In a situation like that, a clearance by a doctor would have entailed an emergency room visit for clearance, most likely. The decision was monetary, and it seems to me that if the coach is upfront with an official as soon as he walks into the building, explained the situation, it should be able to be rectified on the spot. I feel that most officials would understand perfectly well what should be done in that situation. Having said that, coaches that lack integrity in the mind of the official most likely take that possibility away from the rest of us. I would still like to believe that if I were to walk up to an official that we see regularly with the kid in tow and explain the burn, we would be good to go. Although an official has to know the rules, a good official understands intent as well.