UPDATE 3 (6/16/2013):  The Swedish press is reporting some very good news. It seems Frida Wallberg is off the respirator, awake and talking. It’s also been reported that the bleed was not an internal brain hemorrhage, but a blood vessel at the outer edge between the meninges and the brain. This is excellent in terms of her recovery and likely she will be kept in the hospital for another 5-6 days so that she can continue to be assessed and have the rest she needs. Meanwhile, the matter is being investigated by Swedish boxing authorities.

Women’s Boxing champ Frida Wallberg KO sends her to the hospital for emergency brain surgery. UPDATE 1  & 2 (below)

Swedish Boxer Frida Wallberg (11-1, 2-KOs) suffered a devastating KO in her title fight against the new WBC super featherweight champion, Australian fighter Diana Prazak (12-2, 8-KOs). It has left the wildly popular Wallberg in an intensive care bed at the Karolinksa Hospital in Sweden on a respirator. She was placed in a medically induced coma after receiving emergency surgery to relieve the pressure on her brain from a cerebral hemorrhage. Surgery took place in the early morning hours after the bout.

Prazak spent the night pummeling Wallberg with bombs and rocked her in the 7th round with a sweeping left according to a report on boxingscene.com. Wallberg buckled under the force of the blow, but continued the round.  In the 8th round, seemingly still under the effects of the 7th round blow, Wallberg was on the receiving end of Prazak’s hard punching. Wallberg was knocked to the canvas by short left hook, but after getting up and receiving an 8-count from the referee, Bela Florian, she continued only to be hit by a short right hook which sent her to the deck again.  Bela Florian called the fight at that point and Prazak was given the KO win.

Wallberg was assisted to the corner by Florian, her nose bleeding and tentative in her movements. Even as she was being examined by the ring doctor, one could observe her visibly slumping and hanging on to the ropes. Still he walked away, and it was the quick thinking of Prasak’s trainer, Lucia Rijker who while celebrating her own fighter’s victory saw that Wallberg was in trouble and ran to her aid. Rijker demanded that the doctor return and that Wallberg be given serious medical aid. Wallberg was subsequently attended to and brought out of the ring on a stretcher.

Wallberg’s boyfriend, Robert Ludwig later told the Swedish press that she suffered a cerebral hemorrhage described as a stroke. In other reports, it has been said that doctors may try to revive Wallberg at some point today to assess her condition.

UPDATE 1: According to press accounts from Sweden, Frida was partially brought out of her coma and has had her medications reduced to assist in the process of bringing her to consciousness. That will reportedly happen at about 4:00 PM, 6.15.2013, Swedish Time. No word was given on the state of her injuries or likely prognosis. The press is continuing to state that she suffered a stroke.

UPDATE 2: Wallberg was reportedly awakened, was able to move her fingers and answers questions, but from what could be gleaned, she has likely been re-sedated somewhat to allow her time to heal. There is some cause for optimism, but no answer yet on whether she will make a full recovery from the stroke–and things are still very serious at this point. She remains in the hospital in intensive care.

Whatever happens, under Swedish boxing rules, Wallberg will no longer be able to box professionally in Sweden.  It is also said that she had an MRI two weeks ago as part of her pre-fight medical which showed no signs of abnormality or vessel weakness.

Wallberg’s last fight was 14 months ago against the tough Brooklyn fighter, Amanda Serrano (17-1, 12-KOs). Wallberg won the fight by decision in her native Sweden. Prazak on the other hand most recently fought Holly Holm (33-2, KOs-9) for a shot at the then vacant IBAF and WBF female light welterweight titles. It was Prazak’s only loss.

Responding to questions about Wallberg in a post-fight interview, Prazak with her coach Rijker was overwhelmed by the quick succession of winning the title after a long hard road of training — and the sense that her only way to defeat Wallberg to take the title was by KO, given that the fight was on Wallberg’s home turf in Sweden — and the devastation of knowing that Prazak was so seriously injured.  As Prazak said on her Facebook page last night, “All fighters want the win by KO … just what we had planned and trained for [came] at a big cost.” She went on to say, “My prayers and thoughts are with Frida and her loved ones. Please send your prayers and thoughts for her too.”

The injury sustained by Wallberg and subsequent surgery is reminiscent of the devastation suffered by Ishika Lay in November 2011. During Lay’s bid for the National Golden Gloves in the run-up to the Olympic Trials, she collapsed in the ring, the likely victim of second impact syndrome–a form of brain injury that occurs when brain injuries are not given adequate time to heal.

Whenever this happens in boxing — questions arise as to the role that coaches, managers, referees and ringside physicians play in the health and safety of fighters in the ring. The safety of fighters outside the ring, during training, is just as important, if not more so, and it is up to those who care for their fighters to take the precautions necessary to keep their boxers safe–incorporating the adage “when in doubt sit it out.”

It is helpful that in Sweden fighters are required to have brain scans on a regular basis. The fact that Wallberg was cleared two weeks prior to the fight is also good. What we don’t know is whether she sustained any serious head blows in the interval between her MRI and the day of the fight that could have compromised her in some way. By all reports both fighters had tough training camps in preparation for the bout–Wallberg had also been coming to the fight after a 14 month layoff and whether that had anything to do with the severity of her injury is also unknown.

What we do know is that boxers, hockey players, football players, MMA fighters and other athletes in close contact sports sustain traumatic brain injuries–the question is how can we all help protect these remarkable athletes from further trauma. We know that fighters in particular aim for the KO. It is the “cookies” in boxing–and let’s face it, is what garners the big money fights on the men’s side of game, and while women make a pittance by comparison, the KO remains the holy grail.

Making sports illegal is certainly not the answer, but making sports safer with headgear that can minimize the impact of such injuries, as well as vigilance in the gym, on the playing field and in the ring, would seem to be a step in the right direction. Rethinking the importance of big hits is also something to consider–though that is an unlikely change.