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Tzu Chi Med J 2003 � 15 � No. 6 �� ! PUV

Emergency Medical Services for Long-Distance Foot/Races

Sheng-Chuan Hu, Chein-Chung Kuo, Chang Hsing, David Yen1, Wei-Fong Kao

1

Department of Emergency Medicine, Tzu Chi University and Buddhist Tzu Chi General Hospital, Hualien, Taiwan;

Department of Emergency Medicine1, Yang Ming University and Taipei Veterans General Hospital, Taipei, Taiwan

ABSTRACTObjective: To investigate the incidence of ill or injured persons utilizing emergency medical services (EMS) duringlong distance foot/races, as well as the planning of EMS in such types of mass gatherings. Materials and Methods:We conducted a prospective study from January through December 2002. We planned the EMS for and participated in7 mass gatherings, which included marathons and foot/races. During planning we focused our attention on deployingfirst aid stations, and mobile rescue teams; developing an incident comment system including a commander, liaison,and triage personnel; as well as evaluting the needs for manpowers, equipments and medication; designing medicalrecords and transportation tools; and selecting the receiving hospital including helicopter rescue. Results: Participantstotalled about 61,000 people, and 3,728 patients utilized our services. The medical use rate was 6.1% (range, 0.39%-14.59%). Three patients (0.05%) were transported to a hospital for further treatment. Conclusions: Medical use ratesduring long-distance foot/races were about 6.1% on average. Only very rarely have to be transported to the hospitalduring such types of mass gatherings. Our experiences suggest that the planning of EMS during long-distance foot/races is warranted. (Tzu Chi Med J 2003; 15:383-389)

Key words: mass gatherings, emergency medical services (EMS), emergency medicine

Received: February 24, 2003, Revised: March 28, 2003, Accepted: April 10, 2003Address reprint requests and correspondence to: Dr. Wei-Fong Kao, Department of Emergency Medicine, Taipei VeteransGeneral Hospital, 201, Section 2, Shih Pai Road, Taipei, Taiwan