Concussion Awareness 5 of 8

5. Management of Concussion

How should concussion be managed?
If a player sustains a concussion they should be managed in accordance with best practice guidelines. Use the links under “More” above to find specific information about managing concussion relevant to your role in rugby. It is recognised that the medical/first aid cover at training and matches varies, but the universal principles are encompassed in the 4 Rs, which are listed below.

Remember the 4 Rs:

Recognise the signs and symptoms

Remove the player from play

Recover fully before returning to sport

Return only after following a Graduated Return to Play

How is concussion treated?
There is no specific treatment for concussion and no medication that can be taken to speed up recovery. The mainstay of treatment is rest; it is not practical to have complete rest but there are some things that should be avoided to aid recovery if they make symptoms worse:

  • Alcohol – avoid
  • TV and cinema – limit as guided by symptoms
  • Computer or computer games – limit as guided by symptoms
  • Sport and physical exertion. Walking is fine and graduated use of exertion may be used under medical supervision if symptoms are prolonged
  • Reading or writing for long periods. Break up what needs to be done into short periods


Concussion - Assessment of Suspected Concussion


Concussion - Pocket Concussion Recognition Tool


Concussion - Headway Advice Leaflet


Concussion - Recovery and Return to Play Routine