Supplementary file · Preprint supplement · Combat Sports Regulation and Science · 2026
RACE1 Ringside Acute Concussion Examination Card Deck (Edition 4)
Supplementary File S7 to CSX-003
Download the card deck (PDF, 23 pages) Parent article Cite
Bibliographic record
- DOI
- https://doi.org/10.67999/csx.003.s7
- Supplement to
- https://doi.org/10.67999/csx.003 · Standardized Post-Bout Ringside Concussion Screening in Combat Sports: Systematic Evidence Review and Development of the RACE1 Ringside Acute Concussion Examination (Report CSX-003)
- Author
- Casey C. Sears · ORCID 0009-0000-6344-1143 · ISNI 0000 0005 3070 820X
- Affiliation
- Alabama Athletic Commission, Alabama, USA
- Correspondence
- editor@searspublishing.net
- Type
- Supplementary material (preprint supplement, not peer reviewed); Crossref 5.5 report-paper record with isSupplementTo relation
- Published
- October 1, 2026
- Publisher
- Sears Publishing Company, Tuscaloosa, Alabama, USA · ISNI 0000 0005 3070 8218
- Series
- Combat Sports Regulation and Science
- Report number
- CSX-003-S7
- Version
- 1.0
- Extent
- 23 pages: cover, publication information, contents, and the 18 RACE1 cards (20 half-letter pages) reproduced from Appendix C of CSX-003
- Language
- English
- Rights
- Copyright © 2026 Sears Publishing Company. All rights reserved. Free to read.
- Permanent URL
- https://combatsports.searspublishing.net/articles/csx-003/s7/
- Keywords
- boxing, concussion, sideline assessment, combat sports, ringside physician, mixed martial arts
Abstract
This supplementary file reproduces, as a standalone citable document, Appendix C of the CSX-003 systematic evidence review: the complete RACE1 Ringside Acute Concussion Examination card deck, edition 4. The 18 cards (20 half-letter pages, including the reverse sides of Cards 5 and 18) are issued for review and comment exactly as they appear in the article. RACE1 is a post-bout screen used only after the bout has ended, against a pre-bout baseline where possible; it is never used during a bout, between rounds, or to permit return to participation the same day or in the same competition. It records standardized findings to assist the ringside physician, does not diagnose or exclude concussion, and never clears an athlete. Items and score bands are provisional and have not been validated in any sport.
Role of the RACE1 cards
The RACE1 cards are intended to give the ringside clinician structured guidance after the bout. They do not supersede the authority, clinical judgment or decisions of the ringside physician or any other licensed ringside clinician, and they do not replace the rules or medical requirements of the governing body. Whether to stop a bout, whether to transport, and whether and when an athlete is cleared remain decisions of the ringside physician.
Contents
| Card | Title | PDF page |
|---|---|---|
| 1 | Instructions and Exam Sequence | 4 |
| 2 | Incident, Bout Details, and Observable Signs | 5 |
| 3 | Red Flags: Stop and Activate the Emergency Plan | 6 |
| 4 | Consciousness, Memory, and Symptoms | 7 |
| 5 | Confounding Injuries and Test Reliability | 8 |
| 5 (reverse) | Test Reliability and Context | 9 |
| 6 | Orientation (Seated) | 10 |
| 7 | Immediate Memory (Seated) | 11 |
| 8 | Pupil Response (Seated) | 12 |
| 9 | Eye Tracking (Seated) | 13 |
| 10 | Stand Up and Insert Mouthpiece | 14 |
| 11 | Hands Up: Guard Position (Standing) | 15 |
| 12 | Resistance Test (Standing, in Guard) | 16 |
| 13 | Lateral Movement and Return (Standing) | 17 |
| 14 | Remove and Hand Over Mouthpiece (Standing) | 18 |
| 15 | Delayed Recall (Seated) | 19 |
| 16 | Speech Fluency (Observed Throughout) | 20 |
| 17 | Comprehension and Processing (Observed Throughout) | 21 |
| 18 | Scoring, Disposition, and Signatures | 22 |
| 18 (reverse) | Disposition, Restriction, and Signatures | 23 |
Review and comment
Reviewers are asked to send comments on the wording, order, scoring and layout of any card to editor@searspublishing.net, citing the card number.
How to cite
Sears CC. RACE1 Ringside Acute Concussion Examination card deck (edition 4): supplementary file S7 to Standardized post-bout ringside concussion screening in combat sports [preprint supplement, not peer reviewed]. Tuscaloosa, AL: Sears Publishing Company; 2026. Report CSX-003-S7. 10.67999/csx.003.s7.
Copyright and reuse
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