Analysis of Medical Interventions at the Start-Finish Medical Post of an International Running Event in Rural Thailand
6
Issued Date
2022-02-02
Resource Type
ISSN
1049023X
eISSN
19451938
Scopus ID
2-s2.0-85120727856
Pubmed ID
34852857
Journal Title
Prehospital and Disaster Medicine
Volume
37
Issue
1
Start Page
84
End Page
89
Rights Holder(s)
SCOPUS
Bibliographic Citation
Prehospital and Disaster Medicine Vol.37 No.1 (2022) , 84-89
Suggested Citation
Ussahgij W., Kotruchin P., Osotthanakorn P., Apiratwarakul K. Analysis of Medical Interventions at the Start-Finish Medical Post of an International Running Event in Rural Thailand. Prehospital and Disaster Medicine Vol.37 No.1 (2022) , 84-89. 89. doi:10.1017/S1049023X21001266 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/86121
Title
Analysis of Medical Interventions at the Start-Finish Medical Post of an International Running Event in Rural Thailand
Author's Affiliation
Other Contributor(s)
Abstract
Introduction: Increasing numbers of marathon running events are taking place around the world. The difficulty encountered in the management of mass gatherings, especially running in marathons, is how emergency services can deliver treatment in a timely manner. Therefore, for this kind of situation, preparation is the key to success in terms of patient management. Study Objective: The aim of this study was to describe the presentation of cases at a start-finish medical post in an international marathon race set in a rural area. Methods: All medical record forms were collected from the start-finish medical post of the Khon Kaen International Marathon (KKIM) 2020. The race took place on January 26, 2020. The data were coded by two authors, and in the case of different codes, the final codes were determined by discussion. Results: The total number of participants in this event was 16,489. Participants who used the start-finish medical post numbered 74 (44.8 people per 10,000). More than one-half of patients were male (41; 56.9%), while 31 (34.0%) were female. The age range of the casualties was from 17 to 88 years old. The rate of incidence for those who used this post was 44.8 per 10,000 participants. The greatest density of users was at 3.40 hours after the marathon had started. The common symptoms which were found consisted of 17 soft tissue injuries (23.0%), 15 instances of cramps (20.3%), and 11 musculoskeletal (MSK) injuries (14.9%). Almost all patients were discharged, and only two of the cases were actually admitted to the hospital. No statistical significance between males and females was found (OR = 0.81; 95% CI, 0.51-1.3). However, marathon and half-marathon runners had a higher risk of being casualties (OR = 3.49; 95% CI, 1.71-7.15 and OR = 3.51; 95% CI, 1.79-6.88). Conclusion: The injuries of most of the patients who used the medical post at a start-finish point were mild. Distances which are longer than 20km increase the risk for getting injured. However, a prospective study and multi-session interpretation is recommended.