Raul Jimenez: Sickening conflict of heads places cconcussion protocols underneath scrutiny

Simply minutes after returning to the pitch, blood started seeping via the bandage Arsenal medical workers had wrapped round Luiz’s head.

After the match Arsenal boss Mikel Arteta stated that Luiz was substituted at halftime as a result of he felt “uncomfortable heading the ball.”

Wolves confirmed on Monday that Jimenez underwent profitable surgical procedure on a fractured cranium.

Arteta insisted that the docs “made all of the assessments and adopted all of the protocols” to make sure it was protected for Luiz to proceed and stated the Brazilian by no means misplaced consciousness.

Nonetheless, Headway, a UK charity that works to enhance life after mind damage, stated in an announcement after the match that lack of consciousness is a consider solely 10% of all concussion circumstances.

“We have now repeatedly warned in regards to the dangers to gamers and the significance of elite-level sport setting an excellent instance for impressionable youthful gamers to comply with,” stated Luke Griggs, Deputy Chief Government at Headway.

“Too usually in soccer, we see gamers returning to the pitch having undergone a concussion evaluation — solely to be withdrawn a couple of minutes later when it’s clear that they don’t seem to be match to proceed.

David Luiz was allowed to continue but was substituted at half time.

“That’s the very purpose why we urgently want momentary concussion substitutes in soccer. You merely can’t take a threat with head accidents.

“They don’t seem to be like muscular accidents the place you may put a participant again on ‘to see if they’ll run it off.’ One additional blow to the pinnacle when concussed may have critical penalties.”


Soccer’s concussion protocols have more and more come underneath the highlight in recent times.

Whereas different sports activities similar to rugby, cricket and American soccer have tailored their guidelines to permit momentary substitutions, which guarantee gamers with head accidents could be correctly assessed for concussion, soccer’s protocols in Could 2019 had been described by Chris Nowinski, co-founder and CEO of the Concussion Legacy Basis, as “archaic” and “the worst on the planet.”

In October of final yr, the Worldwide Soccer Affiliation Board (IFAB) — the group accountable for “preserving and growing” the foundations of the sport — held a gathering in Zurich to debate soccer’s protocols, notably the addition of a brief substitute to permit for a 10-minute concussion evaluation window as a substitute of the present three-minute check.

IFAB determined an professional group needs to be tasked with discovering an answer bearing in mind “each participant welfare and the necessity to guarantee sporting equity,” it stated in an announcement on the time.

Greater than 13 months later, nonetheless, IFAB stated in a November assertion that the “important proposed ideas” for added substitutions submitted by its Concussion Professional Group will “be explored additional” and that trials may start in January.

“The IFAB takes head accidents in soccer matches very significantly as defending the well being of gamers is — and can stay — a high precedence in growing the Legal guidelines of the Sport,” an IFAB spokesperson informed CNN.

“The IFAB has made tackling this problem a key goal and has established a Concussion Professional Group that has mentioned and evaluated analysis on the subject of concussion and head accidents.

“Given the very advanced nature of this subject, it has been clear from the start that concrete choices associated to the Legal guidelines of the Sport have to be nicely thought via and examined from all completely different stakeholder views (medical concussion consultants, crew docs, participant representatives, coaches, competitors organizers, refereeing and Legal guidelines of the Sport consultants, and so forth.).”

IFAB says detailed protocols concerning extra everlasting concussions substitutions are presently being finalized and will probably be thought-about by IFAB’s board of administrators at a December 16 assembly. The board will determine whether or not in depth trials will probably be authorized for January 2021.

The English Soccer Affiliation (FA) stated it “welcomes” and “will assist” the proposed trials of an extra everlasting concussion substitution.

“Participant welfare is paramount and we consider that this is a crucial step to assist assist gamers, golf equipment and medical groups when figuring out and managing head accidents and incidents of concussion throughout a sport,” an FA spokesperson stated on Twitter.

Nonetheless, FIFPro — the worldwide consultant group for skilled footballers — does not consider everlasting substitutions are the proper manner ahead and would as a substitute want momentary substitutions.

“We have now pushed for the trial of momentary substitutions, as you see in Rugby Union, as an illustration, and this trial was not nicely acquired,” Dr. Vincent Gouttebarge, FIFPro’s chief medical officer, informed Sky. “At current instances, they need to attempt first everlasting concussion substitutions.

“Once more, it’s a transfer ahead, however however I do not assume we’re going to remedy the issue with this everlasting substitution as a result of it doesn’t present the medical crew with ample time to evaluate on subject and off subject the participant’s potential concussion.

David Luiz needed stitches for the cut sustained in the collision.

“I hope that soccer stakeholders won’t have to attend [for] a really excessive profile case with a really extreme consequence as a way to transfer ahead.

“Soccer is maybe one of many sports activities that’s most conservative by way of developments, by comparability to different sports activities. We might have most popular to see some measures utilized yesterday moderately than tomorrow.”

The Premier League has beforehand stated it desires to be concerned within the trial and is ready on the total IFAB proposal to decide on the subsequent steps.

“The query that must be requested is had the concussion substitutes rule been in place, would Luiz have been allowed to return to the sphere of play?” added Headway’s Griggs. “Would that additional time within the therapy room have led to a unique determination being made?

“The concussion protocol clearly states that … ‘anybody with a suspected concussion have to be instantly faraway from play’, whereas the game continues to advertise an ‘if doubtful, sit it out’ strategy to go accidents.

“Time and time once more we’re seeing this rhetoric not being borne out by actions on the pitch. One thing shouldn’t be proper. This can’t be allowed to proceed. What number of warnings does soccer want?”

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