Marathon of the Treasure Coast
Medical Policy Statement

The Marathon of the Treasure Coast Medical Team urges all runners to consult their individual physician and to educate themselves about medical issues and risks relating to marathon participation. Only a physician who is familiar with your personal medical history, your current health, your medications, specific medical condition(s), and risk factors, can advise you as to whether you are healthy to run the Marathon of the Treasure Coast safely. We also recommend that all runners seek information on precautions you should take in preparation for this type of endurance event. Some of this information will be provided below. The responsibilities of every participant are as follow:

– Consult your physician.
– Fill out the Emergency Information and Medical History form on the reverse of your bib number
– Listen to the weather forecast. Know the risks and plan accordingly when running during hot or cold conditions. Both heat-related injuries and hyponatremia are life threatening conditions. Adjust your race and hydration plan accordingly. See below for more information
– If you suffer from chronic medical conditions that may require administration of emergent medication, such as asthmatics who utilize inhalers, or diabetics who may develop hypoglycemia, it is recommended that you carry your rescue inhaler or glucose tablets (or alternative) with you during the event.

Services

A Medical Team will be available at the finish line. Medical staff will be available to answer medical questions or concerns, and assist you in time of need, if necessary. Medical Team staff may consist of any or all of the following professionals: a medical doctor, nurse, nurse practitioner, podiatrist, chiropractor, medical assistant and/or medical student. At least one emergency medical doctor/medical director will be stationed at the finish line at all times. Medical personnel can be identified by red volunteer shirts. If you are injured or feeling ill, please seek out a member of the medical team for assistance. Conditions that will be treated at the finish line medical station include: minor injuries, muscle strains and dehydration. Specific treatment for dehydration will consist of oral hydration, intravenous hydration and/or medication for nausea/vomiting, if necessary. Treatment for minor injuries and strains will include bandages, ice and BioFreeze. For any runners who demonstrate evidence of impending circulatory or respiratory collapse, immediate transport to the nearest hospital will be available. This decision will be made by a medical doctor.

The marathon route will have medical aid stations at three locations, strategically located along the course (miles 7, 14 and 21) . Each station will be staffed with a variety of medical professionals. Basic first aid will be provided, along with oral hydration and electrolyte replacement.

Hyponatremia and Non Steroidal Anti Inflammatory Drug (NSAID) Warnings:

The Marathon of the Treasure Coast Medical Team strongly encourages each registered runner to review the online brochure, entitled “The Right Way to Hydrate for a Marathon”:

http://www.amaasportsmed.org/Assets/American+Medical+Athletic+Assoc+Digital+Assets/documents/optimal_hydration.pdf.

This information was compiled by the American Medical Athletic Association, and offers important information relevant to athletes of all abilities. It is important for runners to be aware that there are many risks involved in running a marathon. Also, it must be understood that a runner’s susceptibility to a particular risk will depend on a number of different factors, including factors unique to the individual runner. For instance, one of the risks which is receiving attention is hyponatremia. There are studies which indicate that females, and those taking non steroidal anti-inflammatory drugs, NSAIDs (such as Advil, Motrin, Aleve, ibuprofen, naproxen etc.) may be particularly susceptible to this risk. There are also reports of increased risk of renal failure and rhabdomyolysis following use of NSAIDs during endurance events. Unfortunately, no one study is definitive or comprehensive. Therefore, our Medical Team urges all participants to avoid NSAIDs for 24 hours prior to the marathon, and for 8 hours following the race. We encourage runners to seek further information and education by visiting websites such as that of the American Running Association, at www.americanrunning.org, and the many “Running-Related Brochures” and “Fitness Links” referred to at this website.