https://www.bloodyelbow.com/2018/8/...-release-new-guidelines-cte-brain-health-news Association of Ringside Physicians release new guidelines for concussion care in MMA and boxing On July 26th the Association of Ringside Physicians (ARP), a non-profit and non-government organization of primarily fight doctors, released a consensus statement titled Concussion management in combat sports through the British Journal of Sports Medicine. The statement includes definitions and clarifications over what constitutes a concussion, an assessment of current medical suspensions and return to sport (RTS) protocols in combat sports, and a new set of guidelines that the ARP would like to see instituted to create, what the organization believes, would be a safer environment for combat athletes. To have fights end after signs of concussion (i.e. after a fighter is ‘rocked’ in a round and then tells a doctor in the corner that he can’t remember what happened or what day it is) instead of when a fighter is unconscious or unable to defend themselves, would demand everyone involved in combat sports to adjust their expectations and redefine their understanding of how a fight is won or lost. “A culture shift is probably one of the hardest things to do and that’s why we need exposure and education,” said Neidecker. “We’re seeing things slowly take a turn in other sports. The NFL is a prime example of this, but they’re still having their struggles and having their hard times. But things have definitely gotten better. I can say that for sure. So again it’s just more education. It’s more exposure, it’s just kind of getting the word out there. It will take some time, but I think as we learn more and more about this injury, and we are still learning a lot more about it, the culture will follow.” 30/60/90 day suspensions for TKO and KOs should be expanded to not only bar a fighter from competition, but also from sparring. All fighters, including the winners of a bout, should receive an in-ring/cage examination and a backstage examination by ringside physicians to look for signs of concussion. Fighters should return to non-contact and conditioning training one week after TKO or KO losses and then adopt a return to fighting protocol that includes a gradual progression of intensity. Zero sparring or competition if an athlete is experiencing any signs and symptoms of concussion. If a fighter is exhibiting signs of concussion during a bout, the fight should be stopped. These signs include, but are not limited to headache, confusion, blurred/double vision, nausea/vomiting and balance/gait issues.