IndyCar doctors respond to Brad Keselowski’s pointed concussion criticism

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When Will Power was held out of the St. Petersburg Grand Prix with an apparent concussion Sunday, his cross-series teammate at Team Penske offered an opinion 2,000 miles away.

Brad Keselowski, who was racing at Phoenix International Raceway later the same day, cast his doubts on the ability of doctors to diagnose concussions and the wisdom of sports leagues putting their faith in the decisions.

The IndyCar Series announced Wednesday that Power had been misdiagnosed and didn’t have a concussion at St. Pete. During a news media conference call with Power and two doctors, Bob Pockrass of ESPN.com asked whether Keselowski might have a point.

“That’s really a very good question,” said Dr. Stephen Olvey, a former doctor with the circuit and the retired former director of the Neurocritical Care Unit at Jackson Memorial Hospital in Miami. “The problem (is), as you all know, 12, 15 years ago, we used to say if a driver had a particularly bad crash and maybe he was unconscious for a minute or two and then felt fine or it was getting better, we’d say, ‘Oh, good, he just had a concussion.’ Well, as you all know now, we understand the concussion is very serious. Too many concussions can be really bad, and too many too soon can lead to CTE and all of that stuff that everyone has read about in papers.

“The problem is the medical profession has lagged behind this. I went to a neurology conference two years ago, and there were a couple of neurologists that were rather well-known who were kind of scoffing at the idea of chronic traumatic encephalopathy (CTE, which has been found in NFL players) and having too many concussions.

“The situation is still present — especially at lower levels, lower than IndyCar, NASCAR, Formula 1 and all — where you have, maybe, physicians at the racetrack, but they’re not really tuned in on diagnosing the concussion. There’s still people that think you have to be knocked out. There’s still people that think you had to have hit your head. None of that’s true. You can have a very significant concussion and not hit your head at all.

“Imagine what it’s like in Pee Wee football leagues and things like that where you may have no physician there at all or no medical person at all — and the coach says, ‘Oh, you know, you’re all right, kid, you’re awake, you’re talking, and put them back in the game,’ and they get into trouble.”

Olvey said the goal is raising awareness and said that diagnosing a concussion is harder now because doctors have become more attuned to a broader spectrum of symptoms that might indicate it.

“We’re trying to spread the word to different organizations in motorsports as well as to sports medicine, and the American College of Sports Medicine has a task force on this,” he said. “We’ve got special education in South Florida with all the high schools and grade schools, and it’s recognizing concussions.

“It has to be a conscious thing and a conscious awareness around team members. I mean, even in motorsports, if a crew member or the car owner or the chief principal thinks the driver is not acting quite right after an incident or is just a little bit strange, you need to err on the side of being conservative, and they need to be brought in and given an exam. And if it leads to what happened with Will, even though the symptoms were due to something other than a concussion, you still have to go through that process because concussion is very serious.”

Power was held out of Sunday’s race after failing a sports concussion assessment test (SCAT). In a Wednesday release, IndyCar said Power might have been suffering symptoms related to an inner-ear infection that caused nausea.

Dr. Terry Trammell, a safety consultant with IndyCar, said standardized instruments such as the SCAT test were a key to evaluating drivers.

“Because that doesn’t have much room for the bias of an individual examiner,” Trammell said. “And that’s been the drift, to try and get doctors to buy into these various sideline tests or acute concussion inventories that you can do on the spot.

“And that is, first of all, something that we’ve mandated with IndyCar, and since we have the same physicians available at the racetrack all the time, they’re able to do that consistently and do away with any personal bias that might come into it if you’re just doing a ‘Well, you look OK,’ kind of exam.”

Trammell said erring on the side of caution in diagnosing a concussion was important.

“First and foremost, it’s for the driver’s own benefit so that he doesn’t end up with a chronic condition or a worsened injury, having a second concussion before the first one is resolved,” Trammell said. “And then, of course, when you’re in the middle of 22-plus other drivers, you certainly don’t want to not be performing at your peak where you endanger all of them.

“Our goal is to protect all of our drivers, both from themselves and others.”

Team Penske president Tim Cindric said Power likely wouldn’t have driven Sunday morning even without the concussion diagnosis because he was feeling so ill despite winning the pole position Saturday. Oriol Servia drove the No. 12 Chevrolet in a morning warmup and then the race.

“There was never a point where there was any disagreement about racing or not racing,” Cindric said. “I think the only discussion on Sunday morning was whether or not he should do one or two laps just to see how he feels in the car vs. having a real run.

“I think it’s fair to say that with or without the diagnosis or whatever or any of the doctors’ orders on Sunday, he wasn’t going to drive.”

Power said he was feeling better Wednesday and would be testing at Barber Motorsports Park next week.

Keselowski has been outspoken about concussions in NASCAR, criticizing the sanctioning body when a new policy was announced in October 2013 that mandated ImPACT testing to create a baseline for drivers.

Power’s misdiagnosis was discovered after he underwent ImPACT testing Wednesday at the University of Miami, determining he hadn’t suffered a concussion in his Friday crash on the streets of St. Pete.

Talladega Xfinity results: AJ Allmendinger edges Sam Mayer

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AJ Allmendinger, who had had several close calls in Xfinity Series superspeedway races, finally broke through to Victory Lane Saturday, edging Sam Mayer to win at Talladega Superspeedway.

Allmendinger’s margin of victory was .015 of a second. Mayer finished second by a few feet.

Following in the top five were Landon Cassill (Allmendinger’s Kaulig Racing teammate and his drafting partner at the end), Ryan Sieg and Josh Berry.

Noah Gragson, who had won four straight Xfinity races entering Saturday, was 10th. Austin Hill dominated the race but finished 14th.

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AJ Allmendinger wins Xfinity race at Talladega Superspeedway

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Veteran driver AJ Allmendinger slipped past youngster Sam Mayer in the final seconds and won Saturday’s NASCAR Xfinity Series playoff race at Talladega Superspeedway.

As drivers in the lead pack scrambled for position approaching the finish line, Allmendinger moved to the outside and, getting a push from Kaulig Racing teammate Landon Cassill, edged Mayer by a few feet. The win ended frustration for Allmendinger on superspeedways.

Following Allmendinger, 40, at the finish were Mayer (who is 19 years old), Cassill, Ryan Sieg and Josh Berry.

Noah Gragson and Allmendinger have qualified for the next playoff round. The other six drivers above the cutline are Ty Gibbs, Austin Hill, Josh Berry, Justin Allgaier, Mayer and Sieg. Below the cutline are Daniel Hemric, Brandon Jones, Riley Herbst and Jeremy Clements.

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“This is Talladega,” a wildly happy Allmendinger told NBC Sports. “Yes, I hate superspeedway racing, but it’s awesome to win in front of the Talladega crowd.”

Austin Hill dominated the race but dropped out of the lead to 14th place  in the closing five laps as drivers moved up and down the track in search of the best drafting line.

The first half of the race featured two and sometimes three drafting lines with a lot of movement and blocking near the front. In the final stage, the leaders ran lap after lap in single file, with Hill, Allmendinger and Gragson in the top three.

MORE: Safety key topic as drivers meet at Talladega

Hill led 60 laps and won the first two stages but finished 14th.

Gragson was in pursuit of a fifth straight Xfinity Series win. He finished 10th.

Remarkably for a Talladega race, the entire 38-car field finished. The race was the 1,300th in Xfinity history, marking only the third time the entire field had been running at the finish. The other two races were at Michigan in 1998 and Langley Speedway in Virginia in 1988.

Stage 1 winner: Austin Hill

Stage 2 winner: Austin Hill

Who had a good race: AJ Allmendinger got the “can’t win on superspeedways” monkey off his back with a great final lap. … Sam Mayer made all the right moves but was passed in the madness of the final run down the trioval. … Landon Cassill finished a strong third and gave Allmendinger, his teammate, the winning push.

Who had a bad race: The race had to be disappointing for Austin Hill, who ran the show for most of the afternoon, winning two stages and leading 60 laps, more than twice as many as any other driver. While blocking to try to maintain the lead late in the race, he fell to 14th. … Playoff driver Jeremy Clements finished a sour 20th and is 47 points below the cutline.

Next: The Xfinity Series’ next playoff race is scheduled Oct. 8 at 3 p.m. (ET) on the Charlotte Motor Speedway Roval. The race will be broadcast by NBC.

Safety key topic in meeting for drivers at Talladega

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TALLADEGA, Ala. — Cup drivers met Friday with Jeff Burton, director of the Drivers Advisory Council, and discussed safety issues ahead of this weekend’s playoff race, which will be without two drivers due to concussion-like symptoms from crashes.

Alex Bowman and Kurt Busch will not race Sunday at Talladega Superspeedway. 

Busch suffered his head injury in a crash at Pocono in July. Bowman’s injury followed his crash last weekend at Texas Motor Speedway. Both were injured in accidents where the rear of the car hit the SAFER barrier first.

Two drivers injured in less than three months — and the series racing at a track where crashes are likely — raises tension in the Cup garage. 

Denny Hamlin blasted NASCAR on Saturday, saying it was “bad leadership” for not addressing safety concerns drivers had with the car. Hamlin also said that the Next Gen vehicle needs to be redesigned.

Burton, who also is an analyst for NBC Sports, said in an exclusive interview that Friday’s meeting was lengthy because there were several topics to discuss. Burton didn’t go into details on all the topics.

Safety was a key element of that meeting. Burton, whose role with the Drivers Advisory Council is to coordinate the group and communicate with NASCAR, discussed the cooperation level with NASCAR.

“We feel like we have cooperation with NASCAR,” he said. “We know the commitments from NASCAR. They’ve made real commitments to us. We want to see those commitments through. I believe that we will in regards to changes to the car. 

“We want to see that come to conclusion as soon as possible. They have made commitments to us and are showing us what is happening, communicating with us in regard to timing, and we want to see it come to conclusion, as they do. 

“Unfortunately, we weren’t able to get some changes done before last weekend. It just takes a long time to test stuff.”

NASCAR has a crash test scheduled next week on a new rear clip and rear bumper. Even if the test goes well, there’s not enough time for any such changes this season with five races left.

The frustration from drivers — and voiced by Hamlin and Kevin Harvick — has been that NASCAR was informed about issues with a stiffer car for more than a year. Some questions were raised after William Byron crashed in a test in March 2020 at Auto Club Speedway.

“William Byron busted his ass at (Auto Club) Speedway and that should have raised a red flag right off the bat,” Harvick said Saturday.

Hamlin said more drivers needed to speak up about concerns with the car.

“I know a lot of young guys are just happy to be here, but they ain’t going to be happy when their brains are scrambled for the rest of their lives,” Hamlin said.

Byron is looking for changes to be made.

“I want to have a long career, and I don’t want to have a series of concussions that make me either have to step way from the car or have to think about long-term things,” he said.

Chase Elliott also shared his frustrations Saturday.

“You come off a week like we had in Texas and somebody getting injured and then you come into here, where odds are we’re probably all going to hit something at some point (Sunday) and probably not lightly at that,” Elliot said.

So what do drivers do?

“Do you just not show up?” Elliott said. “Do you just not run? I don’t think that’s feasible to ask. There’s always an inherent risk in what we do and it’s always been that way. 

“My frustration is … I just hate that we put ourselves in the box that we’re in right now. It’s just disappointing that we’ve put ourselves here and we had a choice. We did this to ourselves as an industry. 

“That should have just never been the case. We should not have put ourselves in the box that we’re in right now. So my disappointment lies in that that we had years and time and opportunity to make this thing right before we put it on track and we didn’t, and now we’re having to fix it. 

“I just hate that we did that. I think we’re smarter than that. I think there’s just a lot of men and women that work in this garage that know better and we shouldn’t have been here.”

Burton told NBC Sports that drivers did not discuss in Friday’s meeting running single-file in Sunday’s race as a form of protest.

“It wouldn’t be surprising for me to see single-file (racing Sunday) because of what happened at Texas and what could happen next week (at the Charlotte Roval),” Burton said. “Drivers need a period of calmness. 

“There was not a discussion, a collaborated effort or any sort of thing of how you race (Sunday). That conversation did not come up in that meeting.”

Harvick said Saturday that he’ll continue to be vocal about safety issues.

“I’ll do whatever I have to do to make sure these guys are in a good spot,” Harvick said. “Whatever I have to do.”

Harvick later said: “I don’t think any of us want to be in this position. We have to have the safety we deserve to go out and put on a great show and be comfortable with that. 

“Obviously, we all have taken the risks of being race car drivers, but there’s no reason we should be in a worse position than we were last year.”

Harvick said it was a matter of trust.

“The reality of the situation is much different than what they’re looking at,” Harvick said of NASCAR officials. “I think that the trust level is obviously not where it needs to be from getting it fixed. I think they’re going to have to earn the trust level back of reacting quick enough to do the things that it takes. The drivers’ opinion, especially when it comes to safety side of things, has to be more important than the data or more important than the cost. Safety can’t be a budget item.”

Corey LaJoie, who is a member of the Drivers Advisory Council board, said that while challenges remain with the car, he sees the effort being made by NASCAR.

“Nothing happens quick in this deal when you have 38 teams and you have seven cars per team,” LaJoie told NBC Sports. “It has to be a well-thought-out process to implement the changes.

“It’s easy to get up in arms and prickly when we have guys like Alex and Kurt out. You don’t ever want that to happen. Every conversation I’m having is what we, as the Driver Council, is trying to communicate to NASCAR and NASCAR making proactive changes and moving timelines up aggressively to try to implement these changes.”

Matt DiBenedetto wins NASCAR Truck race at Talladega

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Matt DiBenedetto won Saturday’s 250-mile NASCAR Camping World Truck Series race at Talladega Superspeedway on a day pockmarked by numerous accidents, including a major one at the finish.

As the field swept to the finish line in overtime, a multi-car crash developed as Corey Heim lost control of his truck in the trioval. Several trucks crashed approaching the finish as the caution flag flew.

NASCAR officials studied video of the final lap to determine that DiBenedetto was in front when the caution lights were turned on, although Bret Holmes appeared to beat him to the finish line by inches. When caution lights appear, the field is frozen at that point, so any position changes after the caution are irrelevant.

MORE: TalladeTalladega Truck results

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The last lap was the only one led by DiBenedetto, who has been racing in NASCAR national series since 2009 but scored his first win.

Following DiBenedetto, a non-playoff driver, at the finish were Ben Rhodes, Holmes, Ryan Preece and Christian Eckes.

With one race remaining in the Round of 8, Ty Majeski has locked in a spot in the final four at Phoenix. Chandler Smith, Zane Smith and Rhodes are above the cutline. Below the line are Stewart Friesen, Eckes, John Hunter Nemechek and Grant Enfinger.

MORE: Denny Hamlin says NASCAR needs leadership changes

A string of accidents left only two playoff drivers — Eckes and Rhodes — in the top 10 with 10 laps remaining.

Carson Hocevar dropped out of the lead group with five laps to go when he lost a tire, prompting a caution flag and pushing the race into overtime.

The race was marred by a fiery crash in the early going as Jordan Anderson‘s truck exploded in flames while running in the top five in a tight draft.

Anderson steered the truck to the inside as flames fired up on both sides of the vehicle. The truck crashed into the inside wall even as Anderson climbed from the driver-side window. He was transported to an area hospital.

On Lap 35, Lawless Alan hit the wall hard after his right front tire blew. He was evaluated and released from the infield medical center.

Another dangerous situation developed on Lap 63 as numerous trucks pitted at the same time under green. As Hailie Deegan attempted to stop in her pit, one of the crew members lost control of a tire, and it rolled into traffic and onto the grass area separating pit road from the track. A Deegan crew member chased down the tire in the grass and later was ejected from the track by NASCAR officials for a safety violation.

On Lap 79, Enfinger’s truck blew a tire and slammed the wall, starting a crash that collected Tanner Gray, Johnny Sauter and Austin Wayne Self.

Stage 1 winner: John Hunter Nemechek

Stage 2 winner: Chandler Smith

Who had a good race: Matt DiBenedetto had been waiting a very long time for this winning moment. … Alabama driver Bret Holmes almost won in front of the home crowd. He finished third.

Who had a bad race: Jordan Anderson had one of the most frightening crashes of the season, bailing out of his flaming truck after it caught fire in the middle of a pack of drafting trucks. … Playoff drivers John Hunter Nemechek (finished 24th) and Grant Enfinger (29th) had rough outings.

Next: The Truck Series is off for three weeks before racing at Homestead-Miami Speedway Oct. 22. The series’ final race is scheduled Nov. 4 at Phoenix Raceway.