FIFA's medical chief wants to allow referees to stop matches for three minutes to assess head injuries when a concussion is suspected.
Soccer leaders have been under pressure to better protect players after there were five concussion cases at the World Cup in Brazil, including several where the player tried to stay on the field. A lawsuit is also being brought in the U.S. chiding FIFA's guidelines for players who receive serious head injuries.
FIFA medical committee chairman Michel D'Hooghe will seek the approval of the UEFA and FIFA executive committees later this month for "strict rules" that go beyond the existing medical guidance.
"The trigger is that nowadays the player has a concussion, the team doctor arrives there and he has to take a decision in 20 seconds – this is materially impossible in some situations," D'Hooghe said in an interview with The Associated Press. "We want to give [the doctor] the chance to do a serious examination.
"We want to give him a new authority because what we have seen at the World Cup for instance, the moment a team doctor asks for a replacement, suddenly the player jumps up and says, 'No, no,' and of course the coach says, 'Go on.'
D'Hooghe said doctors, rather than coaches, should decide whether the player can remain on the pitch.
"This changes a little bit the function of the team doctor in this specific situation," D'Hooghe said. "We think that three minutes is a correct time for a good evaluation of head injury concussion to see if a player can continue to play. It's not always easy. There is no one method in 10 seconds to say if you can go on or not.
"In situations when the player is falling down or is dizzy, can he go on or not? What is the risk if he continues because concussions can be really serious medical problems? That is why we said three minutes seems to be reasonable."
As well as basic questions being put to players, including asking the score, there will be a short neurological examination.
"If he stands up and falls down then you know," D'Hooghe said on the sidelines of the SoccerEx conference in Manchester. "What is his balance if he walks? What is the examination of his eye?"
Regulations for the management of concussion have already been tightened up by England's Football Association, with players now forced off the field of play and not allowed to return if there has been a confirmed or suspected period of loss of consciousness.
If the D'Hooghe rules are approved by the UEFA executive committee on Sept. 18, they can only be enforced in Champions League, Europa League and European Championship matches. If FIFA's ruling committee approves them the following week, they will only apply in games organized by the world body.
D'Hooghe has found that a concussion case occurs on average once in every 20 games.
"It is not frequent but that does not mean it is not a serious problem," he said. "For the general world [the World Cup] was a wake-up call because suddenly we had five concussions direct on television, repeated on television. So everyone thought it must happen very, very frequently."
The U.S. lawsuit filed by players and their parents doesn't demand monetary damages, but asks governing bodies to alter safety rules including limiting headers for players 17 years old and younger.
D'Hooghe said the new rules were not a response to the legal case.
"The law situation in America concerns young players," he said. "Also, we have done a lot of studies and if the judge in the court asks for more scientific documentation he can easily receive it from FIFA."