between 14 <strong>and</strong> 20 days,”says Moore, “but it varies dependingon <strong>the</strong> student <strong>and</strong> severity of symptoms.We do our best to coordinate withteachers to help students catch up aftermissing class time. We all want <strong>the</strong> bestfor our students.”McGrail Takes FirstCaitlin McGrail ’16 competed in <strong>the</strong> National Association of Teachers of Singing(Boston Chapter) Song <strong>and</strong> Aria Festival, on Saturday, Feb. 16, 2013, at BostonUniversity. McGrail placed first in Division 1A–ages 13 to 15 for students not enrolledin or attending a performing arts high school.At <strong>the</strong> competition, McGrail performed “Spirate pur Spirate,” by Donaudy, “Mondnacht,”by Brahms <strong>and</strong> “Jupiter Has Seven Moons,” by Bernstein. After years of musical<strong>the</strong>atre, she became interested in opera when her voice teacher suggested she try it.“I have two amazing voice teachers, Andrea DelGiudice <strong>and</strong> Molly Jo Rivelli,” shesays. “They both have had great careers <strong>and</strong> are fantastic teachers. I hope to be like<strong>the</strong>m one day.”Next on <strong>the</strong> docket for McGrail? “I will be singing Barbarina in <strong>the</strong> “Marriage ofFigaro” at <strong>the</strong> Tuscia Operafestival in Viterbo, Italy, this summer. I am also involved in<strong>the</strong> [<strong>Noble</strong>s] spring musical, The Drowsy Chaperone,” she says.Caitlin McGrail ’16to promote <strong>the</strong> annual<strong>Noble</strong>s vs. Cotting<strong>School</strong> basketballgame. Cotting is aprivate special-educationday school forstudents with specialneeds. R<strong>and</strong>le, whosesister attended Cotting,made <strong>the</strong> originalconnection between<strong>the</strong> two teams.MLK AssemblyStudents <strong>and</strong> facultyhonoring Martin Lu<strong>the</strong>rKing Jr. Day reciteda poem by MayaAngelou, presenteda mural/street artslideshow honoringMLK <strong>and</strong> o<strong>the</strong>r AfricanAmericans with socialjustice legacies, <strong>and</strong>performed a dancechoreographed toMLK’s “I Have aDream” speech. Membersof Imani sang“Ella’s Song,” by SweetHoney in <strong>the</strong> Rock.Calling All Ski Fans!Alex Katz ’13 made awitty personal pleafor fans—beyond justparents—to attend animportant ISL ski racespring 2013 <strong>Noble</strong>s 5