The AFL introduces a new rule that will allow clubs to temporarily substitute a player for 20 minutes so they can be assessed for a possible concussion.
Kurt Tippett is led off the field after another concussion in the 2012 season. Picture: Simon Cross. Source: The Advertiser
FOOTBALL will turn to sideline video reviews as part of diagnosis after a new set of guidelines for the management of concussions were issued yesterday.
The Australian game's version of a third umpire will be brought in immediately after the AFL Commission approved changes to the interchange rules which mean a substitute can be activated temporarily if a club wants to assess a player for concussion.
If the player is found to be fit, the substitute player can be de-activated as the cleared player returns to the ground after a 20-minute period.
As flagged in The Advertiser on March 7, the AFL updated the guidelines of concussions in Australian football after the first day of a concussion summit in Melbourne.
The change was brought about after a recommendation by the AFL Medical Officers' Association, which was supported by both the AFL players union and AFL coaches association.
The effect of concussions was highlighted at last year's International Conference on Concussion in Sport held in Zurich.
Key features of the updated AFL guidelines - which makes the code the first professional sport in the world to implement the Zurich guidelines in competition - include:
ANY player with a medically diagnosed concussion will not be allowed to return to play on the day of injury.
THE extensive Sport Concussion Assessment Tool 3 to determine whether a player is fit to return to play cannot take place for a minimum of 10 minutes after the on-field incident.
A PLAYER with any neurological symptoms or signs, video features of concussion and/or any evidence of a disturbance of mental state or cognitive function following trauma, can be considered to have concussion and must not return to play.
WHERE there is any suspicion of concussion, the player requires further evaluation including video footage review and assessment of symptoms, orientation, balance and cognitive function (SCAT3) prior to a final determination.
IF a player is cleared of a concussion following assessment, they can be allowed to return to play, but should be monitored for the duration of the game as concussion symptoms are dynamic and can evolve over time.
CLUB medical officers may be required to provide full documentation of clinical assessments of concussion to the AFL medical directors for review. Full documentation will also be collected as part of on-going research.
Crows doctor Andrew Potter, who was part of the advisory panel for the report, outlined the reasons for the recommendations to The Advertiser earlier this month.
"It takes the pressure off us a bit to make rapid decisions, which may in the end be - albeit made in the right spirit - the incorrect decision," Potter said.
Updated concussion management guidelines for community clubs will be sent to state coaching, umpiring and community development managers.
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