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USA Rugby places player welfare and safety at the very top of our priorities. This is especially true with concussions and head injuries. USA Rugby's concussion policy is intended to follow World Rugby Regulation 10, and follows the "5 Rs" of concussion awareness

REMINDER: Concussion: Know the 5 Rs – HIA DOES NOT APPLY TO TRU

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REMINDER: The World Rugby Head Injury Assessment (HIA) protocol does not apply to USA Rugby domestic Competitions. That includes all competitions within the TRU.

The TRU follows the USA Rugby Concussion Policy and places player welfare and safety at the very top of our priorities. USA Rugby’s concussion policy is intended to follow World Rugby Regulation 10, and follows the “5 Rs” of concussion awareness;

  • Recognize
  • Remove
  • Refer
  • Recover
  • Return

ALL rugby players, staff, parents, referees, volunteers, and even fans must follow the 5 Rs below when dealing with suspected concussions.

OFFICIAL USA RUGBY CONCUSSION POLICY

  1. If a player shows symptoms of concussion before, during or after a match, that player must be removed from play immediately, not to return during that match. No Exceptions.
  2. The player needs to be evaluated by appropriate medical staff. Best practice would be evaluation by a medical physician who has training in concussion evaluation and management. A player must do this before returning to play rugby in any form.
  3. If a concussion is diagnosed, that player must sit out of activity with full rest for the minimum guidelines listed below:
    1. Adults – 1 week (seven full days) AND be symptom free before beginning the 5 day Graduated Return to Play Protocols. Not returning to contact rugby before GRTP fully complete and symptom free.
    2. Youth and HS players (18 and under) – 2 weeks (14 full days) AND be symptom free before beginning the 5 day Graduated Return to Play Protocols. Not returning to contact rugby before GRTP fully complete and symptom free.
  4. Once a player is cleared by a physician, they should be closely monitored for any lingering symptoms by coaches, parents, teammates and medical staff and be removed from play immediately if symptoms occur.

KNOW THE 5 RS

USA Rugby’s policy requires that ALL rugby players, staff, parents, referees, volunteers, and even fans follow these five basic steps when dealing with suspected concussions:

  1. RECOGNIZE | Learn the signs and symptoms of a concussion so you understand when an athlete might have a suspected concussion.
  2. REMOVE | If an athlete has a concussion or even a suspected concussion he or she must be removed from play immediately.
  3. REFER | Once removed from play, the player should be referred immediately to a qualified healthcare professional who is trained in evaluating and treating concussions.
  4. RECOVER | Full recovery from the concussion is required before return to play is authorized. This includes being symptom-free. Rest and some specific treatment options are critical for the health of the injured participant.
  5. RETURN | In order for safe return to play in rugby, the athlete must be symptom-free and cleared in writing by a qualified healthcare professional who is trained in evaluating and treating concussions. USA Rugby strongly recommends that the athlete complete the GRTP (Graduated Return to Play) protocol.