Table 1

Medical handover checklist for athletes before, during and immediately after international duty

Information for handoverSpecifics to be included in handover
(sports science data available will vary)
Tick
Essential Athlete consent
  • Athlete provided consent to share medical and personal data (ideally written and signed).

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Current and chronic injuries and illnesses
  • All recent acute or chronic time-loss from training/competition injuries and illness have been outlined.

  • Club has been notified by international medical team of any new injury or illness occurring on international duty at earliest opportunity.

  • Notwithstanding emergency medical care, club and national team medical teams should collaborate and ideally agree on any major treatment decisions or interventions such as surgery and injections.

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Significant past injuries and illness
  • Full details provided for any surgical procedures/interventions and extended periods of rehabilitation.

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Medications, allergies and supplementation
  • Current or recently administered medications and supplements should be clearly communicated. (Essential for prescribing safety and antidoping purposes.)

  • Allergies to medicines, food, and anything else notable (eg, bee stings).

  • Current or intended therapeutic use exemption (TUE) forms provided.

  • Consider providing vaccination history.

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Treatments
  • Details provided regarding any recent or regular physiotherapy, manual therapy, osteopathy, and acupuncture.

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Recent investigations and results
  • Any relevant radiology and blood test results included.

  • Details of last cardiac screening date and results provided.

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Athlete decision-making
  • Athlete has been central to decision if playing with an injury on international duty, and club medical staff should be involved and informed in decision making process.

  • If preceding internationals a player is playing with an issue or risk, the international team medical staff has been involved in management decisions with player consent. Coach to coach agreement should also be encouraged, considered and sought.

  • National teams choosing to target developmental goal setting have discussed such targets with club medical staff to ensure changes to gym or loading programmes are aligned and managed safely. This may require more regular communication between the relevant parties and will avoid confusion for athletes when they move between club and country.

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Next of kin contact details Embedded Image
Emergency Contact Details for Club Doctor/Club Head of Medical and Sports Science Department Embedded Image
Desirable Gym Programme
  • Details provided of any tailored strength and conditioning programme the athlete is currently undertaking or recent amendments.

  • Inclusion of detailed gym loads (eg, repetitions, weights, sets, tempo) alongside usual timings in microcycle (typically a 1 week training block).

  • Ideally, unique gym exercises are provided through photo/video with notations to describe specifics, in order to avoid confusion or misunderstanding and promote consistency between club and country programmes.

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Training and match data
  • Training load data (rates of perceived exertion (RPE) and total training duration) for the previous month are provided, which may include objective and subjective data (eg, patient reported outcome measures (PROMS) and session RPE’s).

  • If available, additional objective data for matches and training are provided, such as global positioning system (GPS), heart rate monitoring (HRM), early morning heart rate and RR interval data).

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