A precise description of the clinical situation and specific medical indication for the IV infusion must accompany the TUE application. This should include a clear description of the substance to be infused, the rate of infusion, and any other relevant clinical information from the treating physician. It must be clear as to why other non-prohibited alternative treatments, oral rehydration, or oral delivery of medication were not appropriate for the specific situation.
Note, that if an intervention is part of a clinical investigation or hospital admission, there is no requirement for either an advance or retroactive TUE. The athlete is nevertheless strongly advised to obtain, maintain, and keep a copy of the medical records.
Legitimate medical indications for IV infusions are well documented and are most commonly associated with either medical emergencies (retroactive TUE) or in-patient care. These will be dependent on the clinical situation. However, in the case of a medical emergency, the obvious possible consequence of withholding treatment could be death.
When the clinical criteria for the use of IV infusions are in a situation other than “hospital admissions or clinical investigations,” then good medical practice must ensure that:
1. A clear, well-justified diagnosis has been established.
2. No permitted alternative treatment exists.
3. This treatment will not enhance performance other than to return the athlete to a normal state of health.
4. The treatment is administered by qualified medical personnel in an appropriate medical setting.
5. Adequate medical records of the treatment are maintained.