IRB CONCUSSION GUIDELINES
The IRB Concussion Guidelines ensure that Players who suffer concussion are managed effectively to protect their long term Player health and welfare. These guidelines are designed for use by physicians and other health professionals, as well as, team management, teachers, parents and players.
CONCUSSION MANAGEMENT RESOURCES
IRB Concussion Guidelines are available (in full) at www.irbplayerwelfare.com/?documentid=3). The guidelines were designed to be used by physicians and other health professionals as well as team management, teachers, parents and Players. The IRB guidelines are based on the Zurich Consensus on Concussion in Sport and aim to ensure that Players who suffer concussion are managed effectively to protect their long term health and welfare.
IRB Concussion Management Education online education tool (www.irbplayerwelfare.com/concussion) provides 'best practice' concussion education for stakeholders, and provides an opportunity for coaches, team managers, administrators, teachers, parents, Players, Match Officials, Healthcare Professionals and Medical Practitioners associated with Rugby teams to familiarise themselves with the IRB Concussion Guidelines.
ARU Concussion Management Factsheet (pdf - 591kb) provides a summary of the major points of the IRB Concussion Guidelines. It is designed for use by medical practitioners and/or healthcare professionals, clubs/schools, coaches/ teachers, team management/support staff, match officials & players/parents.
IRB CONCUSSION GUIDELINES SUMMARY
Stage 1: Diagnosis and Management of Concussion
This includes protocols for diagnosis and management of concussion, when a Medical Practitioner and/or Healthcare Professional IS present, and is NOT present.
Medical Practitioner / Healthcare Professional IS present to diagnose and manage concussion.
Where an injury event with the potential to cause a head injury or concussion occurs and there is a Medical Practitioner or Healthcare Professional present -
Medical Practitioner/Healthcare Professional is NOT present to diagnose & manage concussion.
If there is NOT a Medical Practitioner or Healthcare Professional present -
Children and adolescents
Children and adolescents must NOT return to play without clearance from a Medical Practitioner.
Stage 2: Graduated Return to Play (GRTP)
The management of a GRTP following a concussion or suspected concussion of a Player should be undertaken on a case by case basis and with the full cooperation of the Player.
Where GRTP IS managed by a Medical Practitioner,
Where GRTP is NOT managed by a Medical Practitioner,
If any symptoms occur while progressing through the GRTP protocol, the Player MUST return to the previous stage and attempt to progress again after a minimum 24-hour period of rest.
All players MUST complete the GRTP protocol, and MUST have clearance from a Medical Practitioner before they can return to play.
IRB REGULATION 10. MEDICAL
10.1.1 A Concussion must be taken extremely seriously. Players suspected of having concussion or diagnosed with concussion must be removed from the field of play and take no further part in the Match or training.
10.1.2 Players suspected of having concussion or diagnosed with concussion must go through a graduated return to play protocol described in the IRB Concussion Guidelines.
10.1.3 The IRB Concussion Guidelines denote the highest threshold for adolescents and children, which must be strictly adhered to.
10.1.4 The IRB Concussion Guidelines shall be updated from time to time in accordance with best medical practice and as approved by the Executive Committee.
10.2 Local Anaesthetic
10.2.1 A player may not receive local anaesthetic on Match day unless it is for the suturing of bleeding wounds or for dental treatment administered by an appropriately qualified medical or dental practitioner.
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* Concussion is a complex process caused by trauma that transmits force to the brain either directly or indirectly and results in temporary impairment of brain function. Its development and resolution are rapid and spontaneous. A Player can sustain a concussion without losing consciousness. Concussion is associated with a graded set of clinical signs and symptoms that resolve sequentially. Concussion reflects a functional rather than structural injury and standard neuro-imaging is typically normal.
IRB Regulation 10. MEDICAL is available (in full) at www.irb.com/lawregulations/regulations/index.html
24 MAY 2013
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21 MAY 2013