Tag Archives: brain bleeds

BIBA To Permit Rehydration Drinks In Competition To Reduce Dehydration and also Risk of Potential Bleeds To Brain

 

London, UK: Thursday 26th October 2017.

 

 

In March this year the British & Irish Boxing Authority (BIBA) became the first Professional Boxing Commission to introduce Infra-Scanners ringside at events sanctioned by themselves, in an effort to reduce the time between diagnosis of possible bleeds to the brain following contests and the receiving of effective treatment.

 

Since introducing the Infra-Scanners the BIBA Deputy Chief Medical Officer Professor Michael Graham, has been undertaking research into head injuries in sport as well as investigating procedures that may assist in reducing the actual risk of bleed to the brain injuries in competition.

 

The on-going research has highlighted a number of concerning issues, one such issue relates to volume changes of cerebrospinal fluids (CSF) which is directly related to dehydration, as such Professor Graham and the BIBA Medical Committee, headed by BIBA CMO Dr Louise Eccles, have made a number of recommendations that they believe should be introduced as they could assist in reducing the risks.

Besides the recent introduction of the ‘Rehydration Clause’ for all day before weigh-in contests, the first of these new initiatives to be introduced is that from January 2018 rehydration drinks will be permissible for consumption by competitors during the one minute break between rounds during all contests of eight rounds and over, in an attempt to reduce excess dehydration during longer duration contests, which potentially also reduces the risk of bleed to the brain injuries.

 

The Effect of Fluid Intake Following Dehydration on Subsequent Athletic, Cognitive Performance & Potential Traumatic Brain Injuries

A systematic review and meta-analysis (McCartney et al., 2017) of sixty-four (64) trials derived from 42 international publications indicates:

  1. A beneficial effect for fluid intake on athletic and cognitive performance is strongest when a continuous exercise task is employed (i.e., high intensity sport e.g., boxing).
  2. The magnitude of improvement is greater when the continuous exercise is performed at elevated environmental temperatures and over longer exercise durations (i.e., boxing multiple rounds, in closed environments, where temperatures are greater than standard room temperature and pressure).
  3. The volume of fluid consumed, relative to body mass (BM) lost, does not appear to influence the size of the treatment effect. The fluid intake at levels that comply with current recommendations for restoring body water content (1.25–1.50 L per kg BM lost) are as yet inconclusive. Rehydration drinks must be allowed ad libitum.

#BIBAChangingBoxingForGood

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BRITISH & IRISH BOXING AUTHORITY PRESS RELEASE

 

 

 

London, UK – 3rd February 2017.

 

 

BREAKING NEWS: Hand Held Infra-Scanners, That Detect Brain Bleeds, Introduced For Professional Boxing Events In The United Kingdom.

 

 

The British & Irish Boxing Authority (BIBA) are set to introduce hand held Infra-Scanners, that can detect Brain bleeds, at events sanctioned by themselves in the United Kingdom and Republic of Ireland.

 

Sky News’ Health & Science Correspondent, Thomas Moore, highlighted the benefits of the use of the Infra-Scanners, that can detect brain bleeds with an accuracy of 90%, often before any symptoms such as headaches or confusion become apparent, following the death of Mike Towell last year at an event sanctioned by the British Boxing Board of Control (BBBofC).

In the article Mr. Moore stated “Compulsory brain imaging using Infra-Scanners could be “massive” for boxers who risk death from professional competition.”

On announcing the introduction of Infra-Scanners, that will be available ringside at events sanctioned by them, BIBA Vice President Gianluca Di Caro said.

“We are extremely proud to be the first to introduce Infra-Scanners at events in the United Kingdom and Ireland, as we whole heartedly believe having them ringside will significantly prevent further tragedies within our sport.”

Before expanding further and explain what had led to the decision to introduce the use of Infra-Scanners at BIBA events;

“Following two major head injury incidents last year, one that resulted in the death of Mike Towell, even though neither were on events sanctioned by ourselves, the BIBA board had decided to actively seek solutions regarding improving the way that injuries such as these can be detected as quickly as possible. The first move we made was to appoint renowned forensic sports scientist Professor Michael Graham PhD to our Ringside Medical Officer & Medical Advisory Board. Professor Graham led the esteemed team that produced the internationally published papers “Direct Hits to the Head During Amateur Boxing is Associated With a Rise in Serum Biomarkers For Brain Injury” & “Should an Increase in Cerebral Neurochemicals Following Head Kicks in Karate Influence Return to Play?” Professor Graham and his esteemed team are currently researching the short-term and long-term effects of head injuries in Rugby as well as preparing, in conjunction with ourselves and a prestigious UK University, a long term research project to assess cognitive function following brain trauma. Around the time of the appointment of Professor Graham, our CMO, Dr. Louise Eccles, proposed that we should investigate obtaining Infra-Scanners, as the use of these would massively assist in detecting problems such as a bleed on the brain quickly, especially as there is only a limited amount of time to assess the location of such an injury. Following Louise’s advice, I contacted the manufacturers and am extremely proud to say that the initial trial unit will arrive later this month, hopefully in time for the 26th February event in Bradford, that features two ten round International contests. We have initially ordered two Infra-Scanners which will be operated by Professor Graham and Dr Eccles at our events, and are aiming to order a further eight units over the coming twelve months, so that every BIBA Ringside Doctor will have an Infra-Scanner available by 2018. Both the appointment of Professor Graham and the introduction of Infra-Scanners, are just two pro-active decisions made by ourselves with regard to Boxer Health & Safety, there are more to come, as Professor Graham and another of our Ringside Medical Officer & Medical Advisory Board, Dr Mark Xuereb have also proposed the introduction of further safety measures, one of which is the introduction of Cognitive Testing, which will come into force very soon. We believe that Boxer Health & Safety is paramount, as such we will continue researching procedures that can assist us provide the very best medical evaluations possible.” www.boxbiba.com