hasn t been managed properly in most cases. ., ., , ., , , cases. how does it manifest itself? essentially a cases. how does it manifest itself? essentially a concussion cases. how does it manifest itself? essentially a concussion by - essentially a concussion by definition is a transient or temporary loss of brain function so there temporary loss of brain function so there isn t temporary loss of brain function so there isn t really structural trends but there there isn t really structural trends but there are metabolic changes. if we don t but there are metabolic changes. if we don t deal with those metabolic changes, we don t deal with those metabolic changes, the brain becomes more susceptible to injury. any increase in higher susceptible to injury. any increase in higher levels of activity really exasperate the injury. if you don t treat exasperate the injury. if you don t treat it exasperate the injury. if you don t treat it early enough and properly, with proper
incidents where the pathologist say he got a brain injury on the same day~ he got a brain injury on the same day. unfortunately for us it was mismanaged and he wasn t removed from the mismanaged and he wasn t removed from the pitch. unfortunately for us that was from the pitch. unfortunately for us that was his last game of rugby. a little that was his last game of rugby. little bit more about that. it was a second impact syndrome. you could write a thesis on this, i know, couldn t you, peter. what exactly is that and how does it occur? i suppose the experts will tell you, the brain, suppose the experts will tell you, the brain, when it has been injured, it changes the brain, when it has been injured, it changes and becomes very vulnerable. if you receive a second injury vulnerable. if you receive a second injury or vulnerable. if you receive a second injury or evenjust running about, and the injury or evenjust running about, and the brain doesn t have time to rest, and
the new guidelines? they are long overdue and very the new guidelines? they are long overdue and very welcome. - the new guidelines? they are long overdue and very welcome. as - the new guidelines? they are long| overdue and very welcome. as you rightly overdue and very welcome. as you rightly said overdue and very welcome. as you rightly said at the top of the programme we are following scotland, we are programme we are following scotland, we are also programme we are following scotland, we are also following canada and australia we are also following canada and australia. they have had national guidelines australia. they have had national guidelines for some time. we are heading guidelines for some time. we are heading to guidelines for some time. we are heading to the united states so that s heading to the united states so that s perhaps a good thing. long overdue that s perhaps a good thing. long overdue it that s perhaps a good thing. long overdue. it used to be