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.
Oct 19, 2014, 11:38 PM EDT
The Dutch midfielder scored off two ridiculous strikes to lead Galatasary over rivals Fenerbahce.
Oct 19, 2014, 11:05 PM EDT
The Sounders came from 2-0 down to steal a draw in Los Angeles at Landon Donovan’s final regular season home game.
Oct 19, 2014, 10:13 PM EDT
Werder Bremen became the first team without a shot in a Bundesliga game as Bayern continues to cruise.
Oct 19, 2014, 9:09 PM EDT
The Argentinian forward is scoring goals at a blistering pace for Manchester City. Could he be the most lethal striker in Europe?
Oct 19, 2014, 8:15 PM EDT
Catch up on all of this weekend’s action from Spain and Italy’s top flights.
Oct 19, 2014, 7:07 PM EDT
After an ugly 8-0 thrashing at Southampton, Vito Mannone said he will try to pay back fans who travelled to the game.
Oct 19, 2014, 6:15 PM EDT
The American international responded to Jurgen Klinsmann’s recent criticism of his return to the MLS.
Oct 19, 2014, 5:21 PM EDT
The private nature of Mackay’s texts may help him steer clear of FA charges.
Oct 19, 2014, 4:30 PM EDT
Bale did not play in Real Madrid’s match against Levante while nursing a muscle injury.
Oct 19, 2014, 3:35 PM EDT
12 players sent off, an ambulance called, and riot police on the field. That was the carnage from an ugly brawl in Argentinian soccer.
Oct 19, 2014, 2:56 PM EDT
The Swansea manager was furious following a soft penalty given for a foul on Victor Moses, suggesting his club has been hard done by referees plenty this season.
Oct 19, 2014, 2:17 PM EDT
Raheem Sterling faced criticism from the British media for his fitness, but he was also rumored to be wanted by Real Madrid. Ancelotti says don’t believe the rumors.
Oct 19, 2014, 1:35 PM EDT
The QPR manager loved what he saw on the field at Loftus Road despite the loss. Off the field is a different story.
Oct 19, 2014, 12:53 PM EDT
Jonathan Walters scored the winner off the bench as Stoke City grabbed a much-needed three points.
Oct 19, 2014, 12:26 PM EDT
Harry Redknapp was left flabbergasted after his side performed well but fell 3-2 after a bonkers last five minutes at Loftus Road.
Oct 19, 2014, 11:52 AM EDT
Rodgers, Gerrard know the Reds were fortunate to leave West London with all three points. But they’ll take it.
Oct 19, 2014, 10:58 AM EDT
Two teams who have dipped in form look to get back on track at the Britannia.
Oct 19, 2014, 10:32 AM EDT
Liverpool struggled through the first hour, but somehow earned the win in an absolutely wild finish.
Oct 19, 2014, 10:31 AM EDT
QPR’s wasteful finishing, Balotelli’s struggles and much more from a superb encounter at Loftus Road.
Oct 19, 2014, 9:41 AM EDT
Borussia Dortmund have lost five of their opening eight matches, putting them in 14th.
- MUST SEE: Wesley Sneijder scores two wonder goals 0
- Where does Sergio Aguero rank with the world’s best? 0
- Michael Bradley to Jurgen Klinsmann: ‘I have thick skin’ 0
- Stoke 2-1 Swansea: Substitutes pick up three points for the Potters 0
- Liverpool must improve, and they know it, despite late win at QPR 3
- VIDEO: QPR 2-3 Liverpool: Pair of own goals dooms QPR after insane final six minutes 1