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.
Feb 27, 2015, 11:46 PM EST
Louis van Gaal speaks of Manchester United’s mindset at this stage of the season.
Feb 27, 2015, 10:50 PM EST
Celtic released a statement that urged fans to join hunt for the people who set off fireworks in Europa League competition and violated UEFA’s code of conduct.
Feb 27, 2015, 10:10 PM EST
Garber: “We had hoped that by now this would have been resolved.”
Feb 27, 2015, 9:15 PM EST
Chelsea manager Jose Mourinho asserted the Premier League’s reputation is at stake with Nemanja Matic’s ban.
Feb 27, 2015, 7:32 PM EST
Freddy Adu will have a shot to revive his career in Sweden.
Feb 27, 2015, 6:48 PM EST
Bale and Ronaldo are set to perform in Sunday’s match vs. Villarreal after not taking part in full training sessions this week.
Feb 27, 2015, 5:40 PM EST
Bayern Munich unsurprisingly improves on their position in league competition.
Feb 27, 2015, 4:50 PM EST
Quick look at Americans utilizing their talents overseas.
Feb 27, 2015, 4:20 PM EST
Citizens, Red Devils and Toffees will all bag big wins this weekend, according to PST’s Editor and Lead Writer.
Feb 27, 2015, 3:50 PM EST
Preview of West Ham-Crystal Palace match airing live on NBCSN this Saturday morning.
Feb 27, 2015, 3:16 PM EST
In our latest with Stoke City and U.S. national team star Geoff Cameron, we sit down in his house and watch Arsenal’s clash with AS Monaco.
Feb 27, 2015, 2:55 PM EST
The PST Extra crew dissect the key areas as Liverpool host Man City on Sunday.
Feb 27, 2015, 2:25 PM EST
Watch United vs. Sunderland live on NBCSN and online via Live Extra at 10 a.m. ET on Saturday.
Feb 27, 2015, 1:48 PM EST
Mourinho speaks about Chelsea’s aim to lift the League Cup at Wembley this Sunday.
Feb 27, 2015, 12:44 PM EST
Where and how to watch all the Premier League games during Week 27.
Feb 27, 2015, 12:01 PM EST
Blatter: “The World Cup will not go on until the 23rd, definitely not.”
Feb 27, 2015, 10:56 AM EST
Would Xavi head to NYCFC later this year?
Feb 27, 2015, 10:00 AM EST
The Toffees get a tricky test in Kiev, while Italy dominates the last 16 with five clubs.
Feb 27, 2015, 9:20 AM EST
Gunners midfielder goes under the knife once again.
Feb 27, 2015, 8:30 AM EST
Dutchman is out of pivotal stretch with right ankle injury.
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