Medical concerns of marathons.
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-event planning, race day preparedness, and postevent evaluations. The three general categories of injuries encountered with marathon participation include medical conditions, musculoskeletal injuries, and dermatologic complaints. The focus of this article is on the evaluation and management of the varied medical concerns encountered on race day along with the essentials in prerace planning and preparedness.
Jaworski
Carrie A
CA
Resurrection Family Practice Residency, 7447 West Talcott, Suite #182, Chicago, IL 60631, USA. cjaworski@reshealthcare.org
D001265:Athletic Injuries / Q000517:prevention & control*; D001768:Blister / Q000517:prevention & control; D012090:Cumulative Trauma Disorders / Q000517:prevention & control; D016757:Death, Sudden, Cardiac / Q000517:prevention & control; D004326:Drinking; D004632:Emergency Medical Services / Q000458:organization & administration; D004777:Environment; D005334:Fever / Q000517:prevention & control; D005767:Gastrointestinal Diseases / Q000517:prevention & control; D006801:Humans; D007003:Hypoglycemia / Q000517:prevention & control; D007024:Hypotension, Orthostatic / Q000517:prevention & control; D007035:Hypothermia / Q000517:prevention & control; D008171:Lung Diseases / Q000517:prevention & control; D009120:Muscle Cramp / Q000517:prevention & control; D010807:Physical Endurance; D018570:Risk Assessment / Q000379:methods; D012420:Running / Q000293:injuries*; D013178:Sports Medicine / Q000295:instrumentation / Q000379:methods*; D014883:Water-Electrolyte Imbalance / Q000517:prevention & control