Nash Christopher J, Richards Christopher T, Schwieger Gina, Malik Sanjeev, Chiampas George T
Prehosp Emerg Care. 2018 Jan-Feb;22(1):22-27. doi: 10.1080/10903127.2017.1347734. Epub 2017 Aug 9.
Vertical running events, during which participants race up the stairwells of skyscrapers, are becoming increasingly popular. Such events have unique and specific operational and clinical considerations for event medical directors, but descriptions of the medical care provided at these events are lacking. We sought to perform a descriptive analysis of the medical care delivered at a single, large vertical running event.
A retrospective chart review of medical encounters at a large vertical running event from 2011-2017 was performed. Participants competed in either the full course (94 stories) or half course (54 stories); potential patients also included observers. Medical staffing included a main medical station at the finish line, medical way stations along the routes (within stairwells), and medical response teams. Descriptive statistics were used for analysis.
During the study period, a total of 23,920 participants completed the event, with 84.6% participating in the full course. Medical staff treated 150 unique patients during 154 medical encounters (0.6% treatment rate). The median age of patients was 36 (IQR 27, 43), and 40.3% were male. Most encounters (66.4%) occurred at the finish line main medical area. Of medical encounters occurring along the race routes, 56.1% of encounters occurred before the halfway point in the full course. Encounters were clustered around medical way stations along the half course. The most common chief complaints were gastrointestinal (27.3%), respiratory (25.3%), syncope/near-syncope (24.7%), trauma (12.3%), and chest pain (10.4%). One cardiac arrest was observed. The most frequent interventions were oral fluids or food (40.3%), respiratory care (18.2%), and minor trauma care (12.3%). An electrocardiogram (ECG) was obtained in 10.4% of encounters, and intravenous fluids were started on 1.9% of patients. Eleven patients (7.3% of treated patients and 0.05% of all participants) were transported by ambulance.
Medical encounters during vertical running events, the majority of which are not life-threatening, mainly occur at the finish line but can occur at any point along the route. Understanding the nature and location of medical encounters along a vertical running event route can help inform event medical directors supervising care at these increasingly popular events.
垂直跑步赛事，即参与者在摩天大楼的楼梯间竞速，正变得越来越受欢迎。此类赛事对赛事医疗主管有着独特且具体的操作和临床考量，但关于这些赛事所提供医疗服务的描述却很缺乏。我们试图对一场大型垂直跑步赛事所提供的医疗服务进行描述性分析。
对2011年至2017年一场大型垂直跑步赛事中的医疗接触情况进行回顾性病历审查。参与者参加全程（94层）或半程（54层）比赛；潜在患者还包括观察者。医疗人员配备包括终点线的主医疗站、沿途（楼梯间内）的医疗中途站以及医疗反应小组。采用描述性统计进行分析。
在研究期间，共有23920名参与者完成了赛事，其中84.6%参加了全程比赛。医疗人员在154次医疗接触中治疗了150名不同患者（治疗率为0.6%）。患者的中位年龄为36岁（四分位间距为27，43），40.3%为男性。大多数接触（66.4%）发生在终点线的主医疗区域。在比赛路线上发生的医疗接触中，56.1%的接触发生在全程的中途点之前。接触集中在半程的医疗中途站周围。最常见的主要症状是胃肠道问题（27.3%）、呼吸道问题（25.3%）、晕厥/接近晕厥（24.7%）、创伤（12.3%）和胸痛（10.4%）。观察到1例心脏骤停。最常见的干预措施是口服液体或食物（40.3%）、呼吸道护理（18.2%）和轻微创伤护理（12.3%）。10.4%的接触中进行了心电图检查，1.9%的患者开始静脉输液。11名患者（占接受治疗患者的7.3%，占所有参与者的0.05%）被救护车转运。
垂直跑步赛事中的医疗接触，大多数并非危及生命，主要发生在终点线，但也可能发生在路线上的任何点。了解垂直跑步赛事路线上医疗接触的性质和位置，有助于为在这些日益受欢迎的赛事中监督医疗服务的赛事医疗主管提供信息。
