SUMMER RUGBY INTERNATIONALS 2022
Moderators: Tigerbeat, Rizzo, Tigers Press Office, Tigers Webmaster
Re: SUMMER RUGBY INTERNATIONALS 2022
Some responsibility has to be taken by Sexton himself. Hope he doesn’t come to regret it in the future.
A2O
Re: SUMMER RUGBY INTERNATIONALS 2022
The HIA protocols are quite extensive:
Stage 1 – Off-field HIA1 Assessment
In stage 1, players who sustain head impact events with the potential for a concussion are identified by match officials, team doctors (TD), or independent match-day doctors (MDD). The identification is either by direct observation or on video review.
The off-field HIA1 assessment has four components and they are:
12 immediate and permanent removal criteria (known as Criteria 1 indications) AND
an off-field screening tool AND
pitch-side video review AND
clinical evaluation by the attending doctor
The off-field HIA1 assessment is therefore not limited to the off-field screening tool. Instead, the off-field screening tool is one component of a comprehensive assessment.
Players displaying obvious on-pitch signs of concussion (Criteria 1) are immediately and permanently removed from play, and the completion of the off-field screening tool is not required. Any other cases, where players have the potential for concussion (Criteria 2), but without clear on-pitch symptoms or signs, undergo an off-field assessment consisting of a medical room clinical evaluation by an attending doctor supported by the multi-modal screening tool, and video review.
The off-field screening tool is a re-formatted Sports Concussion Assessment Tool (SCAT 5), the pitch-side assessment tool recommended by experts from the international concussion consensus meeting. This off- field screening tool includes a check of symptoms, memory assessment and balance evaluation. Only used in the professional game, the results of this off-field assessment are compared to a previously conducted ‘baseline assessment’, or to a normative result. An abnormal screening tool result is indicated if the score is different from that player’s baseline assessment or the normative score and confirms a suspected concussion. Any player with an abnormal off-field assessment or if there is a clinical opinion of suspected concussion must be removed from the game.
The team doctor has the primary responsibility for conducting the off-field screen but can delegate this role to the match-day doctor. The off-field screen is conducted in the stadium’s medical room or other agreed venue if medical room is too distant from the field. If a temporary substitution for head injury is required a 12-minute temporary replacement is allowed. This is a set 12 minutes and is absolute time not playing time.
A player undergoing an off-field assessment must report to the 4th official within the 12 minutes but will not be allowed to return to play until the 12-minute period has expired.
Video review has three roles in the off-field HIA1 assessment. Firstly, during play, independent match-day doctors can supplement side-line observation with video reviews of incidents to identify any suspicious head impact events requiring either permanent removal from play or removal from play for further side-line assessment. At this point, the decision of the MDD is simply that the player be removed. A second video review is then undertaken with the MDD and Team Doctor present. If HIA1 immediate removal criteria (Criteria 1) are identified, the player is permanently removed from play without further evaluation. If there are no Criteria 1 signs identified and agreed, the player undergoes the off-field assessment supported by the screening tool. The final use of video is a review after the off-field assessment, where video is again reviewed prior to a player being returned to play.
Stage 2 - HIA2 Assessment - identifies an early concussion
In stage 2, every player entered into the HIA protocol undergoes an early medical evaluation (HIA2 clinical assessment) within three hours of completing the match, to assess clinical progress and identify an early diagnosis of concussion. This Stage 2 assessment is performed using the SCAT5 tool supported by player baselines or normative Rugby baseline values.
Stage 3 - HIA3 Assessment - identifies a late concussion
In stage 3 further medical testing is performed after two night’s rest (36-48 hours post-head impact event) to further assess clinical progress and identify a late diagnosis of concussion (HIA3 clinical assessment). This HIA3 consists of a clinical assessment supported by the SCAT5 and the computer neuro-cognitive tool of each team’s choice e.g. CogSport, Impact.
Players presenting with delayed symptoms or signs suspicious for concussion, but who are not identified with a head impact event during the game, can enter the HIA protocol at a later stage (stage 2 or 3) and undergo HIA2 and/or HIA3 clinical assessments as appropriate.
A definitive diagnosis of concussion is made if a player demonstrates observable signs of concussion requiring immediate and permanent removal from play (Criteria 1 e.g. loss of consciousness) or a clinical diagnosis of concussion is made supported by the HIA2 or HIA3 clinical assessment.
The HIA protocol allows for a diagnosis of concussion to be made immediately (Criteria 1) following a head impact event but a diagnosis cannot be excluded following a head impact event until both a HIA2 and HIA3 assessments are completed and normal.
Summary
The Head Injury Assessment (HIA) is a three-point in time process and includes:
Off-field HIA1 assessment containing
Criteria 1 - indications for immediate and permanent removal from a match
An off-field assessment including symptom checklist, medical evaluation, balance assessment and cognitive tests performed by a doctor
Video review
Clinical evaluation by the treating doctor
HIA2
A repeat medical evaluation performed by the doctor within 3 hours of the incident
Assists in an early diagnosis of concussion
HIA3
A further medical evaluation performed 48-72 hours after the incident
Assists with the late diagnosis of concussion
Stage 1 – Off-field HIA1 Assessment
In stage 1, players who sustain head impact events with the potential for a concussion are identified by match officials, team doctors (TD), or independent match-day doctors (MDD). The identification is either by direct observation or on video review.
The off-field HIA1 assessment has four components and they are:
12 immediate and permanent removal criteria (known as Criteria 1 indications) AND
an off-field screening tool AND
pitch-side video review AND
clinical evaluation by the attending doctor
The off-field HIA1 assessment is therefore not limited to the off-field screening tool. Instead, the off-field screening tool is one component of a comprehensive assessment.
Players displaying obvious on-pitch signs of concussion (Criteria 1) are immediately and permanently removed from play, and the completion of the off-field screening tool is not required. Any other cases, where players have the potential for concussion (Criteria 2), but without clear on-pitch symptoms or signs, undergo an off-field assessment consisting of a medical room clinical evaluation by an attending doctor supported by the multi-modal screening tool, and video review.
The off-field screening tool is a re-formatted Sports Concussion Assessment Tool (SCAT 5), the pitch-side assessment tool recommended by experts from the international concussion consensus meeting. This off- field screening tool includes a check of symptoms, memory assessment and balance evaluation. Only used in the professional game, the results of this off-field assessment are compared to a previously conducted ‘baseline assessment’, or to a normative result. An abnormal screening tool result is indicated if the score is different from that player’s baseline assessment or the normative score and confirms a suspected concussion. Any player with an abnormal off-field assessment or if there is a clinical opinion of suspected concussion must be removed from the game.
The team doctor has the primary responsibility for conducting the off-field screen but can delegate this role to the match-day doctor. The off-field screen is conducted in the stadium’s medical room or other agreed venue if medical room is too distant from the field. If a temporary substitution for head injury is required a 12-minute temporary replacement is allowed. This is a set 12 minutes and is absolute time not playing time.
A player undergoing an off-field assessment must report to the 4th official within the 12 minutes but will not be allowed to return to play until the 12-minute period has expired.
Video review has three roles in the off-field HIA1 assessment. Firstly, during play, independent match-day doctors can supplement side-line observation with video reviews of incidents to identify any suspicious head impact events requiring either permanent removal from play or removal from play for further side-line assessment. At this point, the decision of the MDD is simply that the player be removed. A second video review is then undertaken with the MDD and Team Doctor present. If HIA1 immediate removal criteria (Criteria 1) are identified, the player is permanently removed from play without further evaluation. If there are no Criteria 1 signs identified and agreed, the player undergoes the off-field assessment supported by the screening tool. The final use of video is a review after the off-field assessment, where video is again reviewed prior to a player being returned to play.
Stage 2 - HIA2 Assessment - identifies an early concussion
In stage 2, every player entered into the HIA protocol undergoes an early medical evaluation (HIA2 clinical assessment) within three hours of completing the match, to assess clinical progress and identify an early diagnosis of concussion. This Stage 2 assessment is performed using the SCAT5 tool supported by player baselines or normative Rugby baseline values.
Stage 3 - HIA3 Assessment - identifies a late concussion
In stage 3 further medical testing is performed after two night’s rest (36-48 hours post-head impact event) to further assess clinical progress and identify a late diagnosis of concussion (HIA3 clinical assessment). This HIA3 consists of a clinical assessment supported by the SCAT5 and the computer neuro-cognitive tool of each team’s choice e.g. CogSport, Impact.
Players presenting with delayed symptoms or signs suspicious for concussion, but who are not identified with a head impact event during the game, can enter the HIA protocol at a later stage (stage 2 or 3) and undergo HIA2 and/or HIA3 clinical assessments as appropriate.
A definitive diagnosis of concussion is made if a player demonstrates observable signs of concussion requiring immediate and permanent removal from play (Criteria 1 e.g. loss of consciousness) or a clinical diagnosis of concussion is made supported by the HIA2 or HIA3 clinical assessment.
The HIA protocol allows for a diagnosis of concussion to be made immediately (Criteria 1) following a head impact event but a diagnosis cannot be excluded following a head impact event until both a HIA2 and HIA3 assessments are completed and normal.
Summary
The Head Injury Assessment (HIA) is a three-point in time process and includes:
Off-field HIA1 assessment containing
Criteria 1 - indications for immediate and permanent removal from a match
An off-field assessment including symptom checklist, medical evaluation, balance assessment and cognitive tests performed by a doctor
Video review
Clinical evaluation by the treating doctor
HIA2
A repeat medical evaluation performed by the doctor within 3 hours of the incident
Assists in an early diagnosis of concussion
HIA3
A further medical evaluation performed 48-72 hours after the incident
Assists with the late diagnosis of concussion
SUPPORT THE MATT HAMPSON TRUST
www.matthampson.co.uk
www.matthampson.co.uk
Re: SUMMER RUGBY INTERNATIONALS 2022
While the protocols maybe be extensive they are not infallible, Jeremy Loughman was able to pass the stage 1 off field HIA and returned to play when it was clear to all who saw him stumbling and the way he looked leaving the field he should not have returned.
Re: SUMMER RUGBY INTERNATIONALS 2022
I guess that you need to look at it from a reputational point of view as well. First the Loughman incident and now this in a very short space of time. May totally not be the case but it does not create a brilliant picture of player welfare.
Re: SUMMER RUGBY INTERNATIONALS 2022
There was another incident with Dave Heffernan as well in that game where he took a head knock and was assessed by the Irish medics being allowed to play on for a couple minutes more before being taken off by the independent doctor.
Re: SUMMER RUGBY INTERNATIONALS 2022
The player can pass the on field HIA tests but the independent Dr will be reviewing the impact to determine whether an off field HIA should be done.
SUPPORT THE MATT HAMPSON TRUST
www.matthampson.co.uk
www.matthampson.co.uk
-
- Super User
- Posts: 3024
- Joined: Fri Sep 08, 2017 2:22 pm
Re: SUMMER RUGBY INTERNATIONALS 2022
England can’t even find a centre partnership then you look at that South African second choice……
Re: SUMMER RUGBY INTERNATIONALS 2022
Pollard captaining SA this weekend
Re: SUMMER RUGBY INTERNATIONALS 2022
Bottled it,blatant red! Shocking reffing that
"Rugby isn't a contact sport,ballroom dancing is a contact sport. Rugby is a collision sport" Heyneke Meyer
Re: SUMMER RUGBY INTERNATIONALS 2022
Could be another yellow here,no penalty try though there was cover. Or was there?!
"Rugby isn't a contact sport,ballroom dancing is a contact sport. Rugby is a collision sport" Heyneke Meyer
Re: SUMMER RUGBY INTERNATIONALS 2022
Another shocker, that's a penalty try too. 2 terrible decisions by Peyper already that will most likely cost Ireland the game!
"Rugby isn't a contact sport,ballroom dancing is a contact sport. Rugby is a collision sport" Heyneke Meyer
Re: SUMMER RUGBY INTERNATIONALS 2022
That’s a penalty try every day of the week
Re: SUMMER RUGBY INTERNATIONALS 2022
Yeah Barrett was never gonna catch him,Peyper has had a shocker here. Should be permanently down to 14 and had a penalty try. Shame that we are talking about refs AGAIN!
"Rugby isn't a contact sport,ballroom dancing is a contact sport. Rugby is a collision sport" Heyneke Meyer
Re: SUMMER RUGBY INTERNATIONALS 2022
Got to be a red.