Unfortunately, many kids do not wear their helmets and facial protection when playing hockey in other settings, such as backyard rinks or frozen lakes. Full equipment, including shoulder pads and pants, should be worn for any organized hockey activity. Concussions are being seen more frequently in ice hockey. A child who suffers a head injury should be evaluated to determine whether it is safe for him or her to return to play. Returning to activity before the resolution of the head injury puts the athlete at risk for a second injury or, in the worst case, death due to second impact syndrome.
Rule enforcement is also important for reducing the risk of injury.
The stick is supposed to be used to control the puck. At some age levels, checking is not allowed at all. Players are more likely to be injured due to foul play than fair play. Parents and coaches are responsible for teaching kids how to play the game within the rules. Officials are responsible for enforcing the rules.