Department of Emergency Medicine, Christiana Care Health System, Newark, Delaware, USA.
Augusta University Medical College of Georgia, Center of Operational Medicine, Augusta, Georgia, USA.
Emerg Med J. 2017 Oct;34(10):680-685. doi: 10.1136/emermed-2017-206695. Epub 2017 Aug 7.
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.
在具有挑战性或偏远环境中的障碍、冒险和耐力竞赛越来越受欢迎。文献检索表明，针对荒野竞赛医疗保健组织的循证研究很少。每个赛事的医疗保健组织最好根据特定的比赛项目、参赛选手的特点、地理位置、风险评估、法律要求以及当地和外部资源的可用性进行定制。考虑到这些赛事中固有的健康风险和后勤复杂性，迫切需要有指导原则来弥合荒野医学和运动医学领域之间的差距，为荒野和偏远地区的障碍、冒险和耐力竞赛中的医疗保健提供一个组织框架。这篇由荒野和作战医学专家撰写的叙述性评论提供了这样一个框架。主要目标是帮助组织者和医疗服务提供者规划那些参赛选手处于超出当地紧急医疗服务资源能力的情况或地点的体育赛事。
