´Temporary concussion substitutes´ called for after Koch treatment is criticised

There has been a fresh call for temporary concussion substitutes from England’s Professional Footballers’ Association (PFA) after Leeds United were criticised for allowing Robin Koch back on to the pitch after sustaining a head injury.

Koch collided with Scott McTominay during the first half of Leeds’ 4-2 defeat to Manchester United on Sunday, with the German requiring lengthy treatment.

The blow to the defender’s head led to blood pouring down onto his face and requiring a significant amount of bandaging.

He was initially brought back on to the pitch but was then withdrawn 15 minutes later after sitting down on the pitch looking groggy, subsequently requiring support as he was guided off the field.

The Premier League introduced a trial of additional permanent concussion substitutions (APCS) in February last year, with regulations stating that “if there are clear symptoms of concussion, or the video provides clear evidence of concussion, the team will be permitted to apply to replace the player with an additional permanent concussion substitution.”

Leeds did not use an APCS, and the fact Koch was later taken off looking unwell led to the club being widely criticised in the media and on social media.

The PFA believes the incident proves APCS – the trial of which was extended into this season – are not working and should be replaced with temporary substitutions to decrease the pressure on those involved to make quick, and potentially risky, decisions.

“The injury to Leeds United’s Robin Koch demonstrates again that the current concussion protocols within football are failing to prioritise player safety,” a statement read.

“The ‘if in doubt, sit them out’ protocol is not being applied consistently within the pressurised environment of elite competitive football.

“We see frequent incidents of players returning to play with a potential brain injury, only to be removed shortly afterwards once symptoms visibly worsen.

“As the representative voice of players in England, we have been clear to the IFAB [International Football Association Board] that we want to see the introduction of temporary concussion substitutes.

“Temporary concussion substitutes will allow medical teams additional time and an appropriate environment to make an initial assessment.

“Introducing temporary substitutes would allow a match to restart with neither side numerically disadvantaged, reducing pressure on players and medical teams to make quick decisions on whether an injured player continues.

“Put simply, the current rules set by the IFAB are not working, and players are being put at risk.”