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Concussion protocols 10:11 - Nov 30 with 1035 viewsZx1988

Surely the events of the World Cup so far (as well as at Port Vale the other month) have shown that the current setup isn't fit for purpose, given the propensity for players to carry on playing, only to be subbed 5-10mins later when it becomes clear that they are unfit to play.

Is there, therefore, not a case that the concussion assessment should be carried out by an independent doctor/paramedic, who has a binding say as to whether or not the player can continue playing?

I'd get rid of the concussion substitute rule as well, given that it's proven to be as useful as a chocolate fireguard. If teams have proven that they can't be trusted to use it as intended, they should be forced to use a standard substitution in the event of a concussion.

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Concussion protocols on 10:25 - Nov 30 with 983 viewsMattinLondon

Regardless of whether or not a doctor is afflicted to a club or national squad it’s a very big call to say to a player in the WC Finals ‘look, you’re coming off’. Hard enough in a L1 match but in the biggest knockout tournament of them all it must be horrendous to make that call.
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Concussion protocols on 10:28 - Nov 30 with 978 viewsvilanovablue

I think the answer is a 10 min concussion swap not dissimilar to the blood swap in rugby. People can they be properly assessed and if they are fit could then do so.
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Concussion protocols on 10:31 - Nov 30 with 966 viewsMattinLondon

Concussion protocols on 10:28 - Nov 30 by vilanovablue

I think the answer is a 10 min concussion swap not dissimilar to the blood swap in rugby. People can they be properly assessed and if they are fit could then do so.


Sounds sensible.

In rugby does it have to be a like-for-like swap in terms of position? Or if an assessment is needed in the last ten minutes can the coach put in another attacking or defensive player to force or see out the match?
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Concussion protocols on 10:35 - Nov 30 with 961 viewsArnoldMoorhen

Concussion protocols on 10:25 - Nov 30 by MattinLondon

Regardless of whether or not a doctor is afflicted to a club or national squad it’s a very big call to say to a player in the WC Finals ‘look, you’re coming off’. Hard enough in a L1 match but in the biggest knockout tournament of them all it must be horrendous to make that call.


It's a medical decision, and Doctors are ethically and legally bound (in the UK, anyway) to act in the best interests of the patient.

Either a club doctor needs to be struck off at some point in the future, if they get it grossly wrong (it is probably best not for me to point to individual examples from the past as casting aspersions on professional competence is potentially libellous) or the FA and EFL need to bring in independent doctors, paid by them, to have the final say in all concussion protocol decisions.

And why not allow temporary subs for head injury evaluation, and blood injuries? For want of a better phrase, temporary substitutes to allow time for proper concussion evaluation are a no brainer.
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Concussion protocols on 10:36 - Nov 30 with 956 viewsKeno

Concussion protocols on 10:25 - Nov 30 by MattinLondon

Regardless of whether or not a doctor is afflicted to a club or national squad it’s a very big call to say to a player in the WC Finals ‘look, you’re coming off’. Hard enough in a L1 match but in the biggest knockout tournament of them all it must be horrendous to make that call.


trouble is 10 years down the line that player ends up with a brain injury and people say 'but the medics should have taken him oif

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Concussion protocols on 10:37 - Nov 30 with 951 viewsvilanovablue

Concussion protocols on 10:31 - Nov 30 by MattinLondon

Sounds sensible.

In rugby does it have to be a like-for-like swap in terms of position? Or if an assessment is needed in the last ten minutes can the coach put in another attacking or defensive player to force or see out the match?


Not certain but I would like to think you'd have to do a like for like swap as far as is possible to try and be fair. The issues in the Wales and Iran game really highlighted this for me and with MND in the news so much along with brain trauma from sports in general we just need to get something sorted out for the well being of the players.
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Concussion protocols on 10:49 - Nov 30 with 934 viewsTractor_Buck

Concussion protocols on 10:31 - Nov 30 by MattinLondon

Sounds sensible.

In rugby does it have to be a like-for-like swap in terms of position? Or if an assessment is needed in the last ten minutes can the coach put in another attacking or defensive player to force or see out the match?


Yeah, you have to substitute like for like. In the backs that's not really a problem, but with the forwards it can cause issues. If your hooker goes off, you have to bring on a specialist hooker to replace them (even if it's a previously substituted player coming back on to the field). If you're unable to do that due to injury or the lack of a suitable player, the referee in consultation with both captains has to declare uncontested scrums to avoid injury to a non-specialist player.

Of course, if the player passes his HIA he can come back on to the field as long as 10 minutes have not passed.
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Concussion protocols on 10:54 - Nov 30 with 922 viewsSwansea_Blue

Concussion protocols on 10:28 - Nov 30 by vilanovablue

I think the answer is a 10 min concussion swap not dissimilar to the blood swap in rugby. People can they be properly assessed and if they are fit could then do so.


That was what someone last night was pushing for. Shearer maybe? It seems thoroughly sensible - means play can carry on while proper check are made. No reason that couldn’t be done now. The only negative I can think of is you’d not necessarily have someone ready to come on immediately.

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Concussion protocols on 12:24 - Nov 30 with 806 viewsFrimleyBlue

Personally. I'd make It a rule that if a player goes down with a head injury. They are automatically subbed.

1.. it will stop any players faking it.
2... it will ensure that those who were injured and seen to effectively and no risks are taken. Sure 10 minutes after an incident they may feel fine...but imo it shouldn't be risked at all.

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Concussion protocols on 12:25 - Nov 30 with 803 viewsBlueBadger

Concussion protocols on 10:28 - Nov 30 by vilanovablue

I think the answer is a 10 min concussion swap not dissimilar to the blood swap in rugby. People can they be properly assessed and if they are fit could then do so.


From where I'm sat, if you thinking 'head injury' then you should be off. End of.

Head injuries are funny things that can and will cost you your GMC/NMC registration if you let the büggers get away from you.

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Concussion protocols on 12:30 - Nov 30 with 782 viewshype313

Concussion protocols on 12:24 - Nov 30 by FrimleyBlue

Personally. I'd make It a rule that if a player goes down with a head injury. They are automatically subbed.

1.. it will stop any players faking it.
2... it will ensure that those who were injured and seen to effectively and no risks are taken. Sure 10 minutes after an incident they may feel fine...but imo it shouldn't be risked at all.


We also have to do something about wasting time. Adopt the MLS Next Pro rule. If you go down on the floor for 15 seconds, you go off for 3 minutes mandatory. Let me tell you, it will shock you to find out that these trained athletes don’t want to go off for three minutes. Agree that we need to also allow teams to roll on subs so people with head injuries can get treatment and a proper assessment.

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Concussion protocols on 15:30 - Nov 30 with 657 viewsXYZ

Concussion protocols on 10:28 - Nov 30 by vilanovablue

I think the answer is a 10 min concussion swap not dissimilar to the blood swap in rugby. People can they be properly assessed and if they are fit could then do so.


Football could be immeasurably improved by adopting stuff from rugby - blood subs, retreating 10m from free kicks/ penalties, carry on play whilst physio/ doc treats "injured" player, respecting the ref, etc etc.

But it won't.
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