Event Administration

Question 1

Primary goals of medical coverage at mass participation events?

Answer 1

Ensure safety of participants/workers; reduce local ER load; rapid emergency access. [Goals]

Question 2

Two care models for race medical coverage?

Answer 2

Triage & transport (small events) vs Treat & transport (large events, more staff/supplies). [Care Model]

Question 3

Typical % medical encounters by event type?

Answer 3

Half‑marathon 1–5%; Marathon 2–20%; Ironman 15–30%; Cycling/XC ski ~5%. [Epi]

Question 4

Medical Director—core responsibilities?

Answer 4

Organize/lead medical team, advise Race Director, authority on medical issues; caregiver at small events, crisis manager at large. [Director]

Question 5

Finish‑line staffing benchmarks?

Answer 5

~75% staff there; >20 per 1000 racers; mix of MD, podiatry, nursing, PT, AT, EMT, assistants, IT/radio. [Staffing]

Question 6

EMS setup essentials?

Answer 6

Ambulances, bike/kayak teams; AED within 3 min; BLS vs ALS; supervisor/dispatcher. [EMS]

Question 7

Planning timeline & essentials?

Answer 7

Start months before; review prior race; meet RD; design med areas; recruit/train; protocols; supplies; documentation. [Planning]

Question 8

Pre‑race participant prep topics?

Answer 8

Training, injury prevention, hydration, pacing for weather. [Prep]

Question 9

Critical supplies to stage?

Answer 9

Cots, wheelchairs, splints, IV kits/fluids, AEDs, ACLS meds, rectal thermometers, wound/skin kits, glucometer, analyzer, ice. [Supplies]

Question 10

Marathon water/AED coverage rules?

Answer 10

Water stops ≥1.5 mi apart; AED within 3–5 min of participants (bike ~Q1 mile). [Course]

Question 11

Zones in finish‑line medical station?

Answer 11

Green (minor skin/MSK), Red (major: MS, CP, dyspnea, ab pain, labs), triage, command. [Finish]

Question 12

Downed athlete—assessment priorities?

Answer 12

Location; mental status; VS (breathing, pulse, BP, rectal temp); cardiac rhythm; skin/mucous; glucose & sodium. [Downed]

Question 13

Exercise‑associated collapse treatment?

Answer 13

Elevate legs; oral hydration; IV if not better in 15–30 min; address cause. [Collapse]

Question 14

Best survival in race cardiac arrest—what matters?

Answer 14

Immediate CPR + AED within 3 min → ~95% survival with neuro intact; ~10% drop/minute delay. [Cardiac]

Question 15

Triathlon deaths—timing/location?

Answer 15

80–90% during swim; ~1.7/100k finishers; male ~50s; early/late swim; arrhythmia common. [Swim]

Question 16

Heat stroke—diagnostic hallmark & treatment?

Answer 16

Rectal temp >40°C (104°F), CNS dysfunction; immediate immersion cooling. [Heat]

Question 17

Hyponatremia—risk factors & treatment?

Answer 17

Slow >4h finish, female, high fluid intake; MS changes, puffiness, weight gain; treat oral Na or IV 3% saline 100 mL; ED transfer. [Na+]

Question 18

WBGT—definition & formula?

Answer 18

Wet Bulb Globe Temp = 0.7Tw + 0.2Tg + 0.1*Td; humidity biggest driver. [WBGT]

Question 19

2007 ACSM WBGT cutoffs?

Answer 19

> 28C (82F) cancel; 23–28C red; 18–23C yellow; 10–18C green; <10C hypothermia. [WBGT]

Question 20

2021 ACSM WBGT update?

Answer 20

Stratify by setting, fitness, acclimatization; cancel if >82F but individualize. [WBGT]

Question 21

Marathon ‘Do Not Start’ WBGT?

Answer 21

WBGT >21C (70F) at northern‑latitude start = high risk of mass casualty. [DNS]

Question 22

Safe water temps for racing?

Answer 22

≥12C (54F) with wetsuit; ≥16C (61F) without. [Swim]