Emergency medical services in the Lishan marathon

Wei Lung Chen, Wei Fong Kao, Chien Sheng Lin, Hsien H. Huang, Lee Ming Wang, Chen Hsen Lee

Research output: Contribution to journalArticle

Abstract

Objective: To describe the patient characteristics at a marathon at high altitude in Taiwan, and to provide data for planning future events. Materials and Methods: Medical care was provided for 600 runners, about 400 workers and more than ten thousand spectators at the 1999 Lishan Marathon (altitude 1,700 m to 2,600 m), coordinated by the Emergency Department of Veterans General Hospital-Taipei. There were four emergency physicians and eight emergency nurses. A standardized form was used to collect information including patient data, patient identification, time and place of the problems, types and causes of injuries, time and problems related to patient visit, positive physical findings, diagnosis, treatment and disposition. Results: During the marathon (from 04:30 am to 10:30 am), eighteen patients sought medical assistance at medical stations or in the field. Of these, sixteen were males and two were females. Their ages ranged from 15 to 73 with an average of 43 years. Of the 18 patients, 13 were runners (72%), including 8 mini-marathon runners (15 km) and 5 standard marathon runners (42.195 km), 3 were staff members and 2 were spectators. The medical use rates for the 600 runners, mini-marathon runners and standard-marathon runners were 2.17%, 2.00% and 2.50%. The most common problem was heat cramps (5 cases, 38.5%), followed by 4 cases of muscle strain and/or sprain (30.8%), 2 cases of abrasion and/or laceration (15.3%), one case of dehydration and one case of arrhythmia (multiform ventricular premature complex). The majority of patients had either minor ailments (6 cases, 46.15%) or moderate illness (7 cases, 53.85%). All patients left after being treated in the station. No patients were transferred by ambulance to the hospital. The medical use rate was similar to that of the 1997 Taipei Marathon. Since the number of runners was low, advanced studies are needed to draw firm conclusions. Conclusion: Although there were no cases of high mountain disease, and the majority of cases were minor or moderate, we found that special medical services were still needed for some patients. Therefore, a high quality, well-designed EMS system is important for mass gatherings at high altitude.

Original languageEnglish
Pages (from-to)219-223
Number of pages5
JournalTzu Chi Medical Journal
Volume14
Issue number4
Publication statusPublished - 2002
Externally publishedYes

Fingerprint

Emergency Medical Services
Heat Stress Disorders
Emergencies
Medical Assistance
Sprains and Strains
Veterans Hospitals
Ambulances
Ventricular Premature Complexes
Lacerations
Taiwan
Dehydration
General Hospitals
Hospital Emergency Service
Cardiac Arrhythmias
Nurses
Physicians
Muscles
Wounds and Injuries

Keywords

  • Emergency medical services
  • Lishan
  • Marathon

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Chen, W. L., Kao, W. F., Lin, C. S., Huang, H. H., Wang, L. M., & Lee, C. H. (2002). Emergency medical services in the Lishan marathon. Tzu Chi Medical Journal, 14(4), 219-223.

Emergency medical services in the Lishan marathon. / Chen, Wei Lung; Kao, Wei Fong; Lin, Chien Sheng; Huang, Hsien H.; Wang, Lee Ming; Lee, Chen Hsen.

In: Tzu Chi Medical Journal, Vol. 14, No. 4, 2002, p. 219-223.

Research output: Contribution to journalArticle

Chen, WL, Kao, WF, Lin, CS, Huang, HH, Wang, LM & Lee, CH 2002, 'Emergency medical services in the Lishan marathon', Tzu Chi Medical Journal, vol. 14, no. 4, pp. 219-223.
Chen WL, Kao WF, Lin CS, Huang HH, Wang LM, Lee CH. Emergency medical services in the Lishan marathon. Tzu Chi Medical Journal. 2002;14(4):219-223.
Chen, Wei Lung ; Kao, Wei Fong ; Lin, Chien Sheng ; Huang, Hsien H. ; Wang, Lee Ming ; Lee, Chen Hsen. / Emergency medical services in the Lishan marathon. In: Tzu Chi Medical Journal. 2002 ; Vol. 14, No. 4. pp. 219-223.
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N2 - Objective: To describe the patient characteristics at a marathon at high altitude in Taiwan, and to provide data for planning future events. Materials and Methods: Medical care was provided for 600 runners, about 400 workers and more than ten thousand spectators at the 1999 Lishan Marathon (altitude 1,700 m to 2,600 m), coordinated by the Emergency Department of Veterans General Hospital-Taipei. There were four emergency physicians and eight emergency nurses. A standardized form was used to collect information including patient data, patient identification, time and place of the problems, types and causes of injuries, time and problems related to patient visit, positive physical findings, diagnosis, treatment and disposition. Results: During the marathon (from 04:30 am to 10:30 am), eighteen patients sought medical assistance at medical stations or in the field. Of these, sixteen were males and two were females. Their ages ranged from 15 to 73 with an average of 43 years. Of the 18 patients, 13 were runners (72%), including 8 mini-marathon runners (15 km) and 5 standard marathon runners (42.195 km), 3 were staff members and 2 were spectators. The medical use rates for the 600 runners, mini-marathon runners and standard-marathon runners were 2.17%, 2.00% and 2.50%. The most common problem was heat cramps (5 cases, 38.5%), followed by 4 cases of muscle strain and/or sprain (30.8%), 2 cases of abrasion and/or laceration (15.3%), one case of dehydration and one case of arrhythmia (multiform ventricular premature complex). The majority of patients had either minor ailments (6 cases, 46.15%) or moderate illness (7 cases, 53.85%). All patients left after being treated in the station. No patients were transferred by ambulance to the hospital. The medical use rate was similar to that of the 1997 Taipei Marathon. Since the number of runners was low, advanced studies are needed to draw firm conclusions. Conclusion: Although there were no cases of high mountain disease, and the majority of cases were minor or moderate, we found that special medical services were still needed for some patients. Therefore, a high quality, well-designed EMS system is important for mass gatherings at high altitude.

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