"Its better to miss one game than the whole season"

This is the central message behind and superb resource produced by the American Centers for Disease Control and Prevention (CDC). CDC has produced a whole package of advice leaflets, videos and guidance on dealing with head injuries and suspected concussion which they are sending free to all US High Schools - but fortunately for us it is also available free online.

The package includes a video that underlines the importance of the subject, and leaflets aimed at coaches, parents, and players that highlight the signs and symptoms of concussion, and the action that should be taken - advice that is worth repeating here:

Signs Observed by Coaching Staff:	Symptoms Reported by Athlete:
Appears dazed or stunned Is confused about assignment Forgets plays Is unsure of game, score, or opponent Moves clumsily Answers questions slowly Loses consciousness Shows behaviour or personality changes Can’t recall events prior to hit Can’t recall events after hit	Headache Nausea Balance problems or dizziness Double or fuzzy vision Sensitivity to light or noise Feeling sluggish Feeling foggy or groggy Concentration or memory problems Confusion

Take a look at it. This is not just a rugby matter - head injuries can happen in any sport or activity - even falling out of bed! Such a clear describtion of the symptoms could be invaluable.