Athletes And Children With Increased Physical Load Of The Health And Medical Surveillance Procedures

Original Language Title: Sportistu un bērnu ar paaugstinātu fizisko slodzi veselības aprūpes un medicīniskās uzraudzības kārtība

Read the untranslated law here: https://www.vestnesis.lv/ta/id/130585

Cabinet of Ministers Regulations No. 195, Riga, 14 March 2006 (pr. No 15) 25 athletes and children with increased physical load of the health and medical surveillance order Issued in accordance with article 6 of the law of sports in the fifth paragraph of part 2 i. General questions 1. determines the athletes and children with increased physical load of the health care and medical supervision.
2. these rules are the responsibility of sports educational institutions, sports club or Sports Federation leader.
 
 
II. the athletes and children with increased physical load of health care 3. Athletes and children with increased physical load (if children in addition to preschool, elementary or secondary education program learning visit sports training (lessons) sports education, sports clubs or sports federations and not participating in sports competitions) health care include the following measures: 3.1. in-depth preventive medical tests;
3.2. additional preventive medical tests;
3.3. stage preventive medical tests;
3.4. the regular preventive medical tests;
3.5. the medical pedagogical observations;
3.6. with physical activity and sports-related injuries and diseases, physical overload Diagnostics, treatment and rehabilitation.
4. In-depth preventive medical check-ups once a year take a sports doctor who works in a sports medicine State Agency (hereinafter the Agency). Sports doctor: 4.1 assess physical development, cardiovascular system, respiratory system, and skeletal and other organ system of physical and functional State, contra-indications for increased physical load and suitability of the chosen sport, based on the following studies and opinions: 4.1.1. antropometrij data;
4.1.2. the cardiovascular system, the respiratory system and nervous system assessment tests;
4.1.3. physical load test with 12-lead ECG record before and after the load (if necessary, make ehokardiogrāfij, veloergometrij-load test);
4.1.4. blood and urine tests with the indicator strēmelīš assay;
4.1.5. physical and functional ability assessment by the EUROFI methods;
4.1.6. other health professional opinions;
4.2. sending athletes or children with increased physical load to the family doctor or the specialist consultancy agency: 4.2.1 neurologist consultation if there is a disease of the nervous system;
4.2.2. otorinolaringolog consultation if you have ear, throat and nose, illness or injury;
4.2.3. the ortopēd traumatolog consultation, if it is on musculoskeletal congenital or acquired diseases, also sports injuries;
4.2.4. the surgeon's advice, if there is a surgical disease;
4.2.5. the cardiologist's advice if you have the heart structure or disorders, cardiovascular system diseases;
4.2.6. physical medicine doctor physical therapy consultation procedure;
4.2.7. rehabilitolog advice, if it is on musculoskeletal disorders, and injuries;
4.2.8. If necessary, other specialties doctors advice and clinical investigation castings;
4.3. determine the sports training (practice)-the causes for diseases and injuries;
4.4. classified athletes or children with increased physical load in the health group according to the rules set out in annex 1;
4.5 provide adults and children with elevated athletes to exercise parents (guardians) opinion on the preventive medical examination results and recommendations on preventive and curative measures for optimal physical load;
4.6. family doctor who gave a patient list registered athlete or a kid with increased physical load, and a sports doctor, who is in the care of children with elevated sportsman or physical load, this provision in point 4.5 of the opinion;
4.7. inform sports specialist for athletes or children with increased physical load of the breakdown in the health group and provide recommendations for optimal physical load.
5. to evaluate the cardiovascular system, the respiratory system, and skeletal and other organ system of physical and functional State, sports doctors and children with elevated athletes to exercise agency, other treatment facilities, sports education, sports clubs or sports federations: 5.1 additional preventive medical tests after acute illnesses or injuries, chronic disease flare, or at least six months for sports training (sessions) break : 5.1.1. the cardiovascular system, the respiratory system and nervous system assessment tests;
5.1.2. If needed, send the athletes or children with increased physical load to a specialist agency or at the family doctor;
5.1.3. provide opinions for adults and children with elevated athletes to exercise parents (guardians) of additional preventive medical tests results and recommendations on preventive and curative measures for optimal physical load;
5.2. stage preventive medical tests before the sports competitions: 5.2.1 perform cardiovascular system, the respiratory system and nervous system assessment tests;
5.2.2. If needed, send the athletes or children with increased physical load to a specialist agency or at the family doctor;
5.2.3. provide opinions for adults and children with elevated athletes to exercise parents (guardians) on the stage of the preventive medical examination results and recommendations on preventive and curative measures for optimal physical load;
5.3. regular preventive medical tests sports training (session): 5.3.1. the cardiovascular system, the respiratory system and nervous system assessment tests;
5.3.2. If needed, send the athletes or children with increased physical load to a specialist agency or at the family doctor;
5.3.3. sports training (lessons) related diseases, trauma, and pathological changes of the organism causes;
5.3.4. provide opinions for adults and children with elevated athletes to exercise parents (guardians) of routine prophylactic medical examination results and recommendations on preventive and curative measures for optimal physical load;
5.4. the medical pedagogical observations according to sports training (sessions) circularity of the process. Medical pedagogical observation time evaluated: 5.4.1. sports training (lessons);
5.4.2. sports training (sessions) on the health effects of the load and the functional State of the organism;
5.4.3. sports training (lessons) efficiency, physical fitness for physical development, the body's functional position, functional reserve in the body after sports training (lessons);
5.4.4. the opinion of the ālist of the sports spec the medical pedagogical observation results, sports training (lesson) means of compliance with the physical training and the planned objectives, as well as suggestions for preventive therapeutic measures and optimal exercise;
5.5. the physical activity and sport-related disease and injury diagnosis, treatment and rehabilitation, including family doctors and other medical personnel.
6. Sports educational institutions, sports club or Sports Federation Manager provides: 6.1 to be admitted only persons who have: 6.1.1. family doctor was issued a certificate of authorisation to practise specific sports as well as engage in increased physical load;
6.1.2. the neurologist's opinion, if the athlete or a kid wants to go in boxing, kickboxing, karate, taekvond, judo, Sambo, free fighting, Motorsports, Motorsports, water parachute jumping, mountaineering, rock climbing, bobsleigh, Luge, skeleton sports, Alpine skiing, snowboarding, freestyle or skateboarding;
6.1.3. otorinolaringolog's opinion, if the athlete or a kid wants to deal with hockey, figure skating, cross-country skiing, Alpine skiing, biathlon, freestyle skiing, snowboarding, Luge sport, šorttrek, bobsleigh, skeleton, water sports, swimming, underwater sports, academic rowing, canoe rowing, kayaking, boating, sailing, water skiing slalom, Motorsport, marine water all-round competition;
6.2. for athletes and children with increased physical load of come in for in-depth, advanced stage routine or preventive medical examinations within the specified time and place.
7. Athletes ' health care and medical supervision is financed from athletes and third party funds.
 
 
III. Data acquisition and processing in 8 of the health care measures taken athletes and children with increased physical load, sports doctor kept athletes and children with increased physical load in medical card (annex 2).
9. For sports training (sessions) and sports competitions during the health care provided by sports doctor do records sports training (sessions) and sports competitions in the medical log (annex 3) and sport training (lessons) and sports competitions, provided medical assistance to log in (annex 4).

10. For serious sports injuries (broken bone, fracture of bone, muscle, tendon, or grade III link fracture, brain concussion, internal organs (such as the heart, liver, kidney) bruise) or sudden death in sport (sports training (lessons), sports competitions) doctor who provided medical assistance, prepared the report (annex 5). That report sports educational institutions, sports club or Sports Federation leader within three working days, send a registered letter to the Agency.
11. the sports medical institutions, sports education, sports clubs and Sports Federation leaders each year up to February 1, transmit to the Agency a report on the athletes and children with increased physical load of the health care and medical supervision during the previous year (annex 6) for further processing and analysis.
12. the Agency each year to 1 may submit to the Ministry of health and the Ministry of education and science review for athletes and children with increased physical load in physical health in the previous year, and proposals to improve the situation.
 
 
IV. Closing questions 13. paragraph 11 of these rules shall enter into force by 1 January 2007.
14. in paragraph 12 of these rules shall enter into force on 1 May 2007.
Prime Minister a. Halloween Health Minister g. Smith Editorial Note: the entry into force of the provisions to the 18 March 2006.
 
Annex 1-5 ZIP 39 kb