That was the eighth minute of the Iran-England match. In the penalty area of the Middle East team, goalkeeper Ali Reza Beiranvand collided with defender Syed Hosseini. The first fell, wriggled in pain and did not get up for a long time. He was hit in the cheek area, which resulted in severe swelling. Blood started flowing from his nose. The intervention of the medical staff lasted about 8 minutes. Then the player got up, changed into his blood-stained match uniform, looked at the substitute getting ready to warm up, and, slightly numb, showed that he would go on playing, though he looked unsteady on his feet. – Is this some kind of joke? said questionable BBC commentator Jermaine Jenas. “The medical team needs to step in to say what they’re doing is wrong.” Beiranvand exchanged a few more words with his team mate and resumed the match from the fifth metre. For the next few seconds he staggered mainly in one place, but less than a minute later he lay down again on the grass.
The doctor must have a clear message from the coach and independence
Only then did anyone have any doubts that Beiranvand would not be able to continue the game. – it’s incomprehensible. It’s 2022, we’re having a lot of discussions about concussion protocols and how they can lead to dementia in players and things like this happen,” Jenas continued. , a former doctor of the Polish U21 football team and Legia WarsawShe is currently working at the Rehasport Clinic Warsaw. Unfortunately, he met similar events on the stadiums many times. Tabiszewski also laments that the risk of a concussion is often underestimated, regardless of the level of the game. She is playing with fire.
WCup England Iran Football Association Photo. Pavel Golovkin / AP Photo
On the one hand FIFA Familiar with the problem of brain injury. In her study, she herself noted that in encounters at the highest level, including tournaments, there is an average of one head injury every three matches. It involves various risks. From undetectable microinfections to transient impairment of various functions to life-threatening structural changes. In addition, clinical signs of brain injury do not necessarily appear immediately, but may develop within several minutes, hours, or even days after the accident. FIFA stresses the importance of the physician’s role during such injuries and introduces the full code of uniform conduct on the field accidents. It is up to the doctors to decide whether the injured player should continue playing. On the one hand, this is correct, because the referee or anyone else is not qualified to assess the health of the player. On the one hand, it leads to a situation where it is the player who insists on continuing to play, due to being on an adrenaline high and not knowing what is happening to him.
As we hear from our interlocutors, sports doctors, although they see that the condition of the injured person is often not the best, do not want to weaken the team or argue with the player or coach, so they report their observations discreetly.
“What happens in these situations depends mostly on the doctor’s relationship with the coach and the players. It also depends on the rules that are in place for such circumstances, and sometimes on the lack thereof. For me, the best situation is when the doctor hears clearly from the coach that he has autonomy regarding head injuries. Tabiszewski tells us that he makes decisions and takes responsibility for them.
“The player was stubborn, his friends supported him, the coach was on fire and the doctor had nothing to say.”
In cases of head injury, the doctor has a whole list of guidelines to follow. The 19-page medical protocol on the concussion itself, created by FIFA, also links to the Concussion Assessment Tool. This requires the personnel providing assistance to, among other things, check if there is a loss of consciousness in the player. Check his motor coordination. Determine whether he is confused, whether his memory is working properly, as well as check the work of his eyes (the so-called false vision) and pay attention to physical injuries and wounds visible on the face. In addition, the medical staff must ask the injured player 5 questions: Where is today’s match taking place? What half of this? Who scored the last goal in the match? What team did you play against in the last match? Did your team win the last match? As Tabiszewski admits to us, players often cannot answer all of these questions after a nod, which indicates that they should not be involved in the match. In any case, in the Athlete Checkup Tool there is a bold sentence: “If any of the symptoms of a concussion are noticeable, the Athlete shall immediately stop competition and have him examined at a professional medical facility. If a concussion is suspected, the Athlete shall not be allowed to return to competition for the duration of the day.” in which he was wounded.”
A former Under-21 team doctor, who watched the match between England and Iran based in Qatar, feels the medical procedure here – and not for the first time – was merely theoretical and insufficient. Especially when emotions, adrenaline or even stupidity take over.
– Most likely, the footballer insisted, Colleagues supported him, the coach caught fire and the doctor had nothing to say, – summed up Tabzhevsky, who had dozens of such situations before his eyes. Fans and the media usually pay attention to the extremists. Just like more than two years ago, when the whole of Europe watched the Champions League semi-finals and the conflict between Tottenham and Ajax. In the 36th minute, cameras showed a bloodied Jan Vertonghena lying on the pitch. The Londoners defender crashed into his opponent in the fight for the first ball. He lay on the field for a long time, finally left it, but reappeared in a few minutes. However, he was unable to play. Moreover – he couldn’t even leave the stadium on his own. He did it only with the help of the medical staff. Who brought him back to the field and why? A year later, Vertonghen said in an interview that he had felt the effects of the concussion for several months.
There are hundreds of underestimated head injury cases in Europe alone. Even in Ekstraklasa itself, dozens in recent years. The most famous was the case of Michał Koc, who was elbowed in the head during a match with Gornik Zabrze. It hurt, but he finished the game. Two days later, he was admitted to the hospital with partial paralysis. He returned to acting only after a few months. Doctors told him he had chafing the death. Emotions were again stirred up by the stubbornness of Iker Guarotxen from Bogo Szczecin, who returned to the field after colliding with an opponent, but fell to the field a minute later. Subsequent examination showed damage to the zygomatic bone. And Jacob too nightingale In Pogoń Szczecin, after colliding with an opponent and having several stitches, he played the match with a very possible concussion.
“A complete failure of FIFA’s concussion protocol”
Back in Qatar – The Iranian goalkeeper was hospitalized after being discharged from the field. Tabiszewski, who was watching the match from the stands, even from a distance, felt a few moments later that in this situation it was necessary to fight for the player’s health, and not think about the match.
– In my personal opinion, there was a loss of consciousness for more than 2 seconds, and a serious injury or a broken nose in such situations is often associated with a concussion. Simply suspecting a concussion is an obligation to remove a player from the field. The fact that Beiranvand finally went down after a while, in my opinion, confirms the first bad decision of the Iranians – he scores.
Our interlocutor was right. The hospital examination revealed a severe concussion. Iran coach Carlos Queiroz revealed that the 30-year-old also suffered a broken nose. He explained the reluctance of staff regarding immediate change with the difficulty of clearly assessing the situation. “There was a suspicion between a broken nose and a concussion,” he told the media.
Luke Griggs of head injury organization Headway didn’t leave a dry thread on what was going on in Doha. Speaking to The Sun, Griggs described FIFA’s concussion protocol as “absolutely disgraceful”.
“It made a huge difference that a player was taken off after a minute. He shouldn’t be on the field for a second and we talk about minutes. It was the first test of FIFA’s concussion protocol and it was an abysmal failure. England won the match 6-2.
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