If this occurred in MLS, you could expect a hefty fine plus a 5 game+ suspension.
Have to wonder what happened earlier in the game that provoked Miazga, but still, what a dumb move on his part.
Imagine if he were playing for the U.S. in the World Cup or a qualifier -- he would have been issued a straight red and the U.S. would have been a man down and lost him for the next match.
The U.S. has players like Dempsey and Altidore who occasionally commit dumb fouls like the move by Miazda. Scary to think the three of them could be on the field together.