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Medical aspects & first-aid facilities

1. Range of Services

The range of health and medical services provided during a major FIBA basketball event should include provisions for the following:
i) Medical facilities and medical personnel for basketball players, team officials and referees at the competition and training venues.
ii) Medical facilities and medical personnel for the VIPs, spectators, media and staff members.
iii) Designated hospital(s) for the diagnosis and treatment of any person requiring further medical care that cannot (should not) be provided within the basketball event venue, including dental and maxillofacial services.
iv) Adequate ambulance service (at least one ambulance for athletes and one ambulance for spectators) for emergency pre-hospital care and transportation of the sick and injured to the designated hospital(s). Ambulance services should bear in mind the height of basketball players and ensure that an injured athlete will be able to stretch out comfortably in the patient compartment.
v) Medical interpreter service (if applicable in major international tournaments)
vi) Informing basketball team doctors well in advance of any medical reporting requirements that may be specific to the host country... The recommendations of the World Health Organisation (WHO) must be followed at all times.
vii) It is also the duty of the organising medical team to ensure that there are:

a. Provisions for ensuring a non-smoking policy within the competition venue(s).
b. Provisions from the relevant host police, security and civil protection authorities for a contingency plan that would ensure the security of all those present at the event.

2. Duration of Services

All health and medical services should be fully operational at least one hour before the game and must remain in operation until 30 minutes following the end of the game and the last spectator leaving the stands.

3. Communications & Confidentiality

All the medical facilities and the first-aid providers must be linked together using up-to-date communication systems (cellular phones or walkie-talkies). For the duration of service, all members of the medical team should comply with the ethics and laws regarding medical confidentiality. This should also apply to all communication between health care professionals, whether wired (telephone) or wireless communication.

4. Health Care Professionals

Medical teams should comprise appropriately licensed medical doctors, nurses, physiotherapists and ambulance personnel, as well as appropriately certified first-aid providers.

All members of the medical team should have appropriate accreditation, allowing them to carry out their duties without any hindrance but fully respecting the security arrangements of the organisers. Medical team members should be easily identifiable by their clothing and or medical signage.

The minimum requirements for health professionals should be:

• Athletes’ medical station: 1 doctor, 1 nurse, 1-2 physiotherapists
• Spectators’ medical station: 1 doctor, 1 nurse, 2-4 first-aid providers (as roving team/s) depending on the configuration of the stands)
• Ambulance(s): 2 trained ambulance crew members

5. Medical Stations

The amount and the size of the medical stations will depend on the size and capacity of the event venue. An average of 30- 60 m2 should be considered as the minimum space requirement.

The athletes’ medical station should ideally have a reception/waiting area, a doctor’s office, an examination room and a physiotherapy room.

The spectators’ medical station should also have a reception/waiting area, a doctor’s office and an examination room.

Basic requirements for all medical stations should include but not be limited to:

• Running water
• Floors and walls which are easily cleanable
• Adequate lighting
• Toilet(s) inside or very close to the medical station
• Telephone/fax/data and electricity sockets
• Air-conditioning
• Fire extinguisher(s)
a. Furniture & Equipment

• Office chair and desk (2)
• Plastic chairs plastic for waiting area (4-6)
• White board
• Cork board
• Bookcase with 2 shelves
• Clerical desk with fixed legs and 3 drawers
• Metal filing cabinet with 2 drawers, lockable
• Wall clock
• Battery-operated torch
• Coat rack
• Desk lamp with bulb
• Office supply kit
• Envelopes and filing folders
• Prescription pads
• Paper hand towels with dispenser
• Liquid hand soap, with dispenser
• Small refrigerator/freezer
• Ice-cube machine
• Signs identifying first-aid and control rooms
• Binoculars for roving team(s)
b. Medical Equipment

The medical equipment available at each medical station should include but not be limited to:
i) Small medical/surgical lamp
ii) Examination table(s) at least 2.2 m in length with a maximum weight bearing load of 150 Kg
iii) Paper rolls to cover the examination tables
iv) Adjustable medical stool
v) Lockable cabinet for medications
vi) Dressing trolley
vii) Pillows and linen cases
viii) Linen towels
ix) Waste basket
x) Disposable sharps container
xi) Biohazard bins
xii) Disposable paper cups (for drinking water)
xiii) IV pole
xiv) Sphygmomanometer
xv) Stethoscope
xvi) Ophthalmoscope
xvii) Glucose meter
xviii) Otoscope
xix) Thermometers
xx) Crash trolley and supplies
xxi) Automatic External Defibrillator (AED) or defibrillator and monitor
xxii) Pulse oximeter
xxiii) Oxygen cylinder, oxygen regulator and wrench
xxiv) Stretcher (2.2 m in length with a maximum weight bearing load of 150 kg)
xxv) Wheelchair
xxvi) Spine board

c. Medical Supplies

• Vomit bowls
• Bed pans
• Bottles (urine)
• Small surgical sets (for placing sutures)
• Small surgical sets (for removing sutures)
• Scalpel handle and blades
• Cervical collar (hard)
• Safety pins
• Collar and cuff kit
• Reflex hammer
• Hot / cold packs (instant and reusable gel)
• Ring cutter
• Bandage scissors
• Tourniquet
• Vacuum splint set
• Crutches
• Steri-strips
• Aluminium finger splints
• Bandages (different sizes)
• Sports tape (different sizes)
• Tongue depressors (wooden spatulae)
• Oropharyngeal airway (different sizes)
• Resuscitation bag (as per the Advanced Life Support guidelines)

d. Medications

Medications from the following categories should be available:
• Analgesics (pain killers)
• Anti-allergic
• Antacids
• Anti-diarrhoeal
• Anti-inflammatory
• Antispasmodic
• Laxatives
• Sedatives / Hypnotics
• Anti-nauseants (anti-motion sickness)
• Counter irritant and anti-inflammatory creams and rubs
• Antibiotics
• Topical vaginal medications and hormones
• Antifungal
• Local anti-infective creams
• Anti-itch local skin agents (insect bites etc.)
• Decongestants and anti-asthmatics
• Eye and ear drops
• Ear, nose and throat medications
• IV fluids
• Cardiovascular medications (as per the Advanced Life Support guidelines)

Important notice: Before providing the above mentioned medications to athletes the WADA List for prohibited substances should be taken under consideration.