Table 1

Injury and injury event prevention methods reported across >1 guideline

Level of intervention	Prevention
Level of intervention	PrimaryModifying risk factors associated with injury event occurrence	SecondaryReduces the severity of an injury should an injury event occur	TertiaryOptimal treatment and rehabilitation following injury
Staff/teacher factors	Appropriately qualified (n=22). Rules in place for appropriate behaviour in sessions (n=2) and supervision levels (n=9). Advanced planning of sessions including warm-up. Cool-down (n=3) and appropriate progression.6 Sessions appropriate for participants age, fitness and ability (n=6).	Staff adequately trained in first aid (n=24). Sport teachers (n=7) and other school staff (n=4) trained to recognise and manage concussion. Rules for activities and behaviour during sessions are enforced (n=2).	Staff aware of how to safely return students to activity after injury (n=5), including concussion (n=12). ‘Return to Learn’ plans for students following concussion (n=11).
System factors	Guidelines in place to ensure staff are aware of students’ medical history (n=9). Planning for extreme weather (mostly heat exhaustion) (n=12). Processes established for injury prevention, for example, matching players by weight and height (n=5).	Emergency action planning in place (n=9). Schools to have automated emergency defibrillators (n=3).	Structures in place to establish return to learning and activity protocols with relevant parties for concussive injuries (n=12).
Child and/or parent factors	Preparticipation examinations (n=8). Safe attire during sessions (n=2).	Child (n=9) and parent (n=8) education on concussion recognition.	Child (n=9) and parent education (n=8) on safe return to activity and learning following concussion.
School physical environment factors	Regular inspection of facilities to identify and remove hazards (n=8). Provision and use of fitted, well-conditioned, protective equipment (n=5).	Use of protective equipment (n=5).
National factors	Injury surveillance (n=2).	Legislation and policies regarding rule changes (n=5).

An empty cell indicates that no guideline referred to a strategy for this section. Individual rows within the table show related areas for prevention.
n, number of guidelines.