Criteria for Hospital Referral


  • Loss of consciousness for longer than five minutes
  • Post-traumatic convulsion ( t / seizure)
  • Signs of brain or nerve injury
  • Symptoms of marked cerebral irritation persisting for more than one hour
  • Any deterioration of mental state, for example, development of drowsiness after a period of alertness
  • More than one episode of moderate or severe concussion during any playing season

Minor concussion

It is recommended that the player does not return to the field of play on the day of the concussive episode. The player should then be monitored clinically over several days for evidence of full recovery.

The most common symptoms following an episode of concussion are:

  • Headache
  • Dizziness
  • Lack of concentration
  • Sleep disturbance
  • Non-specific complaint of ‘dullness’ in the head

The player should not be permitted to resume training or playing until completely free of these symptoms.

The player’s performance in training, particularly performance of skills that involve hand-eye coordination, should be closely monitored for any signs of impairment.

If symptoms such as headache, nausea or dizziness develop during exercise, the exercise should be stopped immediately and not resumed until symptoms resolve.

  • Use the following programme for a staged return or Gradual Return to Play (GRIP).
    • Physical and mental rest until there are no symptoms
    • Light aerobic exercise (perhaps a stationary bicycle).
    • Sport-specific exercises.
    • Non-contact training drills.
    • Full contact training after health professional clearance
    • Return to play