Melbourne 2006 Commonwealth Games MEDICAL PLANNING Kay Copeland Program Manager - Medical
BACKGROUND World best sports medicine Victorian healthcare Quality ambulance service Quality spectator first aid service Chief Medical Officer (CMO) and Program Manager (PM) both sports medicine expertise
OVERVIEW 71 countries 16 sports, 24 disciplines 4,500 athletes 4 EAD sports Swimming Table Tennis Athletics Powerlifting
SPORTS Aquatics Swimming Synchronised Swimming Diving EAD Athletics EAD Badminton Basketball Boxing Cycling Gymnastics Artistic Rhythmic Hockey Lawn Bowls Netball Rugby Shooting Small Bore Full Bore Pistol Clay Squash Table Tennis EAD Triathlon Weightlifting EAD
KEY DATES Village Opens Opening Ceremony Closing Ceremony Village Closes Games Polyclinic Venues Responsible for Sunday 5 th March Wednesday 15 th March Sunday 26 th March Wednesday 29 th March 11 days of competition 25 days 21 days (approx.) 7,000 people (approx.)
MEDICAL PROGRAM OVERVIEW CGF Medical Commission Group Manager Sport Larry Sengstock Department of Human Services (DHS) Chief Medical Officer Dr Peter Harcourt Department of Human Services Jan Norton M2006 Health Coordination Committee Program Manager Medical Kay Copeland Delivery DHS Staff Commences July 2004 Athlete Care Competition Venues Training Venues Polyclinic Doping Control ASDA Athlete/Staff First Aid Athletes Staff Ambulance Hospitals Games Family Athletes Public Health Food Testing Cooling Towers Surveillance Spectator First Aid Public Domain Cultural Program Venues Sport and Non-Sport Ambulance
CONSTITUENT GROUPS Athletes CGA Team Officials CGF Officials and VIPS Technical Officials Media St John at venues, private Sponsors St John at venues Workforce via St John at venues Spectators via St John at venues Contractors
PROVISION OF SERVICES Polyclinic at Athlete Village Competition Venues 20+ venues Training Venues 30+ venues Satellite Village Bendigo Technical Officials Hotel Games Family Hotel
ATHLETE CARE GAMES VILLAGE POLYCLINIC General Medicine Sports Medicine Physiotherapy Massage Podiatry Optometry Dental Doping Control Imaging (x-ray, ultrasound) Pharmacy MRI, CT, etc (offsite) Dietetics Counselling (as required) Hospital (off-site) Specialists (off-site, short hours) Recovery centre (gym)
SERVICE STATEMENT Medical services, including emergency dental, emergency optometry and MRI imaging, will be available for all injuries and medical conditions that arise during the Commonwealth Games hosting period and whilst competing athletes will have priority access the services will be available to all accredited members of the Commonwealth Games Family
PLANNING ELEMETS Benchmark on previous Games Rules of sports Based on sports medicine experience Strengths of Victorian healthcare system Innovative approaches bigger not necessarily better
CONSTRAINTS Budget Personnel Experience Volunteer numbers Space available at venues Requirements of CGA s Rules of CGF
SPECIAL CONSIDERATIONS Large media event Security (access to venues) Delay to events/schedules Television coverage CGA team medical staff
HOW WE PLANNED Master sheet for each sport Review rules of sport Eg. Marathon must have an ambulance following Review previous Games information Expertise within Australia High risk vs low risk sports Risk assessment if required
KEY PRINCIPLES Service should be were athletes need it Polyclinic at Athlete Village for all treatment Venue to provide immediate management and treatment if required Staff appropriately at all venues Estimate on short consults/treatments at venues
MOUNTAIN BIKE State Mountain Bike, Lysterfield Course of 6km Access roads and paths No definitive international standard Low risk event Potential for high risk incident Risk assessment conducted
MOUNTAIN BIKE Sectio n of Cours e Descriptio n Risks - Elite Risk - Other riders Mitigation Strategies Medical from where Estimated time for response Start Loop Very wide grass track, used at the start of the race Nil expected Nil Expected CPM, MED are all based @ S/F compound for duration of the competition/training period SSMO and Medical workforce at start/finish PD ambulance from BOH if on site otherwise 4WD ambulance from Valley View Track immediate from SSMO and medical workforce at start/finish 1-3 mins for PD ambulance from BOH, or 5-6 minutes for 4WD from Valley view track - can drive to location Start- Finish Large 6m wide gravel surface, surrounds S/F Compound, FOP Secured by Hard Fence Barricading Nil expected Nil Expected CPM, MED are all based @ S/F compound for duration of the competition/training period SSMO and Medical workforce at start/finish PD ambulance from BOH if on site otherwise 4WD ambulance from Valley View Track immediate from SSMO and medical workforce at start/finish 1-3 mins for PD ambulance from BOH, or 5-6 minutes for 4WD from Valley view track - can drive to location
MOUNTAIN BIKE Specialist services at key points Pathway identification Ambulance access Bicycle ambulance Stretcher carry Helicopter landing Skill sets required
HOW DID WE DO? short consults/treatments at venues information approx 50% No athlete deaths No athlete major injuries Lots of normal sport injuries Response to critical events as planned
CONCLUSION Large multi-event medical planning is complex bigger is not better Base healthcare system important Risk analysis is the key Due to minimal information experience and judgement vital