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Chapter 17 - Mass Gathering Events: Extended Duration Events

Published online by Cambridge University Press:  11 April 2024

By
Sarah Kleinschmidt  and
Rebecca G. Breslow
Edited by
William J. Brady ,
Mark R. Sochor ,
Paul E. Pepe ,
John C. Maino II  and
K. Sophia Dyer
William J. Brady
Affiliation:
University of Virginia
Mark R. Sochor
Affiliation:
University of Virginia
Paul E. Pepe
Affiliation:
Metropolitan EMS Medical Directors Global Alliance, Florida
John C. Maino II
Affiliation:
Michigan International Speedway, Brooklyn
K. Sophia Dyer
Affiliation:
Boston University Chobanian and Avedisian School of Medicine, Massachusetts
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Summary

Extended duration events, including both athletic and cultural events, present specific medical and logistical challenges for the medical provider. These events are heterogenous, ranging from remote ultramarathons to multisport adventures and stationary music festivals. Providers must therefore assess the specific risks and needs. However, in general they should expect to encounter a high volume of encounters, the majority for non-life threatening complaints such as wound care, musculoskeletal injuries or gastrointestinal distress. Endurance athletes in particular are at risk for numerous concurrent metabolic derangements that may lead to life-threatening pathology. The implementation of medical care may be significantly challenged by extended duration, remote or rugged locations, international borders and staffing limitations. Providers should engage closely with event staff and participants to minimize and mitigate catastrophic risks, while enjoying the unique events and their more common complaints.

Keywords

endurance eventsultramarathontriathlonstage racingmusic festivals
Type
Chapter
Information
Mass Gathering Medicine
A Guide to the Medical Management of Large Events
 , pp. 230 - 247
Publisher: Cambridge University Press
Print publication year: 2024

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