An investigation is now underway into the handling of Miami Dolphins quarterback Tua Tagovailoa's apparent head injury, while the unaffiliated neurotrauma consultant who was involved in the first concussion evaluation is reportedly no longer working with the National Football League Players Association.
Medical staff tend to Tagovailoa as he is carted off on a stretcher after an injury during the second quarter of the game against the Bengals.
NFL Chief Medical Officer Dr. Allen Sills told CNN Chief Medical Correspondent Dr. Sanjay Gupta on Friday that "we will get this right."It all began on Sunday, September 25, in the Dolphins' 21-19 win over the Buffalo Bills.briefly in the second quarter after a hit by Bills linebacker Matt Milano forced the back of the Dolphins QB's helmet to hit the turf.
Dolphins head coach Mike McDaniel alluded to a back injury after the game, saying that Tagovailoa back got "bent" on an earlier play but the hit "loosened his back" causing his legs to get wobbly. McDaniel added that Tagovailoa told him that his back was like "Gumby" -- a reference to the classic green animated character.
Video showed Tagovailoa's forearms were flexed and his fingers contorted -- a sign that Gupta, a neurosurgeon, said is a "fencing response" and can be linked to a brain injury. Gupta asked Sills, who is also a neurosurgeon, how concerned he was after seeing that video. "This is bigger than protocols," tweeted Nowinski. "A concussion can change a life. For me, it's personal. We can't let any other children grow up without their fathers." CNN has offered the NFL the right of reply to Nowinski's tweet.
Sills told Gupta that the ongoing review includes the players, the NFL and the NFLPA, as well as trainers, physicians and independent experts. The Bills hit is still under review, he said, and "that's very hard to judge from video alone." Sills emphasized that the decision about whether a player can return to a game is never made by one person but rather a group of physicians, including an independent neurological expert.
"A failure in medical judgement is a failure of the protocols when it comes to the well being of our players."A player goes into the concussion protocol if they have received a blow to the head and exhibits or reports symptoms or signs suggestive of a concussion or stinger or the team athletic trainer, booth ATC spotter, team physician, game official, coach, teammate, sideline Unaffiliated Neurotrauma Consultant or booth UNC initiates the protocol.
In 2017, a study published in the medical journal JAMA found that chronic traumatic encephalopathy, known as CTE, was found in 99% of deceased NFL players' brains that were donated to scientific research.
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