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 26, 2015, 12:44 AM EDT
It was a bad night to be a goalkeeper. A really, really bad night.
Apr 26, 2015, 12:36 AM EDT
Winning on the road in MLS is always impressive. Doing it 3,000 miles from home and with a five-man bench is downright remarkable.
Apr 25, 2015, 10:55 PM EDT
MLS Game of the Year? Probably. It had a little bit of everything, including some amazing goals you HAVE to see.
Apr 25, 2015, 9:42 PM EDT
Good luck stopping the Revs, now that they’ve got a head of steam behind them. Another Cup run looks likely.
Apr 25, 2015, 9:33 PM EDT
Crew SC’s four-headed attacking monster completely shredded the Union’s defense. The Black and Gold are very for real.
Apr 25, 2015, 7:44 PM EDT
As long as Barcelona keep winning, the La Liga title is theirs. The way they’re going at the moment, they might just win out.
Apr 25, 2015, 6:59 PM EDT
With four teams separated by two points for the final relegation place, it’s becoming an absolute dogfight. The 2 Robbies break it down.
Apr 25, 2015, 5:30 PM EDT
When in a relegation dogfight, win any way you can. That’s the message from Nigel Pearson, and that’s what Leicester City have done.
Apr 25, 2015, 4:30 PM EDT
Play poorly and win, or play well and lose? You can’t always have it both ways, which benefitted Man City on Saturday.
Apr 25, 2015, 4:00 PM EDT
Sherwood’s men were certainly hard done by away to Manchester City. It’s hard not to agree with the Villa boss.
Apr 25, 2015, 3:30 PM EDT
With Watford officially promoted, who’s next? (Hint: It won’t be Boro.)
Apr 25, 2015, 3:20 PM EDT
Recaps, reaction, videos and more from all eight PL games on Saturday.
Apr 25, 2015, 2:46 PM EDT
Rodgers: “It’s an area we’ll look at in the summer.”
Apr 25, 2015, 2:35 PM EDT
Citizens survive second half Villa comeback to move up to second, cement spot in top four.
Apr 25, 2015, 2:32 PM EDT
Three of four “bottom five” clubs who played on Saturday picked up a point, including one side scooping up a massive three points to leap off the bottom of the table.
Apr 25, 2015, 2:01 PM EDT
Messi now has at least 50 goals in four seasons during his career.
Apr 25, 2015, 1:48 PM EDT
Mexico national teamer Miguel Layun posted this video on Twitter, as the club learns its been promoted and the bus goes absolutely bonkers.
Apr 25, 2015, 1:18 PM EDT
Aguero? He doesn’t miss from there, and the USMNT keeper was left with his head in his hands. It’s 1-0 City at half.
Apr 25, 2015, 12:49 PM EDT
Swans found goals from Nelson Olivera, Gylfi Sigurdsson and Jack Cork to build a 3-1 lead before Siem de Jong netted late.
Apr 25, 2015, 12:46 PM EDT
The Hornets are back in the PL for just the third time in their history.
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