Cutman

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lacerations
. In addition to degrading a fighter's performance, the rules of combat sports stipulate that these injuries can be a cause for premature match stoppage, counting as a loss to the injured fighter. The cutman is therefore essential to the fighter, and can be a decisive factor in the outcome of the match.

The compensation for cutmen varies, but is generally 2-3% of the fighter's prize money.[1] For many fighters on a low budget, the cutman duties are performed by their cornerman. While most athletic commissions require cutmen to be licensed, there is usually no formal training or certification required. Most cutmen learn their trade through apprenticeship and self-education.

Unlike boxing, cutmen for mixed martial arts events are generally provided by the promotion, rather than the fighter's corner. This is to prevent allegations of "greasing" (applying petroleum jelly to areas other than the forehead, which provides an unfair advantage in grappling situations).

Cutmen should not be confused with the fight physician, an official who monitors the health of the fighters and whose task is closer to that of a neutral referee. The fight physician provides medical advice, monitors the safety of both fighters in accordance with regulations or law, and evaluates their ability to continue fighting.

Treatments

Before the fight, cutmen will usually put

punch
close to their eyes. Cutmen might also tape fighters' hands, which helps protect the bones and tendons. Wraps are used during training but are illegal during competition, though people still commonly use the term "wrap" to describe the taping method of using gauze and tape.

During the fight, cutmen try to control any swelling or bleeding during the breaks between rounds. Since cutmen are not doctors, and have a very short period of time to treat the fighter, their treatments are limited to advanced first aid treatments.

Swelling

A standard enswell used by cutmen to reduce swelling from facial injuries.

blood vessels under the skin, thus causing an increase in bleeding and enlargement of the swelled area.[citation needed
]

PFC Raelina Shinn (left) battles on with a nosebleed during the first female fight in the Armed Forces Boxing Championships.

Cuts

Cuts (lacerations) are the primary focus of the cutman because unless the bleeding is stopped promptly, the fight physician may stop the fight and declare that the injured fighter has lost the match. Physicians also will stop a match for a laceration that is perpendicular to the eye. The most common area of the face to be cut is around the eye. Cuts are treated by applying a cold towel to clean and simultaneously cool the area of the cut, causing a decrease in blood flow. A cotton swab soaked in epinephrine is applied with pressure to decrease blood flow even more. A collagen-based hemostat for clot formation (such as Avitene) is put into the cut to coagulate the blood.[1] A cutman might also cover the area with petroleum jelly to prevent further damage.

Nosebleeds

Most nosebleeds occur near the opening of the nose. To stop the bleeding, cutmen generally apply a cotton swab soaked in epinephrine to the damaged area, while simultaneously pressing the nostril against the cotton swab with the other hand. Once the bleeding has stopped, the area is chilled with an ice pack or an enswell. The fighter is usually instructed to breathe through the mouth during the treatment.[2]

A

broken nose is a more difficult case, and can be detected by a heavy flow of dark colored blood from the nose. The bleeding is generally treated the same way; however, the fighter is usually instructed to avoid swallowing blood as it may induce nausea or vomiting
, and the cutman is more likely to consult the ringside physician to ensure the fighter's safety.

Tools

Equipment

Medications

Cutmen used to[when?] create their own medications, and the recipes were passed from masters to apprentices as trade secrets. Today,[when?] the use of various medications in sports is highly controlled, and most[quantify] cutmen use only two or three standard medications from the list below.

  • Epinephrine (also adrenaline chloride, usually a 1:1000 solution): Applied topically to decrease blood flow. This is arguably the most common medication used by cutmen.[3]
  • Microfibrillar collagen hemostat (brand name Avitene): Coagulant used for bleeding cuts. Usually used in a powder form. It works best when the surface is dry.[4] The treatment includes covering the affected area with Avitene, and applying moderate pressure with dry gauze.
  • Thrombin: Coagulant used when the blood is removed and the surface is dry.
  • Oxidized regenerated cellulose (brand name
    Gelfoam
    ): Two other substances also used for coagulation, although less frequently than Avitene or thrombin.
  • Ferric subsulfate solution (also known as
    tissues surrounding the cut, while generating severe scar tissue. Contrary to popular misconception, this hemostatic solution does not contain lead.[3]

Notable cutmen

Notes

  1. ^ a b c Whisler, John (2004). "Battered boxers want Joe Souza in their corner" Archived 2006-06-14 at the Wayback Machine. www.mysanantonio.com. URL last accessed May 9, 2006.
  2. ^ a b Tenny, Dave (2002). "How to Use Enswell and Take Care of a Nosebleed" Archived 2006-04-27 at the Wayback Machine. www.thecutman.com. URL last accessed March 18, 2006.
  3. ^ a b c d Guzman, Trinidad; Duran, Jacob (2004). "Boxing through the eyes of a cutman" Archived 2006-05-04 at the Wayback Machine. www.fightnews.com. URL last accessed March 18, 2006.
  4. ^ Davol, Inc. Avitene Microfibrillar Collagen Hemostat Instructions for Use Archived 2006-03-13 at the Wayback Machine. www.davol.com. URL last accessed March 20, 2006.
  5. ^ Chuck Bodak passes Archived 2011-07-11 at the Wayback Machine Fightnews.com, February 6, 2009

References

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