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At the moment, players, coaching staff and even medical staffers appear to be ignoring the 2013 Zurich guidelines, but the guidelines don’t prescribe consequences for doing so and recommendations as to how the widespread non adherence can be resolved. In football, and cricket, extra substitutions (in the event of concussions) have been proposed even by the coaching staff. This would create further issues for the various sports. In football, where players are prepared to fake shin contact to be awarded penalties, it may be considered fair gamesmanship to fake a concussion in order to get the team an additional substitute. Something similar has happened before in the rugby union Bloodgate incident. In the Bloodgate incident, the RFU were prepared to hand out far stricter punishments than any administrative body has managed to contemplate for breach of concussion laws. Further safeguards can be instituted around “free” substitutes by prescribing minimum stand down periods for an athlete’s 1st, 2nd and subsequent seasonal and career concussions to encourage conservative management and discourage rorting of the system.

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