BOSTON -- World Cup organisers repeatedly failed to follow their own concussion protocol and then did not take advantage of the international interest in the tournament to teach fans and young players about the dangers of head injuries, concussion expert Chris Nowinski said on Tuesday.
"I'm worried about how many kids emulate these athletes. It wasn't just one athlete hurt; it was one multiplied by one million," Nowinski said. "They didn't even use a bully pulpit and say: 'This is unacceptable.'"
Several times in the month-long tournament, players sustained obvious concussions but continued to play -- a practice doctors agree can put them at risk of severe brain damage.
In the final, Germany midfielder Christoph Kramer stayed in the game after colliding with Argentina defender Ezequiel Garay. Kramer later had to be helped off the field and said he couldn't remember much from the collision -- signature symptoms of a concussion.
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"Clearly if there is a protocol, it isn't being followed," Nowinski said.
An American football player at Harvard turned professional wrestler who retired because of concussions in the ring, Nowinski helped start the Sports Legacy Institute to educate the public about head injuries. The group held a conference on Tuesday to roll out its "hit count" initiative to help track and reduce concussions in young athletes.
Although Nowinski is more concerned about amateur players -- who might not be able to make decisions about their health, and who are not compensated for the damage they may be sustaining -- the World Cup injuries to Kramer and others who became disoriented or even unconscious showed that even the pros need to be protected.
"It was a great teaching point: Immediately after the injury, you can't leave it up to the athlete," Nowinski said. "Some of these concussions, they clearly weren't able to make decisions for themselves."
FIFA was criticised by the professional players' union, FIFPro, and others such as ESPN analyst Taylor Twellman, a former Major League Soccer star who retired because of concussions.
Here we go again FIFA...#WorldCupFinal and your ineptitude to address the head injury problem is for everyone to see. Kramer was concussed!- Taylor Twellman (@TaylorTwellman) July 13, 2014
Before I die, I will get FIFA to change their ways and get an independent doctor on the sideline. Return To Play will change I promise!- Taylor Twellman (@TaylorTwellman) July 13, 2014