Sep 26, 2013, 4:30 PM EST
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.
Dec 9, 2013, 2:48 PM EST
Can the Swans surge back into the top 10? Watch live on NBCSN:
Dec 9, 2013, 2:29 PM EST
We caught up with ‘beardless’ Howard after his impressive outing vs. Arsenal. Here’s what he had to say:
Dec 9, 2013, 1:27 PM EST
With a shortlist of over 50 names to choose from, what is your current best starting XI in world soccer?
Dec 9, 2013, 12:59 PM EST
With Michu in-line to return, could the Swans blow the Tigers away?
Dec 9, 2013, 12:06 PM EST
Moyes takes the blame but how much longer can he take the flack for his under-performing stars?
Dec 9, 2013, 11:20 AM EST
Do the Gunners have themselves to blame? Or were the Toffees just too good?
Dec 9, 2013, 9:48 AM EST
Shock horror, Ronaldo and Messi go head-to-head for Ballon d’Or….
Dec 9, 2013, 9:14 AM EST
Ex-Premier League striker among those questioned as investigation continues:
Dec 9, 2013, 7:49 AM EST
Who gets your vote? Sit back, relax and watch some stunners from Osvaldo, Assaidi, Cabaye and others:
Dec 8, 2013, 11:54 PM EST
The one commonality among both stars’ groups: Almost none of their opponents have good defensive records.
Dec 8, 2013, 10:48 PM EST
Unbeaten in three, Spurs have turned things around since their loss at Manchester City.
Dec 8, 2013, 9:44 PM EST
KANSAS CITY, Kan. — The difference between missed opportunities and bad luck.
Dec 8, 2013, 8:45 PM EST
Fulham decided it early against Aston Villa, while Giroud was denied late at The Emirates.
Dec 8, 2013, 7:40 PM EST
KANSAS CITY, Kan. — Collin, Feilhaber, Findley and Schuler may have changed the way we see their careers.
Pulis vs. Allardyce; Crystal Palace vs. West Ham: Earle, Mustoe talk diverging paths of Eagles, Hammers (video)
Dec 8, 2013, 6:38 PM EST
NBC Sports’ analysts consider what’s going right in the South, wrong in the East.
Dec 8, 2013, 5:43 PM EST
New depths for Moyes, Everton continues to convince, and perspective required for Chelsea’s, City’s stumbles.
Dec 8, 2013, 2:51 PM EST
Roma’s enormous win, fueled by Mattia Destro’s winner in his season debut, gave the Giallorossi a vital three to keep pace with Juventus and extend their distance from Napoli.
Dec 8, 2013, 2:23 PM EST
Wenger believes consistency will be the key, but can Arsenal learn from previous campaigns and not shot themselves in the foot?
Dec 8, 2013, 12:59 PM EST
Mesut Ozil gave Arsenal the lead with just 10 minutes to go, but Gerard Deulofeu broke Arsenal fans hearts not long after.
Dec 8, 2013, 11:47 AM EST
The North London Derby gets a third chapter this season as the two sides will face off in the FA Cup third round. See the complete draw results here:
- Tim Howard on his stunning display vs. Arsenal, Everton’s good form, tough draw for USA 0
- David Moyes takes “complete responsibility” for Manchester United’s shocking start 2
- Lionel Messi, Cristiano Ronaldo and Franck Ribery to battle it out for Ballon d’Or 1
- Kind draws could give Messi, Ronaldo head start on World Cup 2014′s Golden Boot 2
- 2014 World Cup Draw: Recapping the event (43)
- 2014 World Cup Draw: USA in Group of Death with Germany, Portugal, Ghana – Schedule, times, venues (33)
- What US Soccer wants from the World Cup draw (23)
- Now that we know the U.S. opponents, which 23 players should Jurgen Klinsmann bring to Brazil? (19)
- 2014 FIFA World Cup Draw: The sum of all fears scenario for the United States (17)