In May 2007, the NFL outlined the standards (below) for concussion management, based on consensus medical recommentations. The standards were recommended by the NFL's independent committee on mild-traumatic brain injury (MTBI) chaired by Dr. Ira Casson, of the Long Island Jewish Medical Center and the Albert Einstein School of Medicine, and Dr. David Viano, of Wayne State University.
* Medical decisions must always override competitive considerations.
* Neuropsychological baseline testing will be required for all NFL players, using a standardized test to establish an individual functional baseline. Neuropsychological testing cannot be used by itself to make clinical decisions. For players removed from games due to concussions, repeat testing will be done during the season to track recovery and to help decide when they can return to play. These players also will be re-tested against their baseline performance the following season at training camp.
* NFL team physicians and athletic trainers are to share the most up-to-date information on state-of-the-art care and management of concussions.
* The MTBI Committee will continue to operate as an independent group. The goal of the committee remains the advancement of scientific knowledge through well-conceived research to protect the health of NFL players and improve the safety of the game.
* A brochure will be distributed to help educate players and their families about concussions, including how to recognize symptoms and recommended treatment.
* Return-to-play decisions should continue to be made by team medical personnel using their expertise and professional judgment.
* The NFL rule requiring every player to wear a chin strap that is completely and properly buckled to the helmet will be strictly enforced.
* The NFL will establish a "whistle blower" system so that anyone may anonymously report any incident in which a doctor is pressured to return a player to play from a concussion or that a player with a concussion is pressured to play.