Question:
When a player is injured and the referee stops play for the injury, is it acceptable for a referee to touch and handle the player? This referee (adult) is not a medical proffesional, I asked him. He seems to want to do a full medical exam on both youth boys and girls as well as adults. This referee will grab the players knee or ankles which ever is injured and pull, twist and poke the injury. This referee does not allow the coach on the field until he has done this with the injured player. Many coaches and parents are becoming extremely concerned over this practice. This has happened at least 10 times in 2012.
To sum it up, I guess my question is: Are referees taught to do a medical exam of the injured player by touching/twisting of the injury? And are they allowed to do this?
USSF answer (March 13, 2012):
We are pleased once again to emphasize the following principles regarding referees and players (most particularly youth players).
First, unless specifically certified by a public authority to provide medical care (i.e., doctor, paramedic, nurse, EMT, etc. — a Boy Scout First Aid badge does not count), no referee should be rendering any medical care to anyone, under any circumstances, at any time. This is a matter of law, the details of which can differ from state to state and we cannot therefore be more specific than simply … don’t do it. If a referee is medically certified, then the laws of the state where the injury has occurred are usually clear as to the duties to render assistance of certified medical personnel and, if such assistance is provided, the provider ceases to be a referee and becomes at least momentarily a doctor, paramedic, nurse, EMT, etc. until that responsibility for care is handed over to someone who is medically more qualified.
Second, USSF does not and has never provided training regarding the care of player injuries beyond what The Laws of the Game require. That care is defined solely in terms of deciding if an injury has occurred and then whether it is not serious, is serious, or is severe, and then recognizing what actions are proper depending on the answer to that question. These decisions and actions are summarized by the following quotes from the Laws of the Game and their Interpretations:
Law 5, bullet point 8 under Powers and Duties:
The Referee
//snip//
– stops the match if, in his opinion, a player is seriously injured and ensures that he is removed from the field of play. An injured player may only return to the field of play after the match has restarted.
Interpretation of the Laws of the Game and Guidance for Referees (pp. 69-70):
Injured players
The referee must adhere to the following procedure when dealing with injured players:
• play is allowed to continue until the ball is out of play if a player is, in the opinion of the referee, only slightly injured
• play is stopped if, in the opinion of the referee, a player is seriously injured
• after questioning the injured player, the referee may authorise one, or at most two doctors, to enter the field of play to assess the injury and arrange the player’s safe and swift removal from the field of play
• stretcher-bearers should only enter the field of play with a stretcher following a signal from the referee
• the referee must ensure an injured player is safely removed from the field of play
• a player is not allowed to receive treatment on the field of play
• any player bleeding from a wound must leave the field of play. He may not return until the referee is satisfied that the bleeding has stopped. A player is not permitted to wear clothing with blood on it
• as soon as the referee has authorised the doctors to enter the field of play, the player must leave the field of play, either on a stretcher or on foot. If a player does not comply, he must be cautioned for unsporting behaviour
• an injured player may only return to the field of play after the match has restarted
• when the ball is in play, an injured player must re-enter the field of play from the touch line. When the ball is out of play, the injured player may re-enter from any of the boundary lines
• irrespective of whether the ball is in play or not, only the referee is authorised to allow an injured player to re-enter the field of play
• the referee may give permission for an injured player to return to the field of play if an assistant referee or the fourth official verifies that the player is ready
• if play has not otherwise been stopped for another reason, or if an injury suffered by a player is not the result of a breach of the Laws of the Game, the referee must restart play with a dropped ball from the position of the ball when play was stopped, unless play was stopped inside the goal area, in which case the referee drops the ball on the goal area line parallel to the goal line at the point nearest to where the ball was located when play was stopped
• the referee must allow for the full amount of time lost through injury to be played at the end of each period of play
• once the referee has decided to issue a card to a player who is injured and has to leave the field of play for treatment, the referee must issue the card before the player leaves the field of playExceptions to this ruling are to be made only when:
• a goalkeeper is injured
• a goalkeeper and an outfield player have collided and need immediate attention
• players from the same team have collided and need immediate attention
• a severe injury has occurred, e.g. swallowed tongue, concussion, broken leg
It seems pretty clear to me: If the referee considers an injury serious enough that someone is called into the field to treat it or see to the player, then the player must leave until the game has restarted, just as it says in the law.
