Medical and Disaster Preparedness of US Marathons

Glick, Joshua; Rixe, Jeffrey; Spurkeland, Nancy; Brady, Jodi; Silvis, Matthew; Olympia, Robert P.

doi:10.1017/s1049023x15004859

Cited by 13 publications

(8 citation statements)

References 12 publications

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“…Many in-event health care services are operated by volunteers, 2,3,6,14 despite calls for evidence-based guidelines and published data to support medical planning for marathon races. 21,24,38,39 Indeed, current evidence suggests that workforce planning for mass gatherings is often a very inexact science. 40 It is not unusual for mass gatherings to provide on-site medical, as well as nursing and first aid, clinical support.…”

Section: Discussionmentioning

confidence: 99%

“…22,23 For planning purposes, it is important to understand the impact on and requirements for local acute health services, including surrounding emergency departments (EDs) 10,21 during mass gatherings; however, research in these areas is limited. Calls for "development of evidencebased guidelines for medical and disaster preparedness of marathon races" 24 remain largely unanswered. Further research is also required to understand the most efficient and optimal method(s) of health care delivery during such events.…”

Section: Introductionmentioning

confidence: 99%

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Health Care Provision During a Sporting Mass Gathering: A Structure and Process Description of On-Site Care Delivery

Johnston

Wadham

Polong-Brown

et al. 2019

Prehosp. Disaster med.

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IntroductionMass gatherings such as marathons are increasingly frequent. During mass gatherings, the provision of timely access to health care services is required for the mass-gathering population, as well as for the local community. However, the nature and impact of health care provision during sporting mass gatherings is not well-understood.PurposeThe aim of this study was to describe the structures and processes developed for an emergency health team to operate an in-event, acute health care facility during one of the largest mass-sporting participation events in the southern hemisphere, the Gold Coast Marathon (Queensland, Australia).MethodsA pragmatic, qualitative methodology was used to describe the structures and processes required to operate an in-event, acute health care facility providing services for marathon runners and spectators. Content analysis from 12 semi-structured interviews with emergency department (ED) clinical staff working during the two-day event was undertaken in 2016.FindingsImportant structural elements of the in-event health care facility included: physical spaces, such as the clinical zones in the marathon health tent and surrounding area, and access and egress points; and resources such as bilingual staff, senior medical staff, and equipment such as electrocardiograms (ECGs) and intravenous fluids. Process elements of the in-event health care facility included clear communication pathways, as well as inter-professional care coordination and engagement involving shared knowledge of and access to resources, and distinct but overlapping clinical scope between nurses and doctors. This was seen to be critical for timely care provision and appropriate case management. Staff reported many perceived benefits and opportunities of in-event health care delivery, including ED avoidance and disaster training.ConclusionsThis in-event model of emergency care delivery, established in an out-of-hospital location, enabled the delivery of acute health care that could be clearly described and defined. Staff reported satisfaction with their ability to provide a meaningful contribution to hospital avoidance and to the local community. With the number of sporting mass gatherings increasing, this temporary, in-event model of health care provision is one option for event and health care planners to consider.JohnstonANB, WadhamJ, Polong-BrownJ, AitkenM, RanseJ, HuttonA, RichardsB, CrillyJ.Health care provision during a sporting mass gathering: a structure and process description of on-site care delivery. Prehosp Disaster Med. 2019;34(1):62–71.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Health Care Provision During a Sporting Mass Gathering: A Structure and Process Description of On-Site Care Delivery

Johnston

Wadham

Polong-Brown

et al. 2019

Prehosp. Disaster med.

View full text Add to dashboard Cite

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“…Hyponatremia is a very real and under-recognized life-threatening situation in races 64 . Protocols for the assessment of dehydration, asthma, chest pain, syncope, or exercise-induced cramping should be part of the training module as well 65 . Local hospitals should be part of the planning process in order to be prepared for life threatening situations at the day of the event, and should be alerted about receiving casualties during the event.…”

Section: Medical Facilities During Sporting Eventsmentioning

confidence: 99%

Prevention of sudden cardiac death in athletes, sportspersons and marathoners in India

Vora¹,

Burkule²,

Contractor

et al. 2018

Indian Heart Journal

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The annual incidence of sudden cardiac death (SCD) in athletes is significantly lower than the general population. However, when SCD occurs in an athlete during sporting event or training, it sends shockwaves in the society and raises questions about cardiovascular effects of sports and exercise. This document reviews the causes and mechanism of SCD in sports and exercise in young and older athletes. In the Indian context, we suggest a 'pre-participation screening' of young and older athletes and consider a 'supervised, graded exercise regime' for the uninitiated, older sports participant. Finally, the document proposes medical infrastructure required to successfully revive a victim of sudden cardiac arrest during a sporting event.

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“…Es ist unbestritten, dass weitere Maßnahmen erforderlich sind, Ersthelfer für den Notfall eines Herz-Kreislauf-Stillstandes auszubilden. Da in vielen Fällen Ängste vorhanden sind, bei bewusstlosen Menschen etwas falsch zu machen, sollten Schulungen und Ausbildungen zur Kardiokompression und zur AED-Anwendung möglichst früh erfolgen [11,23] [16,19].…”

Section: Aed Bei Kindern Und Jugendlichenunclassified

Der automatisierte externe Defibrillator in der Notfall- und Rettungsmedizin

Trappe

2016

Klinikarzt

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In Deutschland versterben j?hrlich etwa 70?000???100?000 Menschen an einem pl?tzlichen Herztod (PHT). Der PHT ist nicht durch einzelne Faktoren bedingt, sondern als multifaktorielles Geschehen zu verstehen. In etwa 50?% der F?lle ist der pl?tzliche Herztod die Erstmanifestation einer Herzkrankheit. Der pl?tzliche Herztod wird in etwa 90?% durch ventrikul?re Tachyarrhythmien hervorgerufen, w?hrend bradykarde Rhythmusst?rungen nur in etwa 5?10% zum pl?tzlichen Herztod f?hren. Eine sichere Risikoidentifikation von Patienten, die hinsichtlich eines pl?tzlichen Herztods gef?hrdet sind, ist bisher nicht gelungen. Die schnelle Defibrillation ist die beste Ma?nahme, Kammerflimmern zu terminieren. Die Verf?gbarkeit automatisierter externer Defibrillatoren (AED) deshalb unerl?sslich an Pl?tzen mit vielen Menschen. Es ist inzwischen unbestritten, dass die Defibrillation durch Laien mithilfe von AED zu einer wesentlichen Verbesserung der ?berlebensrate von Patienten mit Kammerflimmern f?hrt. Es scheint sinnvoll, neben Ma?nahmen zur Kardiokompression auch die Therapie mit dem AED bereits in Schulen, auch bei Kindern und Jugendlichen, vorzustellen und zu trainieren. Die AED-Therapie ?zu Hause? hat sich nicht bew?hrt und steigert die ?berlebensrate nicht.

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Medical and Disaster Preparedness of US Marathons

Cited by 13 publications

References 12 publications

Health Care Provision During a Sporting Mass Gathering: A Structure and Process Description of On-Site Care Delivery

Health Care Provision During a Sporting Mass Gathering: A Structure and Process Description of On-Site Care Delivery

Prevention of sudden cardiac death in athletes, sportspersons and marathoners in India

Der automatisierte externe Defibrillator in der Notfall- und Rettungsmedizin

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