Tue 10 Feb 2015 | 11:17
World Rugby accepts George North should have left field after concussion

26
Comments

World Rugby (IRB) have released a statement following a review of the head injury assessment that took place on George North in Friday night's Wales vs England game in Cardiff. They have found that he should not have stayed on the field.

North took a boot to the face or head in the first half, so went off to be assessed. He returned to the field however, only to be accidentally headbutted by Richard Hibbard later in the game. After that collision, which looked worse, he stayed on the field.

World Rugby have done a full post-incident review, and today stated that they believe North should not have remained on the field. The statement read as follows:

"The World Rugby head injury protocol clearly states that a player should be immediately and permanently removed from the field of play where there are any visible symptoms or suspicion of a potential concussion.

However, following thorough discussions and input from the expert independent Concussion Advisory Group, World Rugby accepts the WRU’s explanation that neither the team medical staff nor the independent doctor had sight of the incident and understands that the medics acted within the framework of information they had at the time and would have taken a different course of action had they had direct pitch-side visibility or access to the same broadcast footage seen by those watching on television.

The impact was the second sustained by the player in the match, following a first half temporary removal for a head injury assessment. Having reviewed the incident report, World Rugby can confirm that the WRU followed correct protocols when assessing North following this first incident.

The WRU has outlined that the player continues to undergo close medical supervision and is undertaking supervised graduated return to play protocols."

It goes on to say that player welfare is their number one priority, and that this incident highlights the importance of ensuring that all medical staff have the appropriate levels of support in place. 

World Rugby will be promoting the implementation of the following measures:

1. World Rugby will investigate the practicality of the television match official technology being expanded to identify head injuries as they happen on the field.
2. All elite competitions will be requested to provide pitch-side video for medical staff.
3. All elite tournaments will be encouraged to adopt the RWC 2015 player welfare standards.

credit: rugby riot

26 Comments

  • drg
    11:46 AM 13/02/2015

    Hahahaha! Had me in hysterics, doesn't get much more insulting to your talents than not being brought on for a bloke who thinks he's on the moon..

  • drg
    11:44 AM 13/02/2015

    That's because I went to The Derek Zoolander School for Kids Who Can't Read Good and Want to Do Other Stuff Good Too.

  • boybath
    9:42 AM 12/02/2015

    The ref is already stretched trying to apply the rules. TMO possibly but coaching staff defo and if they dont - do them for negligence.

  • danknapp
    9:36 AM 12/02/2015

    I unwittingly fed the troll. I lose 5 internet points.

  • danknapp
    9:35 AM 12/02/2015

    Not a chance. That was centrifugal force, all day long. For those few seconds, he was gone. He snapped back pretty quickly, but he was not conscious at that point.

  • danknapp
    9:31 AM 12/02/2015

    You read and write good though.

  • 3:14 AM 12/02/2015

    I didn't see the match, so I'm speaking blindly, but - was North not laying prostrate and motionless when the medics came onto the field to look after him on that first KO?

    What "sight" or angle of the incident do you need more than that? If a player is knocked out, surely that implicates a concussive action, no?

  • s_conner
    2:01 PM 11/02/2015

    This will only become more of an issue as players get fitter, bigger and stronger. The collisions are big already and it won't be for another generation that we really see the long term effects of repetitive head injuries on former professional rugby players.

    Managing concussions is one thing, preventing them is quite another. I wonder whether one day far in the future rugby will impose a maximum weight restriction on players!

  • 10stonenumber10
    12:40 PM 11/02/2015

    Legs, arms, shoulders, cuts, bruises etc. are relatively minor within the game. Remember when Tait clashed Kahui, they sent the stretcher cart out to collect him though he was fully capable of walking, just to to 'rub it in'. You know when something physical hurts 'properly', often with a head knock it rattles you so much you are convinced you are fine.

    Brain damage doesn't readily show up on X-Rays until years after it has taken effect. Take boxing commentary and interviews with ex fighters for example, apart from a few like Sugar Ray, they are slurring, slow and dull sounding. They are better tuned athletes than most, but it proves yet again that you cannot train your brain, you don;t become immune, you just get used to the 'temporary' negative effects of a cage rattler.

    And again on the Wales injury list, how many times a season do we see Halfpenny flat out on his back with medics holding his head and neck stable? He might have a 20" collar, but the bones underneath are still that of a l'il un. I've said it before, there is a fine line between bravery and stupidity. Practice a better body position, put your head on the right side, and you will live to tackle another day.

  • drg
    12:32 PM 11/02/2015

    Interesting actually, I'd like to see referees involved in the decisions.. At the end of the day they are supposed to be completely impartial and there for player welfare, so whilst I don't think the buck should be passed on to them, I think they should be allowed to be involved - as well as the TMO.

    We're not talking about trying to slow up the game and game play with TMO's being involved in knock ons etc, so I think involving them in injuries or potential injuries isn't a bad idea.

  • colombes
    9:21 AM 11/02/2015

    This "hard men don't quit the pitch" rugby syndrom begins to become a problem for clubs and feds.
    Refs should be formed to these concussion signs in order to have the last word vs very laxist medics.

    But i fear rugby law makers always needs shocking injuries to create big statements.

  • stroudos
    8:45 AM 11/02/2015

    What an appropriate username.

  • upthejumper
    12:19 AM 11/02/2015

    Well said finedisregard & DrG !

    Seems the only person remotely interested in his welfare was Anthony Watson.

    The IRB, sorry 'World Rugs' and WRU should hang their heads in shame.

  • stroudos
    8:38 PM 10/02/2015

    Will be business-as-usual when he's allowed back into action.

    I've no doubt he'll soon be smashing it hard up the guts again in no time.....

  • misterdavid
    7:16 PM 10/02/2015

    Seconded.

  • drg
    6:48 PM 10/02/2015

    ...'I'm still learning to math'...

  • cheyanqui
    6:24 PM 10/02/2015

    North goes limp after the money shot.

    Instead of it being in the San Fernando Valley, it's in the Vale of Glamorgan

  • stroudos
    4:45 PM 10/02/2015

    "Having reviewed the incident report, World Rugby can confirm that the WRU followed correct protocols when assessing North following this first incident."

    Having watched the game on TV and subsequently viewed some video footage - probably about 5% of that available to World Rugby, the WRU and its medical staff - stroudos can confirm that World Rugby's statement is a total crock of shit and that the WRU's treatment of one of its prize assets and that individual's physical welfare, was nothing short of negligent.

  • stroudos
    4:27 PM 10/02/2015

    DrG:"North has one thing in his mind "play for Wales, defend for Wales, Win for Wales"

    That's three things.......
    ;)

  • drg
    4:21 PM 10/02/2015

    I'm not an advocate of watering down the sport so that mums feel it safe to let their angels play, but only in the sense that knock outs can and will happen. It is how injuries are dealt with if and when they happen.

    People react strangely with head injuries, we've seen many players get hit in the head and try to stand up, only to fall flat on their faces again - these are serious situations. The sport is not entirely safe - by the very nature of the game, it never will be safe. However it's having the brain capacity and power to think for someone who has been hit so damn hard he cannot think for himself. North has one thing in his mind "play for Wales, defend for Wales, Win for Wales" if a new rule came in saying after 68 minutes only 5'10" players can play on the wing, he'd do his best to force himself into the centre, he's not coming off unless he's dragged off. So you can't ask any player like that to make a decision about his own injuries - so you rely on management and/or team medical staff... who apparently are blind as ****ing bats!

    Are they telling us that out of the entire Welsh management/players on the bench/medical staff no one saw that? No one said "North looked a bit odd going down there, someone just double check that.." You've got forwards coaches, backs coaches, kicking coaches, physios, doctors, waterboys but apparently no one wore their specs then...

    Don't get me wrong, if North croaked as a result of this, it wouldn't have a big bearing on my life nor anyone I know, but it doesn't speak well for the game when a group of people can spout a ton of bullsh*t and another 'brand new' collection of people known as 'World rugby' can happily accept it...

    They must be as moronic as their ******* name!

  • eddie-g
    3:12 PM 10/02/2015

    To be fair on the decisions since, the thing with concussions is that they are actually tricky to conclusively diagnose. The pitch-side assessment is to look to see if a player has concussion symptoms; if he does, he needs to be pulled (see finedisregard's post below). They do not however determine if a player is concussed.

    For that you need fuller medical evaluation the day after - with MRI scans etc. And even players knocked out cold might not be concussed, the key point however is that you absolutely should not be taking risks if a player could be concussed. And no doubt that was the case with North after his second blow to the head.

  • finedisregard
    2:24 PM 10/02/2015

    This is not good for the sport.

    2nd impact syndrome is a real thing, so is CTE. As a youth referee we spend a lot of time on concussion management. I can't believe this stuff still happens at this level. I send kids off all the time for concussions and follow up with the coaches and parents. They're out for the next two weeks automatically.

    Between the ref, the touch judges, the medical team, the coaches upstairs in the box, his teammates or opposition SOMEBODY saw what happened and they didn't think to step in.

    When you see a guy get knocked out, tell the ref. If you are a ref and a player has been concussed get him out immediately and follow up after the game.


  • timh
    1:58 PM 10/02/2015

    I think your translation is spot on Eddie-g :-)

    Anthony Watson (I think) did try to alert "someone" to George being out cold on the ground) but the camera then cut away to something else so it's not clear whether he was able to tell a Welsh medic.

    The full "interview" with the WRU National Medical Manager is here: http://supporters.wru.co.uk/matchdaytv/?play=media&id=20198

    What is really worrying, after acknowledging that he did lose consciousness, is that he could be available for selection this weekend. What happened to the 3-week sit-out?
    To be back playing in a week, after two confirmed blows to the head and a loss of consciousness will be disgraceful. How are we to expect grass roots players and coaches to observe correct protocol if the professionals don't?

    As an aside, there's loads of information and support material for concussion on the RFU (english) website, but it was not obvious where this was on the WRU website.

  • warhorse
    1:20 PM 10/02/2015

    Allowing him back on after the 2nd knock was nothing short of an absolute pi** take... unbelievable

  • akared
    12:19 PM 10/02/2015

    Good to see such decisive action been taken by World Rugby.

  • welshosprey
    11:42 AM 10/02/2015

    George was just a bit sleepy.