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.
Jan 24, 2015, 10:35 PM EST
The bitterness is flowing freely from Falcao’s agent as he plots the Colombian striker’s next move to a “world’s best-seven team.”
Jan 24, 2015, 8:45 PM EST
If MLS is good enough for Italian national teamers, why isn’t it good enough for U.S. national teamers?
Jan 24, 2015, 7:45 PM EST
Barcelona were stunning as they put a half-dozen past Elche, while Real stumbled to victory. Elsewhere, AC Milan are very bad.
Jan 24, 2015, 7:04 PM EST
The Baby Yanks are headed back to the Big Dance this summer.
Jan 24, 2015, 5:45 PM EST
A number of PL giants fell on Saturday, leaving Arsenal, West Ham and Aston Villa shaking in their boots.
Jan 24, 2015, 4:54 PM EST
The squad is set for the first games of 2015, following a late addition and a number of cuts.
Jan 24, 2015, 4:20 PM EST
After four games played, absolutely nothing separates any of the four teams in Group D. Nothing.
Jan 24, 2015, 3:23 PM EST
“Frustration is not the right word, embarrassed would be more appropriate.”
Jan 24, 2015, 2:51 PM EST
Catch up on all the latest rumors and gossip, right here.
Jan 24, 2015, 2:08 PM EST
Cristiano Ronaldo was sent off for Real Madrid, but Gareth Bale saved three points with a late-game penalty.
Jan 24, 2015, 1:16 PM EST
Chelsea, Manchester City and Southampton were all upset in one of the craziest rounds in FA Cup history.
Jan 24, 2015, 12:29 PM EST
Another Premier League giant is out of the FA Cup as Middlesbrough got the result of a lifetime.
Jan 24, 2015, 12:05 PM EST
Madness at Stamford Bridge as The Bantams came from two goals down to knock Chelsea out of the FA Cup.
Jan 24, 2015, 11:38 AM EST
Middlesbrough are poised to knock the defending Premier League champions out of the FA Cup.
Jan 24, 2015, 11:04 AM EST
Southampton and Crystal Palace combined to score five first-half goals in a wild FA Cup match.
Jan 24, 2015, 9:49 AM EST
Unfortunately, the strike wasn’t enough to save Swansea City from defeat.
Jan 24, 2015, 9:23 AM EST
Knowing that Mancini knows Yaya well, we’ll present the comments in case something comes up.
Jan 24, 2015, 8:30 AM EST
Jurgen Klinsmann knows that Altidore’s move to MLS is a risk and an opportunity.
Jan 24, 2015, 7:50 AM EST
For every backheel volley highlight, there was a story like his nearly fighting Wilfried Zaha in an England U-21 match.
Jan 23, 2015, 11:10 PM EST
Check out the stats behind the sacks as the League Managers Association releases its quarterly report.
- Italy head coach Antonio Conte supports Sebastian Giovinco’s move to MLS 3
- USMNT U-20s defeat El Salvador, 2-0, qualify for 2015 U-20 World Cup 0
- Jurgen Klinsmann names 23-man roster for USMNT friendlies vs. Chile, Panama 0
- Africa Cup of Nations roundup: Ivory Coast, Cameroon in 1-1 draws as Group D up for grabs 0
- Mourinho on loss: “Me and the players must feel ashamed” 0
- FA Cup roundup: Top-three Premier League teams all eliminated at home 1