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Preparation and management of mass participation endurance sporting events

William O Roberts, MD, MS, FACSM
Section Editor
Francis G O'Connor, MD, MPH, FACSM
Deputy Editor
Jonathan Grayzel, MD, FAAEM


Mass participation endurance sporting events have grown in popularity and number over the past several decades. These events vary widely, ranging from small-scale, local 5 km run-walks whose participants are primarily recreational athletes and non-athletes to major international marathon and triathlon events with professional participants. Local clinicians may be called upon to help organize medical operations for such an event or to provide medical care during the event.

This topic will review mass participation endurance sporting events from a medical perspective, including discussions of what injuries to anticipate and how to organize and equip medical facilities. The management of specific injuries and medical conditions that participants may sustain is reviewed separately:

Exertional heat illness (see "Exertional heat illness in adolescents and adults: Epidemiology, thermoregulation, risk factors, and diagnosis" and "Exertional heat illness in adolescents and adults: Management and prevention")

Hypothermia and frostbite (see "Accidental hypothermia in adults" and "Frostbite")

Exercise-associated hyponatremia (see "Exercise-associated hyponatremia")

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Literature review current through: Sep 2017. | This topic last updated: May 23, 2017.
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