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My son came off after a head hit, but his rugby coach wants him available for the final. What do I say?

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"Tell him I feel better, or they'll take me off the team sheet," my seventeen-year-old said after the semi-final. He had taken a hit to the head, developed a headache, and seemed confused about which half had just ended. He came off and hasn't gone back on.

The final is later the same day. His coach says he'll keep the place open in case my son "comes round." My son has worked towards this tournament for months and thinks I'm about to decide his whole season from one conversation. I'm arranging medical assessment and have told him he's staying out today, but he's asking me not to tell the coach about the confusion.

The [CDC's sports concussion guidance](https://www.cdc.gov/heads-up/response/index.html) says a suspected concussion requires immediate removal, no return that day, and healthcare-provider clearance before returning. Assessment is a medical decision. Its [danger-sign guidance](https://www.cdc.gov/heads-up/signs-symptoms/index.html) also explains when emergency care is needed.

The playing decision isn't something I want the team to bargain over. My question is how to tell the coach what happened and support my son without making him feel he has betrayed his teammates. What should that conversation sound like when the disappointment is immediate and the medical assessment is still pending?

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3 community replies

Keep the message to the coach factual: the head hit, headache, observed confusion, removal, and pending assessment. Add that he won't play again today. That follows the [CDC's guidance for suspected concussion](https://www.cdc.gov/heads-up/response/index.html); it doesn't require you to announce a diagnosis. Ask the coach to organise the replacement without making your son negotiate his place.

Your son can be upset without being asked to approve the disclosure. You could say, "I know how much you wanted the final. I'll tell the coach what we observed, and you don't have to make the selection conversation easier for everyone." Avoid promising that he will be back for the next fixture. Right now, you can promise support rather than a return date.

Don't let the team conversation delay care. After a head injury, the CDC identifies danger signs including a worsening persistent headache, repeated vomiting, seizures, and increasing confusion. If these occur, seek emergency medical care immediately. The [CDC danger-sign page](https://www.cdc.gov/heads-up/signs-symptoms/index.html) gives the fuller list. Don't wait for the coach's reply if a danger sign appears.

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