MEDICAL SERVICES MANUAL
WELCOME TO THE 27TH GRANADA WINTER UNIVERSIADE 2015 Welcome to the 27th Granada Winter Universiade 2015... 9 8. MEDICAL SERVICES AT COMPETITION VENUES Medical services at Competition Venues... 40 1. GENERAL INFORMATION General Information... 13 2. MEDICAL ORGANISATION FOR THE WINTER UNIVERSIADE GRANADA 2015 Medical organisation for the Winter Universiade Granada 2015... 17 3. ETHICAL GUIDELINES FOR HEALTHCARE IN THE 27TH WINTER UNIVERSIADE Ethical guidelines for healthcare in the 27th Winter Universiade... 20 4. RESPONSIBILITIES OF WINTER UNIVERSIADE GRANADA 2015 MEDICAL SERVICES TEAM Responsibilities of Winter Universiade Granada 2015 Medical Services Team... 25 5. EMERGENCY SYSTEM Emergency System... 29 6. DESIGNATED UNIVERSIADE HOSPITAL Designated Universiade Hospital... 33 9. MEDICAL SERVICES AT OTHER NON-COMPETITION VENUES 9.1. Medical services at Athletes hotels... 46 9.2. Medical services at Opening and closing ceremonies... 46 9.3. Medical services at Medal award ceremonies... 46 9.4. Medical services at FISU family hotel... 46 9.5. Medical services at Media centre... 47 9.6. Medical services at Granada and Málaga Airports... 47 10. EVALUATION AND NUTRITIONAL VALUE OF ATHLETES MEAL PLANS Evaluation and nutritional value of athletes meal plans... 51 11. SANITATION AND DISEASE CONTROL Sanitation and Disease Control... 55 12. PHARMACIES Pharmacies... 59 APPENDIX The 2015 prohibited list World Anti-Doping Code... 62 7. UNIVERSIADE MEDICAL CENTRE Universiade Medical Centre... 37 6 7
Dear friends, For the members of the Organising Committee of the Winter Universiade Granada 2015, it is an honour to host you in our city. Through this guide, we would like to introduce you into an event in which we have worked with enthusiasm, as the Universiade represents a great opportunity for us. From time immemorial, both Winter sports and University have been a symbol of identity of Granada. For this reason, we cannot imagine a better event than the Winter Universiade we are introducing in this manual. Granada 2015 will be a window to show the world our province, in an audience especially important for us: university students. We would not like to forget the legacy this event will leave regarding knowledge and promotion of sport, principles we share deeply with the International University Sports Federation. Concerning ice sports, the Universiade will bequeathe an important legacy, as Winter sports in Granada will come full circle. As other sports events, this Universiade has overcome some difficulties. Fortunately, the experience through decades organizing international high level and very demanding sports events, has left an important legacy in this city regarding organizational skills. As an example, the FIS Alpine World Ski Championships in 1996 left timeless memories in the province, as well as the recent ISSF World Shooting Championships or the FIBA Basketball World Cup. They all left an important mark, as we are sure the Winter Universiade will do. I would like to reiterate my gratitude for counting on your presence. You are also the Universiade. Welcome! José HURTADO President Granada Universiade 2015 Ignacio PIPÓ Granada Universiade 2015 CEO Miguel Ángel GALLO Head of Medical Services and Antidoping Controls 8 9
CHAPTER 1. GENERAL INFORMATION
CHAPTER 1 GENERAL INFORMATION GENERAL INFORMATION Granada Organizing Committee has prepared a medical guide for the 27th Granada Winter Universiade under the supervision of FISU International Medical Committee according to the regulations of FISU Winter Universiade Competitions and Minimum Requirements. The aim of the manual is to give information on medical services for participant delegations and staff members. Granada Organizing Committee will provide the following services to meet the needs of athletes, referees, FISU family members, spectators, press members, volunteers and medical service staff during the 27th Winter Universiade: Set up medical stations with health care staff at the venues and during the opening and closing ceremonies. Set up a Medical Centre in the Granada Congress and Exhibitions Centre. This centre will house the Organising Committee (OC) and the Press Centre offices. The Medal Award Ceremony of the competitions in Sierra Nevada will be also held at the Granada Congress and Exhibitions Centre. 24 hours emergency service. Those who require this service will be transferred in ambulances from the different venues, OC Medical Centre or hotels to the Hospital of the Universiade. Check up the environmental and food health and safety, monitoring any potential infectious diseases and maintaining environmental disinfection throughout Winter Universiade. Manage health services. The primary goal of medical care and health check for 27th Winter Universiade is the prevention of epidemics, food poisoning, providing efficient rescue and treatments for patients on time and timely and adequate treatment of those seriously injured. 12 13
CHAPTER 2. MEDICAL ORGANISATION FOR THE WINTER UNIVERSIADE GRANADA 2015
MEDICAL ORGANISATION FOR THE WINTER UNIVERSIADE GRANADA 2015 Head of Medical Services and Antidoping Controls Dr. Miguel Ángel Gallo Vallejo Responsible for Medical Care in the University Hospital Virgen de las Nieves Dr. Manuel Bayona García (Director of University Hospital Virgen de las Nieves) Responsibles for Doping Control Dr. José de la Plata Caballero Dra. Mª Luz Galán Rodríguez Responsible for Medical Care in Sierra Nevada Dr. Carlos Melero Romero Responsible for emergency Medical Care José Martín Bueno Responsible for Preventive Medicine and Public Health Isabel Marín Rodríguez Supervisor of Health Department Andalusian Government Responsibles for Dietetics and Nutrition Dr. Jesús Rodríguez Huertas Dr. Emilio Martínez de Victoria (Institute of Nutrition, University of Granada) Responsible of Volunteers (Medical Service and Doping Control) María Teresa Arribas Salguero Responsible for Medical Care at venues in Granada and WUG2015 Medical Center Dr. Miguel Ángel Gallo Vallejo 16 17
CHAPTER 3. ETHICAL GUIDELINES FOR HEALTHCARE IN THE 27TH WINTER UNIVERSIADE
CHAPTER 3 ETHICAL GUIDELINES FOR HEALTHCARE IN THE 27TH WINTER UNIVERSIADE ETHICAL GUIDELINES FOR HEALTHCARE IN THE 27TH WINTER UNIVERSIADE FISU International Medical Committee and Granada Organizing Committee Medical Department suggest the following code of ethics to all doctors and medical personnel serving athletes and participants. All doctors responsible for athletes health must take care of their physical, mental and emotional needs in training and competitions. All patients including athletes have the right to prefer offered treatment and other options. Any athletes or patients cannot be deprived of their rights. However, athletes are suggested to follow doctors recommendations. All doctors responsible for athletes health are obliged to extend the best treatment to the athletes under any circumstances. It is clear that each athlete will be individually treated. Privacy of the patient is important and this right must be protected. Athletes and team managers are supposed to give the right information to the doctors. In the test events and competitions, a doctor is in charge of determining whether athletes stay in the course and return to the competition or not. This decision cannot be transferred to others from different professions. In case of absence of a doctor, a representative must follow the doctors instructions firmly and priority in that decision should be given according not to the result of competition but to athletes health and safety. Doctors should abstain from the use of methods and materials that are prohibited by WADA, IOC, and ISF and keep others away as well. They must be opposed to these methods especially the ones indicated below which are against work ethics as well as hurt applicant athlete. 1. Procedures that change substances or biochemistry of the blood. 2. Regardless of drug administration routes, applying drugs and substances containing stimulant and suppressor of central nervous system. 3. Creating any change in the self-control and mental health. 4. Making use of procedures to cover symptoms or to reduce the pains of athletes having symptoms or injuries preventing them to participate in competitions. 5. Procedures changing the feature identifying age and gender artificially. 6. Allowing an individual to do training and enter competitions without securing his/her health and safety. A doctor who is responsible for both athletes and other officials health must inform them about the procedures he/she is against. He/She must protect individuals from these procedures, get support from other physicians and organizations, protect athletes from the pressure to implement the procedures and help to control these procedures. Doctors and health officials who oppose to the ethics must not be allowed to work. Medical team directors advices about organization of sports events should be taken into consideration. Sports medicine should be operated according to the ethics above mentioned. Also sports medicine should be operated according to the ethics above and methods harming athletes and their ability should be avoided. Granada Organizing Committee Medical Department is in charge of organizing and providing medical service for 27th Winter Universiade Granada which will take place between the 3th- 14th February, 2015 in Granada. Within the scope of organization, medical care and public health support during the 27th Winter Universiade will be covered by the Andalusian Department of Health Services (SAS). 20 21
CHAPTER 4. RESPONSABILITIES OF WINTER UNIVERSIADE GRANADA 2015 MEDICAL SERVICES TEAM
CHAPTER 4 RESPONSABILITIES OF WINTER UNIVERSIADE GRANADA 2015 MEDICAL SERVICES TEAM RESPONSABILITIES OF WINTER UNIVERSIADE GRANADA 2015 MEDICAL SERVICES TEAM 1. Introduction of Medical Care Plan prepared for the 27th Winter Universiade by Granada OC and FISU International Medical Committee. 2. Implementing FISU International Medical Committee decisions and reporting them to the committee. 3. Setting up Health Stations and staff providing health services in competition, official trainings and accommodation areas and coordination of these health stations. 4. Setting up a communication network among Athletes Hotels, FISU Hotel, Health Stations and competition areas. 5. Paying attention to environmental maintenance and food hygiene at Athletes Hotels, FISU Hotel and competition areas. 6. Control, sterilization and disinfection of infections in FISU Hotel and the Athletes Hotels. 7. Carrying out administration of Health and Emergency Services, observing health status and solving certain problems promptly in competition areas and hotels throughout the competitions. 24 25
CHAPTER 5. EMERGENCY SYSTEM
CHAPTER 5 EMERGENCY SYSTEM EMERGENCY SYSTEM Emergency medical services can be reached free of charge by dialling 112 from any land line or mobile telephone for emergency services (ambulance/medical, fire and rescue, police). Medical Emergency State-owned Company has the biggest and best equipped Emergency Coordination Centre of Andalusia in Granada. It is located in the PTS Granada, in the Advanced Multifunctional Centre for Simulation and Technological Innovation (CMAT). Provincial emergency ambulance service of Granada, 061, is run from the CMAT building, close to the Sports Palace. EMERGENCY AMBULANCE SERVICE OF THE UNIVERSIADE TELEPHONE: 061 (24 hours telephone service available) 28 29
CHAPTER 6. DESIGNATED UNIVERSIADE HOSPITAL
CHAPTER 6 DESIGNATED UNIVERSIADE HOSPITAL DESIGNATED UNIVERSIADE HOSPITAL The Hospital for the Universiade 2015 is the University Hospital Virgen de las Nieves. They will take care of all injured people transferred from the OC Medical Centre, competition venues or hotels. There are two centres available: Hospital of Physical Therapy and Orthopaedic Surgery (with heliport) and the Medical and Surgical Hospital. It has a 24-hour urgent admission service, 1060 beds, 37 surgery rooms, 171 consulting rooms and 650 doctors of different specialities. VIRGEN DE LAS NIEVES UNIVERSITY HOSPITAL Avda. de las Fuerzas Armadas, 2 18012, Granada Tel.: (+34) 958 241 100 32 33
CHAPTER 7. UNIVERSIADE MEDICAL CENTRE
CHAPTER 7 UNIVERSIADE MEDICAL CENTRE UNIVERSIADE MEDICAL CENTRE The Universiade Medical Centre is located at the Conference and Exhibition Centre. The athletes, judges, officials, FISU family members, media members, volunteers and spectators will be assisted there during the opening hours from January 30th to February 14th, 2015. (8.30 a.m. to 8.30 p.m.). There will be services for the following: general medicine, sports medicine, sports traumatology, physiotherapy, sport chiropody, advanced CPR and sonography. Both X-ray studies and analytical and diagnoses tests will be carried out at the University Hospital Virgen de las Nieves. GRANADA CONGRESS AND EXHIBITION CENTRE Paseo del Violón S/N 18006 Granada Tel.: +34 958 246 700 36 37
CHAPTER 8. MEDICAL SERVICES AT COMPETITION VENUES
CHAPTER 8 MEDICAL SERVICES AT COMPETITION VENUES MEDICAL SERVICES AT COMPETITION VENUES Medical services will be provided for athletes, judges, officials, FISU family members, media members, volunteers and spectators. In all official trainings and competition venues during the Universiade, a mobile intensive care unit (ICU) with a doctor, a nurse and a medical transport technician will be available 60 minutes before and after competition. In case of evacuation, they will be replaced. When a competition takes place in Sierra Nevada, there will be a mobile intensive care unit located in Pradollano, which will cooperate with the one existing there. Those seriously injured will be transferred by helicopters (located in Borreguiles near Pradollano) to the University Hospital Virgen de las Nieves heliport. Sierra Nevada houses a health centre in Pradollano with two consulting rooms, advanced cardiopulmonary resuscitation room, radiology and plaster rooms and observation room with three beds. COMPETITION VENUES SPORTS PALACE Ice Hockey (capacity: 3,500 spectators) There will be a mobile intensive care unit with a doctor, a nurse and a medical transport technician. Another doctor will coordinate this team. CLÍNICA DE PRADOLLANO Plaza Andalucía S/N 18196 - Sierra Nevada, Granada Tel.: +34 958249138 MULHACÉN PAVILION Ice Hockey (capacity: 350 spectators) There will be a mobile intensive care unit with a doctor, a nurse and a medical transport technician. Another doctor will coordinate this team. 40 41
CHAPTER 8 MEDICAL SERVICES AT COMPETITION VENUES UNIVERSITY PAVILION FUENTENUEVA Curling (capacity: 600 spectators) There will be a mobile intensive care unit with a doctor, a nurse and a medical transport technician. Another doctor will coordinate this team. A sport physiotherapy service will also be available. SIERRA NEVADA Alpine Skiing, Freestyle Skiing and Snowboard: The medical unit that will cover all the competitions consist of ten doctors: a doctor, together with a nurse and a medical transport technician, will be located at the mobile intensive care unit that will support the Pradollano Health Centre. The remaining nine doctors will be at the different competitions. In each of the sport tests there will be a doctor with two members of the ski patrol at the ski area. A sport physiotherapy service will also be available, located in the First Aid Kit in Borreguiles. GRANADA IGLOO Figure Skating & Short Track (capacity: 1,300 spectators) There will be a mobile intensive care unit with a doctor, a nurse and a medical transport technician. Another doctor will coordinate this team. A sport physiotherapy service will also be available. 42 43
CHAPTER 9. MEDICAL SERVICES AT OTHER NON-COMPETITION VENUES
CHAPTER 9 MEDICAL SERVICES AT OTHER NON-COMPETITION VENUES 9.1. MEDICAL SERVICES AT THE ATHLETES HOTELS 9.5. MEDICAL SERVICES AT MEDIA CENTRE Whenever athletes, judges, officials, FISU family members, media members and volunteers staying at the different organization hotels need medical assistance and they cannot go to the Universiade Medical Centre themselves, they should phone the emergency ambulance service of the Universiade: 061. In a timely fashion, a mobile intensive care unit (ICU) with a doctor, a nurse and a medical transport technician, will go to the hotel. If needed, the patient will be taken to the University Hospital Virgen de las Nieves. 9.2. MEDICAL SERVICES AT OPENING AND CLOSING CEREMONIES For the opening ceremony in the Congress and Exhibition Centre, the Universiade Medical Centre and two mobile ICUs will be available. For the closing ceremony in the Sports Palace, two mobile ICUs will be available. The Media Centre and the Universiade Medical Centre are located at the Granada Congress and Exhibition Centre. In case medical assistance is required, they could be assisted at the OC Medical Centre. If needed, the patient will be taken to the University Hospital Virgen de las Nieves. 9.6. MEDICAL SERVICES AT GRANADA AND MÁLAGA AIRPORTS At Granada and Málaga Airports there is Medical Assistance available for all Universiade participants, in case they might need it when they arrive and before departure. If needed, they will be taken to the University Hospital Virgen de las Nieves. 9.3. MEDICAL SERVICES IN MEDAL AWARD CEREMONIES Medal award ceremony of the competitions in Sierra Nevada will be held at the Granada Congress and Exhibition Centre. The staff of the Universiade Medical Centre will take care of athletes and persons attending the ceremonies. If need it, the patient will be taken to the University Hospital Virgen de las Nieves. The rest of the Medal Award Ceremonies will take place in the different competition venues. Medical assistance will be covered by the medical team located at each venue. 9.4. MEDICAL SERVICES AT FISU FAMILY HOTEL Whenever the FISU Family members need medical assistance and they cannot go to the Universiade Medical Centre themselves, they should phone the telephone of emergency ambulance service of the Universiade: 061. In a timely fashion, a mobile intensive care unit (ICU) with a doctor, a nurse and a medical transport technician, will go to the hotel. If needed, the patient will be taken to the University Hospital Virgen de las Nieves. 46 47
CHAPTER 10. EVALUATION AND NUTRITIONAL VALUE OF ATHLETES MEAL PLANS
CHAPTER 10 EVALUATION AND NUTRITIONAL VALUE OF ATHLETES MEAL PLANS EVALUATION AND NUTRITIONAL VALUE OF ATHLETES MEAL PLANS Nutrition and Food Technology Institute of the University of Granada will review and evaluate all athletes meal plans designed both by hotels of Granada and restaurants of Sierra Nevada. Besides, apart from the Medical Centre of the OC, located at the Granada Congress and Exhibition Centre, the Institute of Nutrition and Food Technology of the University of Granada will offer a nutritional status assessment and body composition estimation, free of charge, to all the athletes who might be interested. 50 51
CHAPTER 11. SANITATION AND DISEASE CONTROL
CHAPTER 11 SANITATION AND DISEASE CONTROL SANITATION AND DISEASE CONTROL Granada OC Medical Department has prepared detailed plans for observation and control with the purpose of medical care, sanitation, and for the prevention of food poisoning and epidemic. Sanitation controllers will be sent to provide the security at the Athletes Hotels, competition venues and other points for the sale of food & beverages. Food sanitation and hygiene control will be applied as follow: Detailed plans for insect eradication and disinfection have been made at the Athletes Hotels and common places. Epidemiological surveillance and observations related to public health will be administered. Sanitation information will be broadcasted. 54 55
CHAPTER 12. PHARMACIES
CHAPTER 12 PHARMACIES PHARMACIES IN GRANADA Granada is well-stocked with pharmacies. Six of them are opened 24/7 and are located by the hotels where the different delegations will be accommodated, by the OC Medical Centre and by the venues. Location of the 24/7 pharmacies: 1. Calle Reyes Católicos 5 (958 262664) 2. Calle Recogidas 48 (958 251129) 3. Puerta Real 2 (958 263113) 4. Periodista José María Carulla 8 (958 154949) 5. Avenida de Dílar 16 (958 811806) 6. Camino Bajo de Huétor 63 (958 123653) PHARMACIES IN SIERRA NEVADA Pharmacies in Sierra Nevada will be open during competition hours. They are located at: Plaza de Andalucía s/n (958480410) Plaza Pradollano s/n (958 480886) 58 59
APPENDIX THE 2015 PROHIBITED LIST WORLD ANTI-DOPING CODE
APPENDIX THE 2015 PROHIBITED LIST WORLD ANTI-DOPING CODE 62 63
APPENDIX THE 2015 PROHIBITED LIST WORLD ANTI-DOPING CODE 64 65
APPENDIX THE 2015 PROHIBITED LIST WORLD ANTI-DOPING CODE 66 67
APPENDIX THE 2015 PROHIBITED LIST WORLD ANTI-DOPING CODE 68 69
APPENDIX THE 2015 PROHIBITED LIST WORLD ANTI-DOPING CODE 70 71