The entire point of the PPPE is to safely clear the student-athlete. Yes, we want them to play, but safely! The two main reasons athletes do not clear their PPPE is due to blood pressure and vision issues. It is important to take blood pressure readings with the athlete supine vs. sitting on a table. Make sure the athlete is in a calm state and in a back supported chair. Also, make sure the athlete does not need to go to the bathroom! As for vision, a 2023 study of athletes in Galveston, Texas found that 38.0% the student athletes did not bring their prescription eyeglasses, which resulted in the need for retesting while wearing their glasses.