IRB GUIDELINE SUMMARY
• RECOGNISE AND REMOVE - learn to recognise the signs and symptoms of concussion and remove a player from the field if ANY doubt.
• PROTECT OUR YOUNG ATHLETES - The IRB recommends different return to play protocols for different ages.
• Concussion must be taken extremely seriously to safeguard the long term welfare of players.
• All players with a diagnosed concussion must be removed from the field of play and not return to play or train on the same day. Players with a diagnosed concussion must go through a graduated return to play program (GRTP), described later in this document.
• All players with a suspected concussion where no appropriately trained personnel are present must be assumed to have a diagnosed concussion and must be removed from the field of play and not return to play or train on the same day. In this situation, players must go through a graduated return to play (GRTP) protocol.
• For elite competitions, where approved by the IRB’s Chief Medical Officer and Head of Technical Services, players with a head injury where the diagnosis is not immediately apparent must be removed from play and can be assessed by a certified medical professional (CMP - defined as "A Certified Medical Professional who has successfully completed the IRB on line education programme for Match Day Medical Staff") assisted by the Pitch Side Concussion Assessment (PSCA) Tool.
• Players who complete a GRTP must receive medical clearance from a doctor or an approved healthcare professional (as defined by each Union) before returning to play
• The IRB recognises that there is considerable diversity in health care support across and within each Member Union. Because of this diversity each Union is encouraged to identify the roles and responsibilities of medical and healthcare practitioners and to establish a definition of approved healthcare professional relevant to their respective jurisdictions. Each Union will be responsible for confirming who is approved to diagnose concussion, provide a clearance to start a GRTP, monitor a GRTP and provide a clearance to return to play.
The IRB takes player welfare seriously and has been a primary supporter of the 2008 and 2012 Zurich Concussion in Sport Consensus Meetings. These meetings bring together the world experts in concussion every four years to review the current evidence surrounding concussion. Following a Consensus Conference, a position paper (Consensus Statement) is developed summarizing the current evidence based on knowledge in the area of concussion. This 2013 IRB Concussion Guideline has been updated to reflect the principles agreed at the Zurich 2012 Concussion Consensus Conference.
These IRB guidelines are designed to be used by non-approved healthcare professionals, team management, teachers, parents, referees and players. The guidelines are meant to ensure that players who suffer concussion are managed effectively to protect their long-term health and welfare. Scientific knowledge in the field of concussion is constantly evolving and the consensus process and scientific meetings will make sure that the IRB guidelines keep pace with these changes.
To download IRB Concussion Guidelines - Non-Approved Healthcare Professionals and General Public
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