The ability to diagnose a head injury in the 1980s vs present day is vastly different, as is the treatment protocol.
I think it’s perfectly reasonable to have the on site medical personnel evaluate and make a decision. Likely, it made zero difference in the outcome. It sounds like it was not a surgical injury (did not require a craniotomy to release the pressure in the head), so he was likely just observed in the hospital to make sure the injury did not worsen. A team doctor is a perfectly reasonable person to make the initial assessment. The timeline to transitioning the patient to the hospital seems reasonable. If the ambulance was called, they have a 20-30 minute response time anyway. Then they take thirty minutes to get the patient ready for transport then they take drive to the ER. Then it takes thirty minutes to do the intake process in the ER before evaluation and treatment decisions are made.
If it’s a stroke (not likely in his age group) things can move much faster, especially at a stroke center. But that is not what this was.
I think the timeline was reasonable to allow adequate evaluation, initial stabilization, and decision making. He was awake and responsive (by most accounts), so taking the time to evaluate his condition seems perfectly reasonable especially when there is a sports medicine doctor actually on site.
I forgot the actual amount of time that was quoted, but I think it was an hour and forty something minutes. Everyone is rounding that up to “almost two hours” and some even said “3 hours.” Things are not instantaneous. The trainer may have arrived at minute 12-15. The physician may have arrived at minute 30-40, even if on-site. Evaluation processes could have taken another 30-60 minutes. Then the decision was made to escalate to a scan that would have been scheduled and they would have likely had fairly quick access to a scheduled CT scan. But then they escalated to just going to the ER to get faster access. That decision tree takes a few minutes to evolve and is based on the patient’s current state and signs and symptoms. Nobody can walk into a completely unknown situation and gather all of the pertinent information and render an accurate assessment instantaneously.
I see no evidence of a cover up. The response seems reasonable.
The medical response and the response to the media are totally separate entities and should not be conflated. WRT the media response with the ST credentials, I wonder if the AD’s previous military employment played a role. In the Army, they don’t tolerate things the outside world does, and they dole out punishment. In the military, this seems normal. In a private institution, many cry foul.