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.
Nov 1, 2014, 7:34 AM EDT
Where and how to watch every PL game during Week 10 live online or via the app.
Oct 31, 2014, 11:20 PM EDT
Despite losing six of their first nine matches, Bayern Munich executive Karl-Heinz Rummenigge believes Borussia Dortmund will turn around their play.
Oct 31, 2014, 10:30 PM EDT
The Ivorian striker has been sidelined for more than 12 months with a knee injury.
Oct 31, 2014, 9:30 PM EDT
The German international has only made three appearances off the bench for Real Madrid as rumors of a move to the Premier League continue to swirl.
Oct 31, 2014, 8:35 PM EDT
Some good news and some bad news for Gunners fans as Jack Wilshere has injured his knee while Olivier Giroud is “miles ahead of schedule” after ankle surgery.
Oct 31, 2014, 7:40 PM EDT
The Manchester United legend has called out the crosstown rivals, saying City has a “touch of arrogance.”
Oct 31, 2014, 6:45 PM EDT
The young striker has seven goals in eleven appearances for Spurs, but is yet to earn a Premier League start this season.
Oct 31, 2014, 5:50 PM EDT
No, this is not a Halloween joke.
Oct 31, 2014, 5:00 PM EDT
Aston Villa have lost five straight matches and haven’t scored a goal since September 13th.
Oct 31, 2014, 4:05 PM EDT
Watch the Blues host the R’s Saturday at 11 a.m. ET on NBCSN or online via Live Extra.
Oct 31, 2014, 3:20 PM EDT
Take a look at the rest of the fixtures ahead for Yanks in Europe by heading inside.
Oct 31, 2014, 2:27 PM EDT
New York Red Bulls, Columbus Crew, New England Revolution, FC Dallas, L.A. Galaxy, Seattle Sounders, Real Salt Lake or DC United: Who’s been better?
Oct 31, 2014, 1:42 PM EDT
“This is the biggest derby that I shall manage,” the Manchester United boss told reporters on Friday.
Oct 31, 2014, 12:59 PM EDT
Onyewu has played at QPR, Malaga, Sporting CP, Twente, AC Milan, Newcastle, Standard Liege, La Louviere and Metz since he left Clemson.
Oct 31, 2014, 12:30 PM EDT
Where and how to watch every game during Week 10 of the PL.
Oct 31, 2014, 12:00 PM EDT
City and United tangle at 8am ET on NBCSN this Sunday, and the absence of Silva will be a bonus for Louis van Gaal’s Red Devils.
Diego Costa will be available to Chelsea this weekend, says Jose Mourinho; QPR and Blues to tangle on NBCSN
Oct 31, 2014, 11:26 AM EDT
Chelsea and QPR kick-off at 11am ET on NBCSN this Saturday.
Oct 31, 2014, 11:10 AM EDT
Here’s how PST’s editor and lead writer sees things panning out this weekend.
Oct 31, 2014, 10:30 AM EDT
We are a quarter of the way through the season. Scary, right? Anyway, here’s our latest rankings of power.
Oct 31, 2014, 10:21 AM EDT
“Some weren’t in the European finals, some weren’t even domestic champions,” said Jesus. Others were, and weren’t nominated. We’ll give out some props.
- Paul Scholes says arrogance could hurt Manchester City 0
- MLS playoffs weekend preview: Which remaining team has the best form? 0
- Van Gaal: Manchester Derby is “biggest” he’ll manage; Rooney in, Falcao out 1
- WATCH: Premier League TV schedule – Week 10 4
- Diego Costa will be available to Chelsea this weekend, says Jose Mourinho; QPR and Blues to tangle on NBCSN 0
- Prince-Wright’s Premier League picks: Chelsea, Arsenal, Everton the standouts 1