Square peg round hole - Time to customise a concussion assessment tools for primary care: The New Zealand experience? A call for a GP-SCAT

ABSTRACT

In rugby union concussions are a player welfare concern, particularly in the community game where there is often minimal sideline medical support. New Zealand Rugby (NZR) has three primary goals around the management of concussions in the community game: (1) players with a suspected concussion are removed from the game or training; (2) players are referred into primary care for a diagnosis by a general practitioner(GPs) (doctor in primary care); (3) prior to returning to contact training that they are medically cleared by a doctor. Given their role in the diagnosis and medical clearance of players with a concussion, GPs are a key stakeholder in the concussion management pathway. Thus to ensure that players are safely returning to play, NZR acknowledged the need to better support and engage with GPs. This editorial is an opportunity for NZR to share our experience working collaboratively with GPs in New Zealand to support the diagnosis and medical clearance of players following a rugby-related concussion.

KEYWORDS:

• concussion
• primary care
• SCAT
• primary care
• rugby
• childSCAT

Acknowledgments

The authors acknowledge Drs: Stephen Kara, Theo Dorfling, Chris Reid, Helen Fulcher, Patrick McHugh, Warren Groarke, Andrew Webster, Wendy Gush & Mrs. Emma Wicks who were a part of the GP advisory group who helped develop the New Zealand Rugby Concussion Assessment Protocol and New Zealand Rugby Concussion Assessment Tool and for their contributions to this project. We would also like to thank Dr. Ken Quarrie (New Zealand Rugby) for his critical review of an earlier version of this manuscript.

Contributorship

DS and SJS conceived the idea for the paper. DS drafted the first iteration of the paper. All authors contributed to the critical review and revision of the manuscript.

Competing interests

DS and IM are/were employed by New Zealand Rugby.

Additional information

Funding

This editorial received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.