Concussion & Injury Management

Concussion & Injury Management Ensuring the highest welfare standards are delivered In partnership with Content 1. Concussion a. Recognition & Manag...
Author: Maryann Sparks
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Concussion & Injury Management Ensuring the highest welfare standards are delivered In partnership with

Content 1. Concussion a. Recognition & Management b. Medical Clearance 2. Injury recording 3. The Return2Play Platform


is a big issue in World Sport

Excerpt from HKRU Concussion Statement; HKRU places player welfare above all else in our game. We believe that decisions about concussion should be made based on the latest available evidence not emotion and will continue to strive to enhance the well-being of all the players who take part in our game.'

Dr. David Owens HKRU Chief Medical Officer

The problem… Concussion numbers are increasing*: • 2015-2016 – HKRU Medical dept managed ~ 291 injury cases ~ 20 of which were concussions • 2016-2017 – HKRU Medical dept managed ~ 406 injury cases > 130 of which were concussion cases • Numbers are increasing as recognition of concussion increases • *the numbers recorded are purely from injury reports submitted by parents/coaches/medics. We currently have no way of knowing how many more concussions occur and which of those are managed appropriately, if at all.

The problem… We have an injury which: • We can’t properly define

• We have no way to confidently diagnose/rule out • Mismanagement may have disastrous consequences

But, with good education, it can be made simple…


Of Coaches, Players and Parents

“Do the risks outweigh the benefits?” Things to ask yourself:

1. Could the described mode of injury have caused a concussion? 2. Have there been any signs or symptoms displayed which concern you? are you happy to let them play on?

“If in doubt, sit them out”

Clear management guidelines Players suffering from concussion may not return to play until: 1. All their symptoms have cleared 2. They have followed the Graduated Return to Play (GRTP) protocol 3. They have been medically cleared to return

Clear management guidelines Recovery Stage

Child (U19s)


Rest Period (minimum)

14 days

14 days

Graduated Return to Play

Can progress if symptom free Doctor review recommended 8 days 6 days

Medical Clearance by Doctor required Earliest Return to Play

23 days

21 days

Your Responsibility 1. Thorough documentation at time of injury - How the injury occurred - That worrying symptoms were checked for - That advice was given to parents 2. Inform all those involved in the care of that player - Parents - Coaches within your club - School (and likely multiple staff within it) - Sports clubs (possibly multiple) 3. Ensure the pathway is followed - Rest, GRTP, Medical clearance - Documentation of completion before return to sport

It can become a lot of work!

Other Injuries Clubs should ensure that: 1. All injuries, no matter how minor, are recorded 2. No player should return to sport until they have fully recovered or they are approved to do so by a medical profession 3. Injuries are regularly reviewed to consider whether they are preventable

Blue Card Protocols

Potential Concussive Incident Direct Removal



Team Coach identifies a player with suspected concussion

Referee identifies a player with suspected concussion prior to the Team Coach

If player is deemed unfit to continue, player must leave the field immediately and permanently

Referee blows whistle to stop play. Referee raises Blue Card to request removal of player by Team Coach

Referee to note the NUMBER & NAME OF PLAYER

Concussion & Return To Learn

Excerpt from Berlin Concussion Consensus Statement - 2016 Schools are encouraged to have a Sports Related Concussion (SRC) policy that includes education on SRC prevention and management for teachers, staff, students and parents, and should offer appropriate academic accommodation and support to students recovering from SRC. Students should have regular medical follow-up after an SRC to monitor recovery and help with return to school, and students may require temporary absence from school after injury. Children and adolescents should not return to sport until they have successfully returned to school. However, early introduction of symptomlimited physical activity is appropriate. Concussion & Return To Learn

Return2Play – management system

Return2Play platform

Check that your players are fit to play via the online platform

Record new injuries against a player using simple reporting forms

Automatic communication to all who need to know about the injury

Monitor a players recovery on the platform

Return2Play platform

Concussions are linked to doctors approved by HKRU

The club receives a notification to confirm the player has been cleared to return to sport

All injuries are stored in the player’s “Injury Passport” which can be shared with schools, clubs and doctors

Clubs can review injury details and Return2Play can provide reports to show trends

Platform Screenshots

Live Player Register

Record Injures

Monitor Recovery

Linking with Doctors • Done by players/parents • Linked with doctors approved by HKRU for management of concussion

“Injury Passport” • Able to be shared by players/parents with multiple organisations

Injury Reports 8 6 4 2 0

Concussion rate by team