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NEWS RELEASE

Tuesday, June 24, 2003
For immediate release

Contact:
Christa Dickey
cdickey@acsm.org
(317) 637-9200 ext. 127 

ACSM CALLS FOR END TO "TOUGHMAN-TYPE" BOXING UNLESS
SAFETY STANDARDS ARE ADOPTED
Recent death underscores inherent dangers in unregulated amateur bouts; lawmakers urged to demand medical and safety review of such events

INDIANAPOLIS - The American College of Sports Medicine (ACSM) today urged state and national lawmakers to demand safety standards and reform for Toughman-type boxing contests such as one that recently left a Florida woman dead. The tragic event, in which the competitor was badly defeated and fatally injured in a three-round "Toughman" bout, illustrates the inherent dangers found with such events, the need for immediate reform to ensure unprepared and under-skilled competitors are kept out of the ring, and the vital importance that adequate medical screening and supervision be included as an essential part of boxing at all levels.

In the latest in a succession of fatal injuries associated with Toughman contests, the woman, who had entered the Sarasota, Florida boxing event on the spur of the moment with reportedly no prior boxing experience, suffered swelling and hemorrhaging in her brain and died soon after the match. A second competitor from the same event was hospitalized in intensive care after suffering head injuries. Such events sometimes require an amateur competitor to fight several matches in one weekend.

"Because of their lack of training, with sometimes little or no ability to defend against punches, many participants in these events simply are not properly prepared for the rigors and dangers of boxing," said Robert C. Cantu, M.D., FACSM, a head and neck injury specialist and Chair of ACSM's Task Force on Health and Safety in Boxing and the Martial Arts. "Professional fighters must pass a pre-fight physical examination, are matched for skill and experience and comparable weight, and have seasoned referees and ringside medical care in attendance. Olympic and other such amateur boxers also participate with safety rules in place. Allowing mismatched people-off-the-street to fight with no such safe guards is deplorable. Boxing is not something to be entered into lightly, under any circumstance. The risks go up massively when these events allow mismatched people to enter the ring with little or no preparation and without a complete system in place to try to avoid the very type of injuries and fatalities we are seeing. In some ways, it's like trying to legitimize and make a sport out of bar- or street-fighting."

Cantu stressed the need for proper and established pre-, intra-, and post-fight medical screenings to be administered by a trained ringside physician. ACSM experts on boxing safety contend that a proper safety plan must include coordinated teamwork among the ringside physician, promoter, emergency medical technicians, and the referee. News reports have indicated that no physician was present at ringside in Sarasota, and that pre-fight screenings were performed by a physician's assistant who also doubled as the event's official photographer. Deaths have occurred at at least one other Toughman event where medical doctors were reportedly not present.

Major safety improvements need to be taken immediately by the event organizers and promoters, and states and communities need to suspend or ban such events until it is abundantly clear that such adequate safety measures are in place to lower the risk of serious injuries and deaths. Typically, such tragedies are followed by local or statewide bans or major reforms in the areas where they occur. In fact, a handful of states and many municipalities already ban such events.

As part of a national strategy to improve medical coverage in boxing and the martial arts, Cantu noted that ACSM will stage a Ringside Physicians Course in February of 2004 in Las Vegas, Nevada. At the course, the essential levels of medical care for boxing events and screenings to determine if an athlete is fit to participate will be discussed. The Ringside Course will immediately precede ACSM's Team Physician Course, which is part of an annual series of conferences devoted to excellence in medical care and safety for athletes across the breadth of sport.

The American College of Sports Medicine is the largest sports medicine and exercise science organization in the world. More than 20,000 International, National, and Regional members are dedicated to advancing and integrating scientific research to provide educational and practical applications of exercise science and sports medicine.

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