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.
Jul 25, 2014, 11:24 AM EDT
Dynamo president Chris Canetti made waves when he said the team would be adding to the DaMarcus Beasley signing soon with a World Cup starter.
Jul 25, 2014, 11:11 AM EDT
World Cup final, so what? Diego Maradona is not pleased with the way his nation played in Brazil.
Jul 25, 2014, 9:55 AM EDT
Barring something wild, young Eliaquim Mangala is taking his French national team talent to Manchester.
Jul 25, 2014, 9:05 AM EDT
It can be the soccer tournament that changes Russia forever (so implies FIFA)
Jul 25, 2014, 7:57 AM EDT
The 27-year-old Chilean is very much in demand, but also happy at a Champions League club.
Jul 25, 2014, 1:21 AM EDT
Olmes Garcia’s second half double lifted RSL.
Jul 24, 2014, 11:25 PM EDT
Introduced to the media in Houston, Beasley said he’s move on from midfield.
Jul 24, 2014, 10:24 PM EDT
With Wenger interview, SI had to get Zelalem out of the way first.
Jul 24, 2014, 9:16 PM EDT
Reds’ owner does not want a repeat of last year’s weaknesses.
Jul 24, 2014, 8:02 PM EDT
NBC Sports and Fathom Events are taking Premier League soccer to the big screen.
Jul 24, 2014, 7:10 PM EDT
Balotelli, Honda, Muntari, and more from the Rossoneri’s N.Y. training.
Jul 24, 2014, 7:04 PM EDT
Pinto will depart after failing to come to new terms with the federation.
Jul 24, 2014, 6:12 PM EDT
After appearing three times at Brazil 2014, Besic is set to add depth behind Gareth Barry and James McCarthy.
Jul 24, 2014, 5:21 PM EDT
Adu close to joining the 10th club in his 11-year career.
Jul 24, 2014, 4:08 PM EDT
After seeing time with the senior squad, 18-year-old prospect will be sidelined indefinitely.
Jul 24, 2014, 3:25 PM EDT
The Colombian striker takes a few hacks before AS Monaco’s friendly in Miami against Atletico National.
Jul 24, 2014, 2:50 PM EDT
Limited to just 16 matches last year after his big transfer from Liverpool to West Ham, Carroll is battling another ailment this season.
Jul 24, 2014, 2:09 PM EDT
The rags-to-riches defender steps away from the pitch, at least as a player, while reflecting on his career journey from North America to Europe and back.
Jul 24, 2014, 1:46 PM EDT
Herrera chats exclusively to PST: “If we are a humble team and we work hard, we will achieve our objectives and we will win trophies.”
Jul 24, 2014, 1:26 PM EDT
His dad played for El Tri, but California-born Fernando Arce Jr says his U-20 bow with the States makes him an American player “forever”
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