In April, the NCAA released a set of guidelines mandating that each school establish its own concussion "management plan." These plans must stipulate that a player who shows symptoms of a concussion may not return to practice or play on that day. Texas Tech University Department of Athletic Training Sports Medicine Policies and Procedures Handbook 2010 starting on page 79 states in part: At the first sign and/or symptom of a concussion or mild traumatic brain injury (mTBI), the staff athletic trainer will take the following steps: I. Remove the athlete from athletic activity/competition. II. Notify the coaching staff of the respective sport as soon as possible. III. Perform an appropriate evaluation of the student-athlete. IV. Upon evaluation, if the staff athletic trainer suspects the student-athlete does have a concussion, he/she will remove the student-athlete athlete from further practice or competition for the remainder of the day.