Use of adrenaline hydrochloride for treating cuts.

I apologise in advance if this has already been covered but I am new to Ax and I can't seem to find a definitve answer.

I am a Muay Thai instructor with over 20 yrs experience, I have been away from the competition side of the sport for 10 years and have just got back into it seriously this year.

I have a couple of fighters on shows in the coming months. Since it has been a long time since I cornered anyone I thought I would seek advice from the MT community.

I have a paramedic who will act as cutman for me. He is trying to source adrenaline for use on cut treatment as part of his kit but has been told it is now prescription only.

As it would appear this is the only coagulent that is approved for use by the UKMF/WMC treatment of cuts seems a bit limited. Obviously I am no medical expert but my man assures me that adrenaline allergy is less dangerous than allergy to paracetamol because of the very low dosage gained from the 1:1000 solution.

The british boxing board of control sell a corner mans bag for £80 with all bandages/ice packs etc and a bottle of adrenaline!! But it is only available after you have attended one of their courses.

Without wishing to steal anyones trade secrets, what do you trainers/ corner men use for treating a cut, mid fight?

Glad of this post, i've been researching this myself this week and would like same advice. Had nicks in the gym from elbows and got cold on it instantantly to shrink the vessels and a good glug of vaseline stops the flow of blood, but in fight, when time is minimal will a no swell and vaseline be enough? Through research you can get hold of Alum easy and does the same job, can anyone advise on this.

Big blob of Vaseline till the corner can get the 2 mins to look at it.

i have spoken to a mediacal professional about using adreniline for cuts and was advised that you need to be licensed to use it and if it goes into the eye i was told that it could blind a person

The subject has indeed been covered. Many times.

I have used Adrenaline for many years and acted as 'cuts Man' for some of the best UK fighters. I also sucher the post fight wound.

If? your question is searching for genuine knowledge please call me any time and i will help you as best I can.

And for the record. A cut cannot be treated during the round. A referee may should he choose stop the fight and invite medical inspection. But no treatment is allowed. Once a medic treats or attempts to treat the wound the fight is forfeit.

Dave

www.bradford-thaiboxing.com

Were can I purchace Adrenalin as my suply is down to one vile

Doug

Thanks to Dave 'the font of all knowledge' Croft for his very generous advice. If anyone has any queries re cuts I suggest picking Dave's brains the man knows his stuff!! On the subject of adrenaline it is prescription only in the UK. Please don't confuse this with being illegal, it just means you can't buy it over the counter.
I will be going with my original plan of getting my paramedic pal to be the cuts man!

Paul Hamilton. Darlington Boxing and Martial Arts has run a number of succesful cuts seminars under the UKMF banner. The organisation they had to host the seminars are very knowledgeable and connected well enough to source and supply vascular constrictors.

Whilst Neil points out quite rightly that prescription is not illegal im confident the supply of and distribution of prescription drugs is skirting the edge of legal if done without someone in the chain being recognised by the authoritys as medically trained.

Mine is given by field medics involved in private security overseas. But can be sourced by asking nicely a Dr. Thats irf? you can find a pro combat sports one and convince him you are capable.

Procedures about treating/not treating during the round are variable. In my place the attitude is liberal, that is: the team can chose to treat the cut on their own BUT if they have no medic/paramedic they must use only external use material (adrenalin and serum or other things that can be placed on the cut); the stuff must be examined and approved by the event's physician prior to the fight.
Adrenalin is usually 1/1000 and that is too strong for the external use, it should be diluted 1/10, that is, to reach 1/10000 concentration with appropriate solutions (sodium chloride 0.9%, Ringer solution). It has a strong vasoconstrictor effect that initiates almost immediately.
If adrenalin is "prescription only", try to obtain fibrin sponges. Fibrin sponge preparation contain the actual substance of the blood clot prepared so as to exclude any germ contamination and can be moisturized with a saline sterile solution and applied on the spot. Take care it turns into a paste when moistened. It is delivered in pieces of ~4 / 2 inches and should be cut in smaller pieces, applied on a moist sterile bandage sheet and placed on the cut. It shortens the clot formation because from the first blood drip up to fibrin precipitation normal chemistry of the blood needs a lag time.
Calcium considerably accelerates the coagulation, so any sterile calcium solution can mend the cut faster.
The good combination is adrenalin 1/10000 plus a few drops of calcium chloride 1% used to moisten a fibrin sponge.

Example of fibrin sponges commercial form:
http://www.magazinuldentar.ro/index.php?main_page=product_info&cPath=35&products_id=215

There are also OTC (over the counter) kits containing various mixes but you should check the content. Dentists can help because they use such things after a tooth extraction. An example:

http://www.magazinuldentar.ro/index.php?main_page=product_info&cPath=35&products_id=215

Forgot to mention: Aluminium chloride precipitates are also in use but I'd be careful because, even more than concentrated adrenalin, they tend to kinda "burn" the margins of the cut and the superficial scar resulting makes the tissue frail (prone to reopen at minimal impact a second time), so, such precipitates are to be used only for cuts happening to guys that are unlikely to suffer further trauma after healing.

above links are the same Unicorn

Sorry, bad paste, the sponge type of fibrin is visible at:

http://www.magazinuldentar.ro/index.php?main_page=product_info&cPath=35&products_id=108

There is a delicate issue about contagious disease spreading if both fighters have cuts, a frequent situation in MT but not rare in kickboxing bouts either. Under the current EU legislation compulsory testing for the dangerous diseases (AIDS, B&C hepatitis) is not possible. Nevertheless, the fighters should be encouraged to do tests. The subject is almost untouched or even considered tabu. I am currently treating a fighter who got contaminated from a cut (true that this can be only a suspicion because he could get the virus from many other sources) and has developed B hepatitis. Does any organizer have any procedures about prevention?

be careful saturating cuts in vasaline, it makes the skin really soft obviously as its a moisturiser making cleaning it out and stitching after alot harder! but in the fight you gotta do what you gotta do.