20. Medical Doctor and Procedure, after Knock-Out and R.S.C.H

A doctor for muaythai should be a well-trained doctor in this sport. The doctor shall sit close to the ring at a provided place and stay on till the end of the last bout of the session.

The duties of the doctor are as follows:

20.1    Check the health of the athlete and certify that the athlete is fit to fight before the weigh-in

20.2    Give instruction to the referee upon his/her request.

20.3     Unconscious Athlete: If an athlete is rendered unconscious, then only the referee and the doctor summoned should remain in the ring. Unless the doctor needs extra help.

20.4    Medical Attention: An athlete who has been knocked out as a result of a head hit in a contest or wherein the referee has stopped the contest due to the athlete having received hard hits to the head making him defenseless or incapable of continuing, shall be examined by a doctor immediately afterwards and accompanied to his/her home or suitable accommodation by one of the officials on duty at the event. The ringside doctor shall call a neurologist as soon as possible and within 24 hours, who will decide on the further treatment of the athlete and will keep him under observation for a period of 4 weeks.

20.5    Probation Periods:

20.5.1 One knock-out or R.S.C.H: An athlete who has been knocked out as a result of a head hit during a contest or wherein the referee has stopped the contest due to the athlete having received hard hits to the head rendering the athlete defenseless or incapable of continuing, shall not be permitted to take part in a competition of muaythai or sparring for a period of at least 4 weeks after the athlete has been knocked out.

20.5.2 2 Knock-outs or R.S.C.H: An athlete who has been knocked out as result of head hits or wherein the referee has stopped the contest due to an athlete having received hard hits to the head rendering the boxer defenseless or incapable of continuing twice within a period of 3 months, shall not be allowed to take part in a muaythai competition or sparring for a period of 3 months from the second knock out or R.S.C.H.

20.5.3 3 Knock-outs or R.S.C.H: An athlete who has been knocked out as a result of head hits or wherein the referee has stopped the contest due to the athlete having received hard hits to the head rendering the athlete defenseless or incapable of continuing 3 times in a period of 12 months, shall not be allowed to take part in a muaythai competition or sparring for a period of 1 year from the third knock-out or R.S.C.H.

20.5.4 Each knock-out suffered as a result of head hits and each R.S.C.H must be recorded in the athlete’s book.

20.6     Medical Certification Following Probation Period: Before resuming boxing after any of the periods of rest prescribed in the 3 preceding paragraphs, an athlete must be certified by a neurologist as fit to take part in muaythai competition following, if possible, a special examination,  EEG and , if necessary, CCT. The results of that examination as well as the permission to resume fighting shall be entered in the athlete’s book.

20.7    R.S.C.H: The referee will indicate to the Jury and judges to annotate the scorecard “R.S.C.H” when the referee has stopped the contest as a result of an athlete being unable to continue as a result of hits to the head. RSCH is a term to be used only when an athlete is being saved from a knockout after having received hard hits rendering the athlete defenseless and incapable of continuing (the term RSCH is not to be used when an athlete is simply outclassed and is receiving too many scoring hits without scoring himself/herself).

20.8    Protective Measures: Any athlete having lost a hard bout with many hits to the head or having been knocked down several times in some consecutive contests, may not be permitted to take part in a muaythai competition or training for a period of at least 4 weeks after the last contest on the advice of the Medical Officer should he/she decide that it would be necessary.

All protective measures should also apply if a knock-out occurs during training.