Dolphins' Tua Tagovailoa sustains 3rd diagnosed concussion of his career after hitting head on turf

MIAMI GARDENS, Fla. (AP) — Miami Dolphins quarterback Tua Tagovailoa was diagnosed with a concussion for the third time in his NFL career, leaving his team's game Thursday night against Buffalo after running into defensive back Damar Hamlin and hitting the back of his head against the turf.

Tagovailoa remained down for about two minutes before getting to his feet and walking to the sideline after the play in the third quarter. He made his way to the tunnel not long afterward, looking into the stands before smiling and departing toward the locker room.

The Dolphins needed almost no time before announcing it was a concussion. The team said he had two during the 2022 season, and Tagovailoa was diagnosed with another concussion when he was a college player at Alabama.

Dolphins coach Mike McDaniel said Tagovailoa would get “proper procedural evaluation” and “appropriate care” on Friday.

“The furthest thing from my mind is, ‘What is the timeline?’ We just need to evaluate and just worry about my teammate, like the rest of the guys are,” McDaniel said. “We’ll get more information tomorrow and take it day by day from here.”

Some players saw Tagovailoa in the locker room after the game and said they were encouraged. Tagovailoa spoke with some players and then went home after the game, McDaniel said.

“I have a lot of love for Tua, built a great relationship with him,” said quarterback Skylar Thompson, who replaced Tagovailoa after the injury. “You care about the person more than the player and everybody in the organization would say the same thing. Just really praying for Tua and hopefully everything will come out all right.”

Tagovailoa signed a four-year, $212 million extension before this season — a deal that makes him one of the highest-paid players in the NFL — and was the NFL’s leading passer in Week 1 this season. Tagovailoa left with the Dolphins trailing 31-10, and that was the final score.

“If you know Tua outside of football, you can't help but feel for him,” Bills quarterback Josh Allen said on Amazon following the game. “He's a great football player but he's an even greater human being. He's one of the best humans on the planet. I've got a lot of love for him and I'm just praying for him and his family, hoping everything's OK. But it's tough, man. This game of football that we play, it's got its highs and it's got its lows — and this is one of the lows.”

Tagovailoa's college years and first three NFL seasons were marred by injury, though he positioned himself for a big pay bump with an injury-free and productive 2023 as he led the Dolphins into the playoffs. He threw for 29 touchdowns and a league-best 4,624 yards last year.

When, or if, he can come back this season is anyone's guess. Tagovailoa said in April 2023 that the concussions he had in the 2022 season left him contemplating his playing future. “I think I considered it for a time,” he said then, when asked if he considered stepping away from the game to protect himself.

McDaniel said it's not his place to say if Tagovailoa should return to football. “He'll be evaluated and we'll have conversations and progress as appropriate,” McDaniel said.

Tagovailoa was hurt Thursday on a fourth-down keeper with about 4:30 left in the third. He went straight ahead into Hamlin and did not slide, leading with his right shoulder instead.

Hamlin was the player who suffered a cardiac arrest after making a tackle during a Monday night game in January 2023 at Cincinnati, causing the NFL to suspend a pivotal game that quickly lost significance in the aftermath of a scary scene that unfolded in front of a national television audience.

Tagovailoa wound up on his back, both his hands in the air and Bills players immediately pointed at him as if to suggest there was an injury. Dolphins center Aaron Brewer quickly did the same, waving to the sideline.

Tagovailoa appeared to be making a fist with his right hand as he lay on the ground. It was movement consistent with something that is referred to as the “fencing response,” which can be common after a traumatic brain injury.

Tagovailoa eventually got to his feet. McDaniel grabbed the side of his quarterback’s head and gave him a kiss on the cheek as Tagovailoa departed. Thompson came into the game to take Tagovailoa's spot.

“I love Tua on and off the football field,” Bills edge Von Miller said. "I’m a huge fan of him. I can empathize and sympathize with him because I’ve been there. I wish him the best.”

Tagovailoa’s history with concussions — and how he has since worked to avoid them — is a huge part of the story of his career, and now comes to the forefront once again.

He had at least two concussions during the 2022 season. He was hurt in a Week 3 game against Buffalo and cleared concussion protocol, though he appeared disoriented on that play but returned to the game.

The NFL later changed its concussion protocol to mandate that if a player shows possible concussion symptoms — including a lack of balance or stability — he must sit out the rest of the game.

Less than a week later, in a Thursday night game at Cincinnati, Tagovailoa was concussed on a scary hit that briefly knocked him unconscious and led to him being taken off the field on a stretcher.

His second known concussion of that season came in a December game against Green Bay, and he didn’t play for the rest of the 2022 season. After that, Tagovailoa began studying ways where he may be able to fall more safely and protect himself against further injury — including studying jiu-jitsu.

“I'm not worried about anything that's out of my hands,” McDaniel said. “I'm just worried about the human being.”

AP NFL: http://www.apnews.com/hub/NFL

Miami Dolphins quarterback Tua Tagovailoa (1) falls in the field after colliding with Buffalo Bills safety Damar Hamlin (3) during the second half of an NFL football game, Thursday, Sept. 12, 2024, in Miami Gardens, Fla. (AP Photo/Rebecca Blackwell)

Miami Dolphins quarterback Tua Tagovailoa (1) collides with Buffalo Bills safety Damar Hamlin (3) during the second half of an NFL football game, Thursday, Sept. 12, 2024, in Miami Gardens, Fla. Tagovailoa was injured on the play. (AP Photo/Rebecca Blackwell)

Miami Dolphins quarterback Tua Tagovailoa (1) is assisted on the field after suffering a concussion during the second half of an NFL football game against the Buffalo Bills, Thursday, Sept. 12, 2024, in Miami Gardens, Fla. (AP Photo/Rebecca Blackwell)

Miami Dolphins quarterback Tua Tagovailoa (1) is assisted on the field during the second half of an NFL football game against the Buffalo Bills, Thursday, Sept. 12, 2024, in Miami Gardens, Fla. (AP Photo/Rebecca Blackwell)

Miami Dolphins quarterback Tua Tagovailoa (1) is assisted on the field during the second half of an NFL football game against the Buffalo Bills, Thursday, Sept. 12, 2024, in Miami Gardens, Fla. (AP Photo/Rebecca Blackwell)

Miami Dolphins head coach Mike McDaniel talks to quarterback Tua Tagovailoa (1) as he leaves the game after suffering a concussion during the second half of an NFL football game against the Buffalo Bills, Thursday, Sept. 12, 2024, in Miami Gardens, Fla. (AP Photo/Rebecca Blackwell)

Miami Dolphins quarterback Tua Tagovailoa (1) lies on the field after suffering a concussion during the second half of an NFL football game against the Buffalo Bills, Thursday, Sept. 12, 2024, in Miami Gardens, Fla. (AP Photo/Lynne Sladky)

NEW YORK (AP) — In what appears to be a sophisticated, remote attack, pagers used by hundreds of members of Hezbollah exploded almost simultaneously in Lebanon and Syria Tuesday, killing at least nine people — including an 8-year-old girl — and wounding thousands more.

A U.S. official said Israel briefed the U.S. on the operation — in which small amounts of explosive secreted in the pagers were detonated — on Tuesday after it was concluded. The person spoke on the condition of anonymity because they were not authorized to discuss the information publicly.

The Iran-backed militant group blamed Israel for the deadly explosions, which targeted an extraordinary breadth of people and showed signs of being a long-planned operation. Details on how the attack was executed are largely uncertain and investigators have not immediately said how the pagers were detonated. The Israeli military has declined to comment.

Here's what we know so far.

Hezbollah leader Hassan Nasrallah previously warned the group’s members not to carry cellphones, saying they could be used by Israel to track the group's movements. As a result, the organization uses pagers to communicate.

A Hezbollah official told The Associated Press the exploded devices were from a new brand the group had not used before. The official, who spoke on condition of anonymity because he was not authorized to talk to the press, did not identify the brand name or supplier.

Nicholas Reese, adjunct instructor at the Center for Global Affairs in New York University’s School of Professional Studies, explains smart phones carry a higher risk for intercepted communications in contrast to the more simple technology of pagers.

This type of attack will also force Hezbollah to change their communication strategies, said Reese, who previously worked as an intelligence officer, adding that survivors of Tuesday's explosions are likely to throw away "not just their pagers, but their phones, and leaving their tablets or any other electronic devices.”

Even with a U.S. official confirming it was a planned operation by Israel, multiple theories have emerged Tuesday around how the attack might have been carried out. Several experts who spoke with The Associated Press explained how the explosions were most likely the result of supply-chain interference.

Very small explosive devices may have been built into the pagers prior to their delivery to Hezbollah, and then all remotely triggered simultaneously, possibly with a radio signal.

By the time of the attack, “the battery was probably half-explosive and half-actual battery," said Carlos Perez, director of security intelligence at TrustedSec.

A former British Army bomb disposal officer explained that an explosive device has five main components: A container, a battery, a triggering device, a detonator and an explosive charge.

“A pager has three of those already,” explained the ex-officer, who spoke on condition of anonymity because he now works as a consultant with clients on the Middle East. “You would only need to add the detonator and the charge.”

After security camera footage appeared on social media Tuesday purporting to show one of the pagers explode on a man’s hip in a Lebanese market, two munitions experts offered opinions that corroborate the U.S. official's statement that the blast appeared to be the result of a tiny explosive device.

“Looking at the video, the size of the detonation is similar to that caused by an electric detonator alone or one that incorporates an extremely small, high-explosive charge,” said Sean Moorhouse, a former British Army officer and explosive ordinance disposal expert.

This signals involvement of a state actor, Moorhouse said. He adds that Israel’s foreign intelligence agency, the Mossad, is the most obvious suspect to have the resources to carry out such an attack.

N.R. Jenzen-Jones, an expert in military arms who is director of the Australian-based Armament Research Services, notes that Israel had been accused of carrying out similar operations in the past. Last year, AP reported that Iran accused Israel of trying to sabotage its ballistic missile program through faulty foreign parts that could explode, damaging or destroying the weapons before they could be used.

It would take a long time to plan an attack of this scale. The exact specifics are still unknown, but experts who spoke with the AP shared estimates ranging anywhere between several months to two years.

The sophistication of the attack suggests that the culprit has been collecting intelligence for a long time, Reese explained. An attack of this caliber requires building the relationships needed to gain physical access to the pagers before they were sold; developing the technology that would be embedded in the devices; and developing sources who can confirm that the targets were carrying the pagers.

And it's likely the compromised pagers seemed normal to their users for some time before the attack. Elijah J. Magnier, a Brussels-based veteran and a senior political risk analyst with over 37 years experience in the region, said he has had conversations with members of Hezbollah and survivors of Tuesday's pager attack. He said the pagers were procured more than six months ago.

“The pagers functioned perfectly for six months," Magnier said. What triggered the explosion, he said, appeared to be an error message sent to all the devices.

Based on his conversations with Hezbollah members, Magnier also said that many pagers didn’t go off, allowing the group to inspect them. They came to the conclusion that between 3 to 5 grams of a highly explosive material were concealed or embedded in the circuitry, he said.

Jenzen-Jones also adds that “such a large-scale operation also raises questions of targeting" — stressing the number of causalities and enormous impact reported so far.jenzen

“How can the party initiating the explosive be sure that a target’s child, for example, is not playing with the pager at the time it functions?” he said.

Hezbollah issued a statement confirming at least two members were killed in the bombings. One of them was the son of a Hezbollah member in parliament, according to the Hezbollah official who spoke anonymously. The group later issued announcements that six other members were killed Tuesday, though it did not specify how.

“We hold the Israeli enemy fully responsible for this criminal aggression that also targeted civilians,” Hezbollah said, adding that Israel will “for sure get its just punishment.”

People donate blood for those who were injured by their exploded handheld pagers, at a Red Cross center, in the southern port city of Sidon, Lebanon, Tuesday, Sept. 17, 2024. (AP Photo/Mohammed Zaatari)