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.
Sep 3, 2014, 1:17 AM EDT
Before you leave for the offseason, NWSL, let’s go over what you’ve accomplished in Year Two.
Sep 2, 2014, 10:36 PM EDT
The beginning of a long World Cup cycle allows the normal questions to be put aside for Wednesday’s friendly.
Sep 2, 2014, 8:48 PM EDT
FC Dallas’s short reign is over, with a familiar name returning to the top spot.
Sep 2, 2014, 7:15 PM EDT
Houston’s defense suffers a setback, with Hall expected to be sidelined for 6-9 months.
Sep 2, 2014, 6:08 PM EDT
A one-goal, four-assist week means another legend claims our honor.
Sep 2, 2014, 5:18 PM EDT
This was supposed to be Guzan’s audition. Instead, this looks like competition.
Sep 2, 2014, 4:05 PM EDT
Altidore’s 72nd cap will feature the U.S.’s armband, with Jurgen Klinsmann having handed his striker the honor for tomorrow’s friendly in Prague.
Sep 2, 2014, 3:00 PM EDT
Colombian hotshot signs for the Red Devils on Deadline Day. Will his move guarantee goals, and maybe more?
Sep 2, 2014, 2:17 PM EDT
Four reasons why Welbeck could thrive at the Emirates.
Sep 2, 2014, 1:45 PM EDT
At just 18 years old, Emerson Hyndman has come through the Fulham youth ranks and is turning heads at all levels. He speaks to ProSoccerTalk about the chances coming all at once.
Sep 2, 2014, 1:01 PM EDT
Blues sign full back to new long-term deal at Stamford Bridge.
Sep 2, 2014, 12:00 PM EDT
Scorpions reveal stunning stadium plans, as the latest lower-league side plans for MLS expansion.
Sep 2, 2014, 11:29 AM EDT
Cleverley arrives at Villa Park after late, late loan move on Deadline Day.
Sep 2, 2014, 10:23 AM EDT
Speaking ahead of the USA’s clash in Prague, here’s what Klinsmann had to say.
Sep 2, 2014, 9:47 AM EDT
Bayern Munich midfielder to lead Germany after Lahm’s retirement.
Sep 2, 2014, 9:08 AM EDT
Where did the cash go? Who spent the most? Which records tumbled?
Sep 2, 2014, 8:26 AM EDT
Ronaldo’s not happy that Alonso, Di Maria were allowed to leave in the window.
Sep 2, 2014, 7:33 AM EDT
Is he a Red Devil or a Villan? Confusion over Cleverley.
Sep 1, 2014, 11:30 PM EDT
“Today two powers were brought together, the hand of God and that of the Pope,” Maradona joked. No, really. That’s what he said.
Sep 1, 2014, 10:30 PM EDT
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