Footballers who sustain a suspected concussion, either during training or in a game, should immediately be removed from the pitch and not allowed to return until the appropriate treatment has been administered.
That is the message at the heart of new guidelines launched by The FA for managing head injuries at all levels of the game.
Available as both a free-to-download digital document and online resource via The FA and County FA websites, the guidance is based on evidence and best practice from around the world. It includes key information on how a concussion should be managed from the time of injury through to a player’s safe return to football.
“These guidelines are integral to achieving an unprecedented high level of care and safety for players at all levels”
Dr Ian Beasley FA head of medical services
The advisory guidelines have been designed for those who manage head injuries in professional and grassroots football - from clubs and schools, to parents and doctors.
Dave Reddin, The FA’s head of performance services, said: “We have been very fortunate and I am very grateful that we have had the combined expertise of an international expert panel in reviewing and revising our guidelines.
"This allowed us to take viewpoints from inside and outside the game, especially referring to those sports with a longer period of experience in dealing with concussion.
"As a result I feel we have a really comprehensive set of guidelines for all levels of the game which will help to keep football safe.”
Dr Ian Beasley, The FA’s head of medical services, believes the guidelines will play a crucial role in ensuring the better management and care of head injuries across football in England, thereby making the game safer for more players at every level.
He said: “The paramount priority for The FA is player safety, and so the publication of these concussion guidelines is integral to achieving an unprecedented high level of care and safety for players at all levels.
"Playing football has been shown to promote good health, and so by making the game safer, we will hopefully increase participation and thereby boost the health of the nation.”
The guidelines were developed in consultation with The FA’s Expert Panel on Concussion and Head Injury, which was set-up in April 2015, and tasked with advising the organisation on issues surrounding concussion.
- A concussion is an injury to the brain
- All concussions should be regarded as potentially serious and managed appropriately
- Loss of consciousness does not occur in majority of cases
- Anyone exhibiting symptoms must immediately be removed from playing or training
- There must be no return to play on the day of any suspected concussion
Peter Hamlyn, chair of the panel and eminent consultant neurological and spinal surgeon, said: “It has been a privilege and honour to be involved with this project and chair the group.
"Much work remains to be done in the field of concussion, though the panel was unanimous in endorsing these guidelines as reflecting the best and latest understanding of this complex field.
“I thoroughly commend The FA for the commitment and passion they have shown in supporting our work, and we will endeavour to look at reviewing these guidelines on an annual basis.”
Dr Willie Stewart, consultant neuropathologist and honorary clinical associate professor at Glasgow’s Queen Elizabeth University Hospital, is also on the expert panel.
He said: “They are a fantastic development from The FA, and are a good example of their commitment to providing a safer game for participants at all levels of football, and hopefully they have the potential to impact on sport in England as a whole.
“The guidelines clearly demonstrate The FA’s strong leadership around this issue, and provide clear information on the immediate management of the injury around the simple principle of ‘if in doubt, sit them out’.”
The guidelines have also been produced with support from some of the game’s other stakeholders including the LMA, whose chief executive, Richard Bevan, commented.
“The League Managers Association is pleased to support The FA’s Concussion Guidelines, as the physical wellbeing of football’s participants must always be a priority for us all working in the game,” said Bevan.
As well as producing the concussion guidelines, the expert panel have also been working on devising appropriate research into the long-term effects of head injury or repeated concussion episodes on the brain.
The FA plans to take the appropriate research questions they have identified to FIFA in due course.