Medical concerns of marathons

@article{Jaworski2005MedicalCO,
  title={Medical concerns of marathons},
  author={Carrie A. Jaworski},
  journal={Current Sports Medicine Reports},
  year={2005},
  volume={4},
  pages={137-143}
}
One must remember that the first marathon runner, Phidippides, collapsed and died at the finish of his race. Fortunately, death has been an infrequent occurrence in modern day marathons. However, the physical exertion required to complete a marathon coupled with exposure to often harsh environmental conditions and an increase in the number of novice participants makes injuries inevitable. The medical team’s main goal is to implement strategies to prevent serious injury and illness through pre… 

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References

SHOWING 1-10 OF 37 REFERENCES

Marathon medical services: strategies to reduce runner morbidity.

The addition of a half marathon and earlier start times can help decrease the number of people needing medical assistance, and the percent of finishers seeking medical attention has decreased each year.

Medical and physiological considerations in triathlons

This paper represents the first large study to date on the subject, including both an analysis of medical complications at six triathlons as well as a prospective electrolyte study conducted at two of these races.

Risk for sudden cardiac death associated with marathon running.

Gastrointestinal disorders in the athlete.

  • G. Green
  • Medicine
    Clinics in sports medicine
  • 1992

Managing blisters in competitive athletes.

  • F. Brennan
  • Medicine
    Current sports medicine reports
  • 2002
The best way to treat friction blisters is to prevent them; however, if they do occur, timely and effective treatment will help prevent the complications that can impede athletic performance.

Gastrointestinal bleeding during an ultramarathon

The purpose of this prospective study is to determine the incidence of Hemoccult positivity occurring in association with an ultramarathon and evaluate, by means of a questionnaire, cofactors contributing to the gastrointestinal bleeding.

Risk factors for foot blisters during road marching: tobacco use, ethnicity, foot type, previous illness, and other factors.

Univariate analysis showed that risk factors for foot blisters included ethnicity (blacks at lower risk than others), a sickness in the last 12 months, no previous active duty military experience, use of smokeless tobacco, and flat feet.

Clinical and biochemical characteristics of collapsed ultramarathon runners

It is concluded that runners collapsing during the race are more likely to have a readily identifiable medical condition than runners collapsing after the finish line and runners collapse most frequently near cutoff times for medals and race closure times.

Exercise-associated collapse: postural hypotension, or something deadlier?

Exercise-associated collapse is the most common reason that athletes are treated in the medical tent following an endurance event and Prompt treatment of EAC includes elevating the legs and pelvis of the athlete.

Intestinal permeability in runners in the 1996 Chicago marathon.

It is concluded that ibuprofen but not aspirin ingestion during prolonged exercise may increase gastrointestinal permeability and lead to GI symptoms, and prolonged exercise alone can produce GI symptoms.