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 26, 2014, 12:39 AM EDT
The Vancouver Whitecaps did themselves well to clinch a late playoff birth, besting the Colorado Rapids, 1-0.
Oct 25, 2014, 11:44 PM EDT
The Timbers’ postseason aspirations are hanging in the balance, but this 2-0 win over FC Dallas has certainly put them in a nice spot.
Oct 25, 2014, 10:31 PM EDT
Final: New England Revolution 1, Toronto FC 0
Oct 25, 2014, 9:49 PM EDT
AS Roma defender Ashley Cole has drawn the interest of MLS teams once again.
Oct 25, 2014, 8:48 PM EDT
Cristiano Ronaldo praises manager Louis van Gaal and is convinced that the 63-year-old will lead Manchester United to its former glory.
Oct 25, 2014, 7:23 PM EDT
Short recap and highlights of Saturday’s Round 9 Premier League matches.
Oct 25, 2014, 7:08 PM EDT
With three games on the slate, here’s what you can look forward to on Sunday.
Oct 25, 2014, 6:18 PM EDT
Final: Montreal Impact 1, D.C. United 1
Oct 25, 2014, 5:23 PM EDT
The Chicago Fire are seeking to bolster the strength of their roster, examining the possible signing of ex-Tottenham Hotspur midfielder Jaime O’Hara.
Oct 25, 2014, 4:55 PM EDT
A sleepy game for over an hour, Seattle and L.A. used the last hour to stage a contest worthy of a trophy-winning event.
Oct 25, 2014, 4:29 PM EDT
Pique speaks of his handball in Barcelona’s 3-1 defeat to Real Madrid: “It was unintentional.”
Oct 25, 2014, 3:47 PM EDT
The L.A. Galaxy and Seattle Sounders are scoreless through 45 minutes at CenturyLink in Washington.
Oct 25, 2014, 3:30 PM EDT
Leeds United have fired manager Darko Milanic after only 32 days leading the squad.
Oct 25, 2014, 2:59 PM EDT
Several fun games whet the appetite for a massive top of table Sunday tilt between Bayern Munich and Borussia Monchengladbach.
Oct 25, 2014, 2:29 PM EDT
With six games on Saturday in the PL, here’s what happened.
Oct 25, 2014, 2:20 PM EDT
Wilfried Bony scored both goals for Swans, 2-0, who cruised to the win against the suddenly-struggling Foxes.
Oct 25, 2014, 2:07 PM EDT
Will the Sounders handle the Galaxy and expectations to clinch home-field throughout the playoffs?
Oct 25, 2014, 1:54 PM EDT
“Maybe they [Stoke] created two possibilities, not chances and that’s a great team effort,” Koeman said of his Saints.
Oct 25, 2014, 1:47 PM EDT
Despite going behind earlier, Real came roaring back to win the first El Clasico of 2014-15.
Oct 25, 2014, 1:28 PM EDT
Watch and enjoy, then follow the second half live on NBC and online via Live Extra.
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