Hawley Alana, Mercuri Mathew, Hogg Kerstin, Hanel Erich
Division of Emergency Medicine, Department of Medicine, McMaster University, Hamilton General Hospital, Hamilton, Ontario, Canada.
Division of Emergency Medicine, Department of Family Medicine, McMaster University, Hamilton General Hospital, Hamilton, Ontario, Canada.
Emerg Med J. 2017 Mar;34(3):170-174. doi: 10.1136/emermed-2016-206012. Epub 2016 Sep 15.
The growing popularity of obstacle course runs (OCRs) has led to significant concerns regarding their safety. The influx of injuries and illnesses in rural areas where OCRs are often held can impose a large burden on emergency medical services (EMS) and local EDs. Literature concerning the safety of these events is minimal and mostly consists of media reports. We sought to characterise the injury and illness profile of OCRs and the level of medical care required.
This study analysed OCR events occurring in eight locations across Canada from May to August 2015 (total 45 285 participants). Data were extracted from event medical charts of patients presenting to the onsite medical team, including injury or illness type, onsite treatment and disposition.
There were 557 race participants treated at eight OCR events (1.2% of all participants). There were 609 medical complaints in total. Three quarters of injuries were musculoskeletal in nature. Eighty-nine per cent returned to the event with no need for further medical care. The majority of treatments were completed with first aid and basic medical equipment. Eleven patients (2% of patients) required transfer to hospital by EMS for presentations including fracture, dislocation, head injury, chest pain, fall from height, and abdominal pain.
We found that 1.2% of race participants presented to onsite medical services. The majority of complaints were minor and musculoskeletal in nature. Only 2% of those treated were transferred to hospital through EMS. This is consistent with other types of mass gathering events.
障碍赛（OCRs）越来越受欢迎，这引发了人们对其安全性的重大担忧。在经常举办障碍赛的农村地区，伤病的大量涌入会给紧急医疗服务（EMS）和当地急诊科带来沉重负担。关于这些赛事安全性的文献很少，且大多是媒体报道。我们试图描述障碍赛的伤病情况以及所需的医疗护理水平。
本研究分析了2015年5月至8月在加拿大八个地点举行的障碍赛赛事（共有45285名参与者）。数据从到场接受现场医疗团队治疗的患者的赛事医疗记录中提取，包括伤病类型、现场治疗和处置情况。
在八场障碍赛中有557名参赛选手接受了治疗（占所有参与者的1.2%）。总共出现了609起医疗投诉。四分之三的伤病属于肌肉骨骼方面。89%的人无需进一步医疗护理就返回了赛场。大多数治疗是通过急救和基本医疗设备完成的。11名患者（占患者总数的2%）因骨折、脱位、头部受伤、胸痛、高处坠落和腹痛等情况需要由紧急医疗服务人员送往医院。
我们发现1.2%的参赛选手向现场医疗服务部门寻求治疗。大多数投诉情况较轻，属于肌肉骨骼方面。接受治疗的人中只有2%通过紧急医疗服务被送往医院。这与其他类型的大型集会活动情况一致。
