Analysis: NFL isn't passing the eye test on head injuries

Miami Dolphins head coach Mike McDaniel walks away as quarterback Tua Tagovailoa is taken off the field on a stretcher during the first half of an NFL football game against the Cincinnati Bengals, Thursday, Sept. 29, 2022, in Cincinnati. (AP Photo/Joshua A. Bickel)

What happened in Tampa was the last thing the NFL, its players and its fanbase needed three days after Tua Tagovailoa's horrifying head injury called into question the league's commitment to curbing concussions.

Buccaneers tight end Cameron Brate sat out the second half of Sunday night's 41-31 loss to the Kansas City Chiefs with a concussion after and initially being allowed to re-enter the game.

Brate was shaken up just before halftime after catching a pass for a 9-yard gain and colliding with Bucs receiver Chris Godwin while being tackled. Brate stayed down for a few seconds before heading for the sideline, but he didn鈥檛 get off the field fast enough for Tampa Bay to avoid a penalty for having too many men on the field on the next play.

Brate re-entered the game and was Tom Brady's intended receiver on multiple incompletions just before halftime.

Coach Todd Bowles said after the game that Brate was in the concussion protocol but was unable to explain why he was allowed to re-enter the game with a head injury.

A day later, Bowles said it was because of a concussion at halftime after initially complaining only of shoulder discomfort and being allowed to return to the game.

鈥淏roken system,鈥 tweeted Hall of Fame coach , who was in attendance in his role as analyst for NBC's 鈥淔ootball Night in America.鈥

鈥淚 was on the sideline very close to Brate 鈥 obvious he had his bell rung,鈥 Dungy continued. 鈥淭here鈥檚 a league appointed spotter in the press box who should stop play & alert the referee. Brate shouldn鈥檛 have been allowed to return until after an evaluation. Why didn鈥檛 that happen???鈥

Dungy added: 鈥淐oaches, team doctors and game officials are all watching play and can all step in. But the league appointed spotter has the ability to buzz the referee, stop the game and mandate that player leave the game to be evaluated 鈥 no penalty or timeout charged to the team.鈥

Bowles said Monday that Brate was checked out three times before being allowed to re-enter the game with the Bucs driving for a touchdown that trimmed Tampa Bay's deficit to 28-17 at halftime. Brate said 鈥渘othing about his head" while complaining of shoulder discomfort, Bowles said.

The states that potential signs of a concussion include: 鈥淪low to get up from the ground or return to play following a hit to the head鈥 which 鈥渕ay include secondary contact with the playing surface,鈥 and 鈥渕otor coordination/balance problems of neurologic etiology (stumbles, trips/falls, slow/labored movement).鈥

Bowles said Brate was re-examined at halftime after symptoms arose and 鈥渨e kept him out the rest of the game.鈥

That did little to placate critics who say Tagovailoa never should have been allowed to suit up against the Cincinnati Bengals on Thursday night, just four days after Miami's quarterback when his head hit the ground in a game against the Buffalo Bills on Sept. 25.

Tagovailoa initially seemed to exhibit concussion symptoms against Buffalo, but he was cleared by a team physician and unaffiliated neurotrauma consultant, or UNC, to return to the game. He and the team later explained his legs were wobbly because of a back injury.

Still, the league and its players' union began a joint review into Tagovailoa's quick return to the Bills game that is ongoing.

When Tagovailoa sustained a concussion four days later at Cincinnati, the UNC who cleared him from entering concussion protocol against Buffalo was , and the league and the union said changes were needed to the concussion protocol.

The league and the NFLPA issued a statement last week that said they had made no conclusions about 鈥渕edical errors or protocol violations鈥 while the investigation is still underway. But the two added that 鈥渕odifications are needed ... to enhance player safety.鈥

Tagovailoa's concussion was topic No. 1 across the NFL heading into Sunday's slate of games, and coaches across the league spoke about safety being the game's top priority.

Then came Sunday night when Brate kept playing despite a head injury.

鈥淚T HAPPENED AGAIN @NFL!鈥 tweeted , a founder of the Concussion Legacy Foundation who played football at Harvard and is adamant Tagovailoa sustained a concussion against Buffalo and shouldn鈥檛 have played at Cincinnati.

鈥淐am Brate went back in 4 plays after showing #concussion signs from this huge hit to the head. He stayed down too long & couldn鈥檛 run off the field fast enough to avoid a penalty,鈥 Nowinski fumed, adding that Dungy 鈥渟ays it was obvious he had a concussion. How did he go back in?鈥

Bowles said an unaffiliated neurotrauma consultant did not ask the Bucs to test Brate for a concussion.

鈥淣obody called down. He was checked out three times. He went back in until the end of the half. The concussion thing didn鈥檛 come up until halftime. He had delayed symptoms,鈥 Bowles repeated.

Bowles acknowledged "it was noticeable hit, but again it was on the shoulder. Nobody said anything about the head.鈥

Given what happened to Tagovailoa just 72 hours earlier, somebody certainly should have.

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AP Pro Football Writer Rob Maaddi and AP Sports Writer Fred Goodall contributed to this report.

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