TY - JOUR
T1 - Extreme event medicine
T2 - Considerations for the organisation of out-of-hospital care during obstacle, adventure and endurance competitions
AU - Laskowski-Jones, Linda
AU - Caudell, Michael J.
AU - Hawkins, Seth C.
AU - Jones, Lawrence J.
AU - Dymond, Chelsea A.
AU - Cushing, Tracy
AU - Gupta, Sanjey
AU - Young, David S.
AU - Starling, Jennifer M.
AU - Bounds, Richard
N1 - Publisher Copyright:
© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved.
PY - 2017/10
Y1 - 2017/10
N2 - Obstacle, adventure and endurance competitions in challenging or remote settings are increasing in popularity. A literature search indicates a dearth of evidence-based research on the organisation of medical care for wilderness competitions. The organisation of medical care for each event is best tailored to specific race components, participant characteristics, geography, risk assessments, legal requirements, and the availability of both local and outside resources. Considering the health risks and logistical complexities inherent in these events, there is a compelling need for guiding principles that bridge the fields of wilderness medicine and sports medicine in providing a framework for the organisation of medical care delivery during wilderness and remote obstacle, adventure and endurance competitions. This narrative review, authored by experts in wilderness and operational medicine, provides such a framework. The primary goal is to assist organisers and medical providers in planning for sporting events in which participants are in situations or locations that exceed the capacity of local emergency medical services resources.
AB - Obstacle, adventure and endurance competitions in challenging or remote settings are increasing in popularity. A literature search indicates a dearth of evidence-based research on the organisation of medical care for wilderness competitions. The organisation of medical care for each event is best tailored to specific race components, participant characteristics, geography, risk assessments, legal requirements, and the availability of both local and outside resources. Considering the health risks and logistical complexities inherent in these events, there is a compelling need for guiding principles that bridge the fields of wilderness medicine and sports medicine in providing a framework for the organisation of medical care delivery during wilderness and remote obstacle, adventure and endurance competitions. This narrative review, authored by experts in wilderness and operational medicine, provides such a framework. The primary goal is to assist organisers and medical providers in planning for sporting events in which participants are in situations or locations that exceed the capacity of local emergency medical services resources.
KW - Environmental Medicine
KW - Epidemiology
KW - Major Incident / Planning
KW - Mass Gathering Medicine
KW - Prehospital Care
KW - Remote And Rural Medicine
KW - Trauma
KW - Wilderness Medicine
UR - http://www.scopus.com/inward/record.url?scp=85030219311&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85030219311&partnerID=8YFLogxK
U2 - 10.1136/emermed-2017-206695
DO - 10.1136/emermed-2017-206695
M3 - Review article
C2 - 28784607
AN - SCOPUS:85030219311
SN - 1472-0205
VL - 34
SP - 680
EP - 685
JO - Emergency Medicine Journal
JF - Emergency Medicine Journal
IS - 10
ER -