Asthma
29 de março de 2021Transgender Athletes
29 de março de 2021Checklist for Therapeutic Use Exemption (TUE) Application:
Anaphylaxis
Prohibited Substance: Glucocorticoids
This Checklist is to guide the athlete and their physician on the requirements for a TUE application that will allow the TUE Committee to assess whether the relevant ISTUE Criteria are met.
Please note that the completed TUE application form alone is not sufficient; supporting documents MUST be provided. A completed application and checklist DO NOT guarantee the granting of a TUE. Conversely, in some situations a legitimate application may not include every element on the checklist.
| | TUE Application form must include: | |
| | All sections completed in legible handwriting | |
| | All information submitted in [language] | |
| | A signature from the applying physician | |
| | The Athlete’s signature | |
| | Medical report should include details of: | |
| | Medical history:
1. onset, timeline of development of symptoms 2. trigger mechanism (e.g, allergen, observation) if known 3. comment on respiratory compromise, collapse, skin/mucosal reaction, gastrointestinal symptoms |
|
| | Physical examination (may be from emergency department – blood pressure, respiratory rate, skin/mucosal reaction) | |
| | Treatment prescribed; time and date, dosage, frequency, administration route for each substance:
a) Acute management (epinephrine/adrenaline and systemic glucocorticoids are prohibited in competition: nebulised beta-2-agonists are prohibited at all times; IV fluids are prohibited unless treatment is received in hospital) b) Maintenance/prevention: epinephrine autoinjector (prohibited in competition) |
|
| | Diagnostic test/scale results should include copies of: | |
| | Ambulance or emergency department/hospital records – where available | |
| | Laboratory tests (e.g. tryptase levels) – not always performed and not mandatory | |
| | Photographic evidence of skin reaction if relevant and available | |
| | Skin prick test or other allergy testing | |
| | Additional information included | |
| | As per ADO specifications | |
