Master Planning: Medical Services over a Decade of Olympics

Transcription

1 Master Planning: Medical Services over a Decade of Olympics Dr. Julia Alleyne Toronto, Ontario

2 My Major Games 2002 Core Medical Staff Salt Lake City, USA 2006 Assistant CMO Torino, Italy 2008 Wellness Coordinator Beijing, China 2010 NSF Skate Canada Vancouver, CAN 2012 CMO, COC London, England 2015 CMO Pan/Para Toronto, Canada

3 Objective "The most important thing is not to win, but to take part!" Bishop of Pennsylvania 1908 London Games.

4 Master Planning The ability to facilitate anticipatory planning by taking what you know and have seen

5 Master Planning The ability to facilitate anticipatory planning by taking what you know and have seen and logically integrating it with what you

6 Master Planning The ability to facilitate anticipatory planning by taking what you know and have seen and logically integrating it with what you don t know that you don t know.

7 Is this a Crisis waiting to happen?

8 Crisis

9 History of the IOC Medical Commission 1967 Anti-doping system for protection of athletes Olympic Movement Medical Code Chapter I: Relationships Between Athletes and Health Care Providers Chapter II: Protection and Promotion of the Athlete s Health during Training and Competition Chapter III: Adoption, Compliance and Monitoring Chapter IV: Scope, Entry into Force and Amendments

10 What is Olympic Medicine a) The medical treatment of Olympians b) The Olympic efforts of the medical team c) The study of providing comprehensive care at high stakes competition while living out of a medical suitcase. d) To ability to expect the unexpected anytime and anywhere.

11 Medical Management Principles 1. Plan for the Unexpected 2. Team within a Team 3. Athletes are More than Muscles 4. Return to Play PLUS 5. Embrace Contradiction

12 Head Start.

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26 The Start of 21 st century Security

27 Will Security be the last straw? 2002 Salt Lake City 60 million 2010 Vancouver - $720 million 2000 Sydney 100 million London 2012 Security- $870 million

28 Percentage of Budget - Medical

29 Security vs. Medical 23,700 paid staff $870 million Increase of 5x the original estimate 3500 volunteers 10 million Met estimates

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36 Plan for the Unexpected

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39 Infection Control Policy Pre-games Immunization Supplies Routine and High Precautions Pandemic Precautions Self Screening Isolation Procedures Lessons from SARS

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45 Team within a Team

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47 10 Tips of Olympic Medicine

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49 Needs Survey 78 % felt more could be done to improve their wellbeing at the Games Barriers: Sleep Deprivation Burn-out Solutions: Private Space Designated and Protected

50 WELLNESS CENTRE The Wellness Centre will assist athletes in attaining and maintaining Recovery, Rejuvenation and Reflection to reach optimal health in preparation for Peak Performance.

51 WELLNESS Recovery is part of training, yet requires quality rest, nutrition and repair. Planning and maximizing recovery techniques have been proven to reduce injury, tension and fatigue. Rejuvenation is the effort that we put into maintaining a youthful and vibrant body and spirit for active living. Rejuvenation includes body work like yoga, stretching and pilates. Reflection is the thoughtful contemplated of oneself in order to focus and have purposeful direction. Reflection can be done by oneself through meditation or reading or it may be interactive with a counsellor or companion. Within the Wellness Centre, we will provide services and supplies that facilitate the attainment of well being.

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55 WELLNESS CENTRE Post Beijing evaluation: Was visually pleasing and many athletes used the services The Wellness Concept was supported by athletes, coaches and mission staff and should continue to develop through the next Games It is estimated that approximately 125 visits The most highly used areas were the Power Nap and Meditation Rooms followed by the Yoga/ Pilates rooms It is recommended that a Wellness Centre staff be on site during the hours of 9 12pm, 4 10pm for coordination of services, approachable discussion and suggestions, equipment sign out, beverage bar and maintenance of atmosphere We believe the concept gave a psychological advantage to the team;

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57 Athletes are More than Muscles

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60 November 5 th and 6th, 2009

61 Learner Outcome Statements The learner will be able to confidently triage and treat injuries resulting from an unexpected sport venue accident The learner will be able to identify the signs and symptoms of mental stress experienced in a major games venue

62 Experiential Learning Curriculum

63 Case Dramatization Concrete Exposure

64 Observation and Reflection

65 Abstract Concepts

66 New Learning

67 Vancouver Sun 2009

68 Vancouver Sun 2010

69 Return to Play Goals 1. Restoration of health and welfare of athlete Complete and comprehensive data Relevant Clinical examination Risk : Benefit Analysis 2. Return to Field of Competition for Best Performance in Optimal Health Consensus with Athlete, Coach, Family, Team

70 Glossary of Terms Medical Clearance Medical Waiver Informed Consent Physician Directive based on sound clinical assessment Liability of Responsibility Athlete and Physician are in disagreement and the athlete chooses to compete against medical advice The Athlete is fully aware of short term and long term risks to their health and has the opportunity to seek information that will maximize their understanding.

71 Policy Statement OLYMPIC MOVEMENT MEDICAL CODE 6.8. At sports venues, it is the responsibility of the team or competition physician to determine whether an injured athlete may continue in or return to the competition..

72 Step by Step Clinical Decision 1. Assess for Diagnosis and Prognosis of Injury/Illness 2. Scan for Secondary Diagnosis 3. Evaluate Risk of Play 4. Treatment Evaluation 5. Resolution of Symptoms 6. Restoration of Normal Physiology 7. Progression of Activity by Steps 8. Mental Recovery and Resilience 9. Training 10. Competition

73 Skating Spins

74 Lifts

75 Flexibility

76 Spins

77 Role of the Team Physician

78 Worst Nightmare came True

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81 Role of the Physician

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84 Return to Play Plus

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89 The Master Plan Site Visits London Manuals Health and Science Staffing Policies and Procedures Orientation Implemenation Evaluation

90 Communication Skills

91 Conflict Resolution

92 Conflict Management

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94 Nursing Role

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100 EMBRACE CONTRADICTION

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112 Embrace Contradiction

113 Medical Planning Made Easy Plan for the Unexpected Team within the Team More than Muscles Return to Play Plus Embrace Contradiction

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