TBI information to be added to Pa. bus driver’s manual
The Pennsylvania Department of Transportation (PennDOT) is in the process of including language in the agency’s school bus driver’s manual on the symptoms of traumatic brain injuries and concussions, and the procedures drivers should follow if a student sustains such an injury. Jan McKnight of PennDOT discusses with SBF what led to this change in the manual and when the new version is expected to be available.
HARRISBURG, Pa. — The Pennsylvania Department of Transportation (PennDOT) is taking steps to provide pupil transportation officials in the state with information about traumatic brain injuries (TBI) and concussions after a student sustained a TBI while riding a school bus.
The incident was brought to the department’s attention by the mother of the student who was involved. Jan McKnight, community relations coordinator II for PennDOT, told SBF that the woman wrote to PennDOT Secretary Barry Schoch about it. In the case, the school bus reportedly hit a large rock or curb and the student sustained the injury.
“The mother who wrote the secretary urged that we take steps to publicize information about traumatic brain injury to the school bus community,” McKnight explained. “We worked on wording with our Medical Advisory Board, made up of physicians from a number of specialties, and sent an educational letter to all school districts that described traumatic brain injury and some of the initial symptoms.”
A portion of the information in the letter is as follows:
“Depending on the severity of the injury, damage to the brain can be mild, moderate or severe. A key point is that a person suffering from traumatic brain injury may initially show no symptoms at all, but if symptoms are present, they can vary and may include headache, slurred speech, dilated pupils, hearing loss, seizures, paralysis, loss of consciousness, memory loss, coma, nausea or vomiting, dizziness, confusion and blurred vision.”
To read the letter in full, click here.
In addition to sending the letter to school officials in the state to share with transportation personnel, McKnight said PennDOT is in the process of adding language to its school bus driver’s manual to reflect this information.
“Information is currently being added to the manual and a new version should be available on our website in the next several weeks,” McKnight said.
The school bus driver’s manual can be downloaded here.
For more information about TBI and how to evacuate students with this condition from a school bus, click here to read an article written for SBF by Jean Zimmerman, supervisor of occupational and physical therapy for the School District of Palm Beach County (Fla.).
More Safety

Are Autonomous Vehicles Ready to Safely Navigate School Bus Stops?
NHTSA is accelerating autonomous vehicle deployment through new safety standards and commercial approvals. See why school transportation leaders are watching.
Read More →
NFL Star Lomas Brown Kicks Off New Illegal School Bus Passing PSA
Just in time for the back-to-school season, the former Detroit Lions offensive tackle took time to record a video encouraging motorists to slow down around school buses.
Read More →
How Two Texas Districts Built Award-Winning Safety Programs
Learn how Prosper ISD and Rockwall ISD earned National Safety Council honors through hands-on training, safety culture, and strategies that reduced transportation incidents.
Read More →
NHTSA Releases 10-Year Review of Fatal School Bus Crashes
The latest federal analysis reinforces the safety of school buses while identifying where school-age pedestrians and other motorists remain most at risk.
Read More →
2026 NASDPTS Survey: Data Shows Further Reduction of Illegal Passing
New data is in! School bus stop-arm passings are down to 38.4 million violations per year, about a 2.3% decrease from last school year — but passings on the right side of the bus are higher than ever.
Read More →
Another School Bus Fatality Reported in Monsey, New York
A 7-year-old girl died after being struck by a school bus in Rockland County, New York while crossing the street. Here's what we know.
Read More →
NSTA Announces 2026 School Bus Driver International Safety Competition Winners
Drivers from across the U.S. and Canada showcased their safety and driving skills, with two defending champions successfully retaining their titles.
Read More →
The Driver Shortage Playbook
Driver shortages are still a major challenge for student transportation fleets, but the real issue has shifted. It’s no longer just about filling seats quickly. It’s about finding safe, reliable drivers who meet performance expectations and want to stay. The Driver Shortage Playbook covers why traditional recruitment tactics are falling short and how school fleets are adapting with smarter hiring, stronger retention strategies and a greater focus on driver quality.
Read More →
Pro-Vision Launches AI-Powered 360° Camera System
The new Birdseye camera delivers real-time AI-based pedestrian and vehicle detections, full visibility around the bus, and telematics integrations.
Read More →
N.Y. & N.J. Coalitions Call for Modernized Transportation for Vulnerable Students
New statewide coalitions in New York and New Jersey are urging lawmakers to expand student transportation options for vulnerable students amid ongoing driver shortages.
Read More →
