ARMY BOXING CONVENTION 2013 Dr Ross T Walker MRCGP SMO Army + Combined Services Boxing Associations

Medical Aspects of ARMY Amateur Boxing

JSP950 Leaflet Replacing DGPL shortly No major changes for us

Issues At Hand: Boxer Safety Collaboration between – officials, coaches and medics. RISK MINIMISATION Employers duty of care – our boxers box ON DUTY

Sports-specific medical risks? Sudden death – intracranial bleed; Cumulative brain scarring; Retinal detachment + eye injuries; Ruptured ear drum; Fractures eg nose, cheek, face, hands; Lacerations + bruising; Breast tissue damage (fat necrosis); Impact Training Injuries; See annual medical pass form consent section.

‘Shin splints’ – Medial Tibial Stress Syndrome’

Boxing Training: Beware too much impact work; Skipping causes stress fractures; Nutrition is important; As is CV fitness, + physical + mental stamina + strength.

Medical Examinations: ANNUAL – full thorough check. Pre-Bout – on the day – either after weigh-ins or an hour+ pre-bout. NB Pre-Bout exam forms at Annex D. Post-Bout – KO/RSC(H)/RSC/as reqd

Medical Examinations: After a ban period – re-examination before restarting training/sparring. Renew annual medical……… Ban periods in Regs are MINIMA.

Documentation: Copies Annual Medical Results Annex – one for Nathan and one to be stapled into back of card for validity; Optician Report Forms too. Getting all this right - Registration, ME3 / 162 paperwork, Medicals, Gumshields etc - all coach’s responsibilities.

Ringside Medical Cover: MINIMUM LEVEL: Airways-capable doctor With his/her reqd kit. Assistants (‘MOLO’) OPTIONAL - this is entirely up to the MO.

Alternative option: Doctor not Resus trained + Resus capable PARAmedics

Better still- Resus capable doctor(s) + Resus capable PARAmedics + Ambulance(s). Ambi Reqd?? TEN MINUTE RULE

Ringside Medical Cover: What is assumption the mother of?? Plan- well ahead- lots of notice.

ADVICE: Boxer Safety IF IN DOUBT – ASK. - Army BA Secretary. - me if you need to.

The Issue At Hand: Boxer Safety Employers duty of care – our boxers box ON DUTY Collaboration between – officials, coaches and medics. RISK MINIMISATION

QUESTIONS ?