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Concussion: If in doubt, sit them out!

Published: 01 Apr 2022

Concussion: If in doubt, sit them out!

Concussions are more than just a bump to the head. They’re a type of brain injury that can affect how a person feels, thinks, and moves. And while they often happen in sport, concussions can occur from any force to the body that causes the brain to move quickly inside the skull—even without a direct hit to the head.

Whether you’re a parent, coach, teammate or player, knowing how to recognise and respond to concussion can make a big difference.

What is a concussion?

A concussion happens when a blow to the head—or a hit elsewhere on the body—sends force to the brain. This sudden movement can temporarily affect brain function.

Symptoms might include:

  • Headache or pressure in the head

  • Dizziness or balance problems

  • Blurred vision

  • Sensitivity to light or noise

  • Fatigue or feeling ‘off’

  • Memory difficulties or confusion

  • Feeling emotional or irritable

Important: You don’t have to lose consciousness to have a concussion.

How can I recognise a concussion?

While only a medical professional can diagnose a concussion, others—like coaches, parents, and teammates—can look for warning signs.

If someone hits their head or body and seems “not quite right,” it’s time to take action. Watch for:

  • Appearing dazed, confused or unsteady

  • Holding their head or complaining of headache

  • Seeming more emotional, tired, or irritable than usual

  • Struggling with concentration or memory

  • Saying they “just don’t feel right”

The Concussion Recognition Tool 6 (CRT6) is a simple way to check for symptoms. You can view it here: https://bjsm.bmj.com/content/early/2023/06/12/bjsports-2023-106898

When should I be really concerned? (Red Flags)

Seek emergency medical care immediately if any of the following occur:

  • Neck pain

  • Repeated vomiting

  • Seizure or convulsion

  • Weakness or tingling in arms or legs

  • Severe or increasing headache

  • Confusion or unusual behaviour

  • Loss of vision or double vision

  • Loss of consciousness

If in doubt, always err on the side of caution and refer for medical review.

What should I do if I suspect a concussion?

  1. Recognise something’s not right

  2. Remove the player from activity immediately

  3. Refer to a qualified health professional

They should:

  • Be monitored for at least 3 hours

  • Avoid alcohol, drugs, driving, or being sent home alone

  • Rest for 24–48 hours (physical and cognitive rest)

Even if symptoms are mild, a healthcare review is essential.

Can they go back to school or sport?

Yes—but not straight away.

After a concussion, it’s important to gradually return to school, work, and physical activity, based on symptoms. Rushing back too soon can increase the risk of further injury and slow recovery.

Your step-by-step return-to-sport guide

This is the process outlined in the Australian Concussion Guidelines (2024):

  1. Rest (24–48 hours, no training or contact)

  2. Light daily activities (e.g. school or reading)

  3. Light aerobic exercise (e.g. walking, gentle cycling)

  4. Sport-specific exercise (e.g. running drills, no head impact)

  5. Non-contact training (build skills and confidence)

  6. Medical review (before progressing to full contact)

  7. Full-contact training (only with medical clearance)

  8. Return to competition simulation

  9. Return to full competition

Key rules:

  • Minimum 14 days symptom-free before returning to full-contact training

  • Minimum 21 days before returning to match play or competition

Final thoughts

Every concussion is different. Some symptoms may show up straight away, while others take hours—or even days—to appear.

The best thing we can all do? Stay vigilant. Take any hit to the head seriously. And always remember:

If in doubt, sit them out.

Further reading:

 

Blog updated – 19 May 2025