Sep 26, 2013, 4:30 PM EDT
After Romelu Lukaku scored the winning goal in Everton’s 3-2 win over West Ham, he admitted he could not remember anything about the play.
“Nothing,” he said. “I didn’t even know that I scored. … I didn’t remember what happened for a couple of seconds, and then I woke up, and they said I scored.”
If Lukaku was unconscious, that makes the decision to put him back on the field that much more irresponsible. Everton had used all three of its substitutes at the time of his injury, and taking him off would have meant playing a man down with a slim lead in the dying minutes away from home.
The 2013-14 Premier League Handbook outlines the thinnest definition of a head injury policy:
Any Player, whether engaged in a League Match, any other match or in training, who having sustained a head injury leaves the field of play, shall not be allowed to resume playing or training (as the case may be) until he has been examined by a medical practitioner and declared fit to do so.
That’s all there is to it: No definition of “medical practitioner” or clarification of what constitutes an examination or what it means to be “declared fit.” Athletic trainers and physiotherapists have some level of understand of concussions, but their knowledge doesn’t run as deep as a medical doctor’s, and an examination on the side of a field in a noisy stadium is not the same as a thorough evaluation in a quiet room.
This is one aspect that Major League Soccer gets right. Every club puts its players through baseline testing before the season begins, and even after they are symptom-free following a head injury, they have to see a neuropsychologist for more strenuous testing before being allowed to return to any activity, let alone full training.
The current MLS concussion protocol came into effect in 2011, and baseline testing began to be a routine measure in 2007.
As for Lukaku, not only did he finish the match against West Ham on Saturday, but he also played 90 minutes in a 2-1 League Cup loss to Fulham on Tuesday. Had he suffered another blow to the head in those approximately 95 minutes or in training between the original injury and the (now extended) time until he makes a full recovery, the situation would only get worse.
Coming back too early from a concussion can have long-term cognitive effects in adults, and it is downright deadly for children. Just ask Taylor Twellman, the outspoken ESPN analyst and former New England Revolution forward whose promising career was cut short by concussion-related symptoms.
The Premier League’s 54-word, one-sentence policy on head injuries is simply not enough.
Aug 29, 2015, 11:37 PM EDT
The playoffs look a might big ask of RSL, as they sit rock bottom, 10th place, in the Western Conference.
Aug 29, 2015, 11:08 PM EDT
Three losses in a row for Sporting KC, and the team with the highest points-per-game total is slipping in the West.
Aug 29, 2015, 8:37 PM EDT
Man United fell twice at the hand of Swansea City in 2014-15. On Sunday, Louis van Gaal takes his crack at revenge.
Aug 29, 2015, 6:34 PM EDT
Michael Bradley powered TFC to a 2-1 victory in the 401 Derby, and essentially locked up a playoff place in doing so.
Aug 29, 2015, 6:20 PM EDT
NYCFCs struggles continued on Saturday, as they lost to a very poor road team in Columbus Crew SC.
Aug 29, 2015, 6:01 PM EDT
James Rodriguez scored two filthy goals on Saturday. We need your help deciding which one was more impressive.
Aug 29, 2015, 4:55 PM EDT
Bayern Munich continued its strong start to the Bundesliga campaign, and will be the only team to boast a 3-0 record unless BVB beats Hertha Berlin on Sunday.
Aug 29, 2015, 4:30 PM EDT
Being the “better” side is a subjective thing, of course, especially when you fail to win.
Aug 29, 2015, 4:00 PM EDT
Catch up on all the action from eight games on Saturday, as there were plenty of shocks in the PL.
Aug 29, 2015, 3:45 PM EDT
Arsene Wenger isn’t panicking over another close call against Newcastle United. The way he sees it, they did well to win 1-0 on an own goal.
Aug 29, 2015, 3:25 PM EDT
With Howard back in a U.S. jersey next week, he put in a Man of the Match display to grab Everton a point at Spurs.
Aug 29, 2015, 2:35 PM EDT
Here’s three things we learned from the Lane.
Aug 29, 2015, 2:24 PM EDT
Spurs attacked for much of the match but were held off the scoresheet by American goalkeeper Tim Howard.
Aug 29, 2015, 1:18 PM EDT
The Liverpool manager was disappointed in the Reds play but also criticized the referee.
Aug 29, 2015, 12:34 PM EDT
Jose Mourinho gave lots of credit to today’s worthy opponent, but did stay somewhat true to his nature.
Aug 29, 2015, 12:04 PM EDT
Afellay and Adam sent off as Baggies down Potters on Pulis’ return.
Aug 29, 2015, 12:01 PM EDT
Artur Boruc got a piece of Vardy’s penalty attempt, but not enough. 1-1.
Aug 29, 2015, 11:57 AM EDT
Hammers win at Anfield for first time since 1963.
Aug 29, 2015, 11:55 AM EDT
Yann M’Vila and Jeremain Lens scored for Sunderland, with Scott Sinclair striking twice for Aston Villa in between.
Aug 29, 2015, 11:54 AM EDT
Mourinho loses second home game in 100 PL matches as Chelsea boss.
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- Premier League roundup: Chelsea, Liverpool suffer stunning home defeats 0
- Tim Howard ready for USMNT return, as heroics rescue Everton 1
- Three things we learned from Tottenham Hotspur vs. Everton 2
- Liverpool 0-3 West Ham United: Hammers stun Reds at Anfield in fiery encounter 2
- Chelsea 1-2 Crystal Palace: Blues stunned at home by Eagles 5