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.
Apr 24, 2014, 12:36 AM EDT
Mariano Pavone’s first half goal in Toluca delivered La Maquina a record-breaking title.
Apr 23, 2014, 11:56 PM EDT
The Red Bulls’ slow start is quickly becoming a distant memory as New York posted a 4-0 win over visiting Houston.
Apr 23, 2014, 8:26 PM EDT
A future star makes a quick impact as Washington puts week one behind them.
Apr 23, 2014, 5:55 PM EDT
Ronaldo pronounced fit; Benzema breaks through, and Casillas stones Götze.
Apr 23, 2014, 5:30 PM EDT
Incredible plans to expand Anfield revealed, as public will now have their say:
Apr 23, 2014, 4:51 PM EDT
Tedious Tiki-Taka, counter-attacking clinic and gilt-edge chances:
Apr 23, 2014, 4:45 PM EDT
Striker’s 19th minute score gives the nine-time champions a 1-0 lead ahead of next week’s second leg.
Apr 23, 2014, 4:19 PM EDT
Find out who won the PL Player of the Week award, right here:
Apr 23, 2014, 3:36 PM EDT
Which players made the PL team of the week? Find out, right here:
Apr 23, 2014, 2:54 PM EDT
The top two remain unchanged, but there’s a major shakeup in elsewhere near the top of our weekly rankings.
Apr 23, 2014, 2:25 PM EDT
Andrew Dykstra wants to brew you a beer, and several teams have specific offerings in mind.
Apr 23, 2014, 1:42 PM EDT
The big guns will be firing for Bayern Munich and Real Madrid at the Bernabéu, and there’s plenty of ammunition on both benches if needed.
Apr 23, 2014, 1:28 PM EDT
Reports say David Moyes was “seething” at what he perceived to be an unprofessional dismissal from Manchester United.
Apr 23, 2014, 12:52 PM EDT
Bad news for England, as Januzaj is headed for a brand new Belgium kit.
Apr 23, 2014, 12:11 PM EDT
Some slots are firm, while there’s plenty to be settled in the next few weeks. Let’s take a look at whose guaranteed to make the group stage
Apr 23, 2014, 11:41 AM EDT
Speaking with Sports Illustrated’s SI Now, Donovan spent some time lauding David Moyes and lamenting his dismissal from Manchester United.
Apr 23, 2014, 10:52 AM EDT
He’s simply one of the worst that’s ever played.
Apr 23, 2014, 10:25 AM EDT
Shola Ameobi has played a lot of roles during his time at Newcastle; His latest role is vocal critic of the club’s transfer practices.
Apr 23, 2014, 9:40 AM EDT
The USMNT midfielder posted this shot to his Instagram account on Tuesday, proclaiming his new stars and stripes knee tattoo complete.
Apr 23, 2014, 8:48 AM EDT
The Champions League will make Liverpool more attractive, says its managing director, and the club will spend money to fortify its team.
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