1887
Volume 2022, Issue 5
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

Sudden cardiac arrest (SCA) in long-distance running races has an incidence rate of 2.18 per 100,000 participants and a high mortality rate. Strategic planning for the medical response in a marathon event is therefore an uphill task for the organizer. Our medical operational model for the Penang Bridge International Marathon (PBIM) has not just improved the survival for marathon-related SCA, but also has been cost-effective for a middle-income country. Two runners from PBIM in 2019 had episodes of cardiac arrest at almost the same time at different locations towards the end of the run route, which were both responded by different teams of Basic Life Support trained volunteers, and then were sent to the Main Medical Base for further Advanced Life Support care before receiving ICU care in the tertiary hospital. Both patients achieved good neurological outcomes and survived hospital discharge.

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/content/journals/10.5339/jemtac.2022.35
2022-11-26
2024-07-18
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References

  1. Maron BJ, Poliac LC, Roberts WO. Risk for sudden cardiac death associated with marathon running. J Am Coll Cardiol. 1996Aug; 28:(2):428−31.
    [Google Scholar]
  2. Day SM, Thompson PD. Cardiac risks associated with marathon running. Sports Health. 2010Jul; 2:(4):301−6.
    [Google Scholar]
  3. Shirakawa T, Tanaka H, Kinoshi T, Tanaka S, Takyu H. Analysis of sudden cardiac arrest during marathon races in Japan. Int J Clin Med. 2017; 8:(7):472−80.
    [Google Scholar]
  4. Bunch TJ, Hammill SC, White RD. Outcomes after ventricular fibrillation out-of-hospital cardiac arrest: expand-ing the chain of survival. Mayo Clin Proc. 2005Jun; 80:(6):774−82.
    [Google Scholar]
  5. Kim JH, Malhotra R, Chiampas G, d’Hemecourt P, Troyanos C, Cianca J, et al. Race Associated Car-diac Arrest Event Registry (RACER) Study Group. Cardiac arrest during long-distance running races. N Engl J Med. 2012Jan; 366:(2):130−40.
    [Google Scholar]
  6. Navab E, Esmaeili M, Poorkhorshidi N, Salimi R, Khazaei A, Moghimbeigi A. Prediction of out of hospital car-diac arrest outcomes in pre-hospital settings; A retrospective cross-sectional study. Arch Acad Emerg Med. 2019; 7:(1):36.
    [Google Scholar]
  7. Page V. The economics behind marathons [Internet]. Investopedia; 2021[Accessed Jun 15, 2021]. Available from: https://www.investopedia.com/articles/investing/100815/economics-behind-marathons.asp
    [Google Scholar]
  8. Ewert GD. Marathon race medical administration. Sports Medicine. 2007; 37:(4):428–30.
    [Google Scholar]
  9. Kurz MC, Schmicker RH, Leroux B, Nichol G, Aufderheide TP, Cheskes S, et al. ROC investigators. Advanced vs. Basic Life Support in the treatment of out-of-hospital cardiopulmonary arrest in the resuscitation outcomes con-sortium. Resuscitation. 2018Jul; 128::132−7.
    [Google Scholar]
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