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.
Sep 22, 2014, 2:15 PM EDT
Gunners and Saints clash, as the third round of the League Cup takes place this week.
Sep 22, 2014, 1:38 PM EDT
Zwanziger: “Medics say they cannot accept responsibility with a World Cup taking place under these conditions.”
Sep 22, 2014, 1:10 PM EDT
Joining the NBC Sports crew from the crap part of SoHo, the MiB break down van Gaal’s topsy-turvy day.
Sep 22, 2014, 12:30 PM EDT
A report documenting FIFA’s internal investigation into alleged World Cup bidding corruption will not be published.
Sep 22, 2014, 11:28 AM EDT
Gunners defensive woes compounded as Debuchy will be out for over three months.
Sep 22, 2014, 10:30 AM EDT
PST’s Lead Writer and Editor takes an in-depth look at the incredible storylines from the PL during Week 5.
Sep 22, 2014, 9:40 AM EDT
Rog and Davo welcomed guest after guest for a very special pod.
Sep 22, 2014, 9:05 AM EDT
Pellegrini on City’s 1-1 draw with Chelsea: “I think we played 90 minutes against a small team trying to defend.”
Sep 22, 2014, 8:32 AM EDT
German midfielder would be exactly what Arsenal need. Will he arrive in January?
Sep 22, 2014, 7:53 AM EDT
Will Defoe be heading back to England at the end of the 2014 MLS season? Reports suggest its likely.
Sep 22, 2014, 12:37 AM EDT
Toronto FC vs. Chivas USA was the only MLS match to occur on Sunday.
Sep 22, 2014, 12:10 AM EDT
Roundup of Serie A and La Liga matches from the weekend.
Sep 21, 2014, 10:09 PM EDT
Manchester City defender Pablo Zabaleta thinks the referee let Diego Costa off without a red card during their encounter that spurred a red card for the Argentine.
Sep 21, 2014, 9:07 PM EDT
Barcelona beat Levante 5-0 on Sunday to continue their winning streak in all competitions.
Sep 21, 2014, 8:27 PM EDT
Short written and video recap of Sunday’s games.
Sep 21, 2014, 7:02 PM EDT
Manchester City goalie Joe Hart confirmed that he hadn’t discussed a new contract with the club, and Liverpool is a prime candidate for his services, according to the Metro.
Sep 21, 2014, 5:48 PM EDT
More racism was thrown at Mario Balotelli, but this time, it appears law enforcement will get involved.
Sep 21, 2014, 5:09 PM EDT
Mesut Ozil and Danny Welbeck scored and assisted each other during the Gunners 3-0 win over Aston Villa.
Sep 21, 2014, 4:30 PM EDT
Alessandro Florenzi hugged and kissed his grandmother in the Stade Olimpico stands following his goal in AS Roma’s 2-0 victory over Cagliari.
Sep 21, 2014, 3:34 PM EDT
Everton manager Roberto Martinez laments loss to Crystal Palace, saying that his squad lost its drive for victory.
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