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Marathons What to do when … p eople o verstress their poor bodies! Tonight … Overview of marathon Main marathon injuries and illnesses How to deal with them Brief survey of your desires! The London Marathon 1981 – First London Marathon 20,000 applied 7,747 accepted 6,255 finished!

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marathons

Marathons

What to do when…

people overstress their poor bodies!

tonight
Tonight…
  • Overview of marathon
  • Main marathon injuries and illnesses
  • How to deal with them
  • Brief survey of your desires!
the london marathon
The London Marathon
  • 1981 – First London Marathon
    • 20,000 applied
    • 7,747 accepted
    • 6,255 finished!
  • 2008
      • 46,500 applied
      • 34,497 finished
  • Ballot places
  • Charity runners
in terms of first aid
In terms of First Aid
  • >1000 St John members on duty
  • LINKS are aiming to run a sector soon
  • LINKS are a huge presence
  • Lots of IC members on duty
  • Lots of casualties!  / 
  • Lots of vaseline!
  • Fun!
what we provide
What we provide…
  • 1,400 volunteers including doctors, nurses, paramedics and trained first aiders of all ages.
  • That's one volunteer for every 35 metres of the course
  • 68 ambulances are positioned around the course
  • 41 first aid stations
  • 88lbs of petroleum jelly to help prevent chaffing and blistering
  • 5,000 foil blankets
  • 5,000 cotton wool balls
  • 1,000 vomit bags
  • Approximately 5,000 runners will stop for first aid support or simply encouragement; the vast majority will go on to finish.
slide6
Menu:
  • Blisters
  • Sprains and Strains
  • Vomiting
  • Dehydration
  • Collapse
  • Electrolyte Imbalance
  • Chafing!
  • Cramp
  • Heat Exhaustion
  • Heat Stroke
  • Seizure
  • Heart Attack
chafing and blisters8
Chafing and Blisters…
  • Very painful
  • Don’t pop them
  • Padded dressing
    • be creative
  • If popped
    • clean and dress
    • Cover large area
cramp
Cramp
  • Painful, sudden and involuntary muscle contraction or spasm
  • Can last for a long time
  • Immobilising
  • Due to:
    • Build up of toxins in muscles
    • Excessive loss of water and salt (sweat)
cramp10
Cramp

Treatment:

  • Stretch affected muscle (Support)
  • Give Gatorade or similar. NOT just water
  • Carefully but firmly massage
  • Don’t let them whack you!

Massage ONLY works with fluid replacement

Very severe in collapse – IV fluids / diazepam

cramp11
Cramp

Foot: Stand on front of foot. Wait. Massage

Calf: Lay down. Straighten knee. Flex toes. Massage upwards

Thigh: Lay down. Bend or straighten leg. Massage

Abdomen/Trunk: Rest

sprains and strains
Sprains and Strains
  • What are they?
  • Strain:

Muscle overstretched or

torn

strains and sprains
Strains and Sprains

Causes

  • Violent or sudden movements
  • Sport!
  • Symptoms:
    • Pain and tenderness
    • Difficulty moving it
    • Swelling and bruising
strains and sprains15
Strains and Sprains

If you’re not sure = Fracture treatment

Rest Lay down

Ice Ice pack

Compression Gentle and even

Elevation Lift the injured part

Very severe pain / unable to weight bear

 doctor/hospital

stress fracture
Stress Fracture
  • Bone pain may be stress fracture
  • Incomplete fracture
  • Repeated or unusual stress
  • Should advise against continuing
  • Doctor/nurse
  • Paperwork
slide18

Heat + Running 26 miles = messy

- Heat exhaustion

= loss of salt and water via sweat

= gradual onset

- Heat stroke

= failure of body to regulate temperature

= long time in heat

= rapid, unconscious within minutes

symptoms
Symptoms
  • Headache, dizzy, confused
  • Nausea
  • Cramps in arms, legs, abdomen
  • Rapid, weak pulse
  • Rapid weak breathing
  • Headache, dizzy, discomfort
  • Restless, confused
  • Fast loss of response
  • Full, bounding pulse
heat exhaustion
Heat Exhaustion

Treatment:

  • Lay down in cool place
  • Raise legs
  • Give water then weak salt solution (Gatorade)
  • Must see a doctor
  • Be ready to use recovery position and CPR
heat stroke
Heat Stroke

Treatment: MUST GO TO HOSPITAL

  • Quickly  Cooler place
  • Remove outer clothes
  • 999 / Help / Radio
  • Wrap in cold, wet sheet and keep it wet until Temp = 38 (tongue) or 37.5 (armpit)
  • Keep comfortable in semi-recumbent
  • Replace with dry sheet
  • Monitor and record vital signs
  • Be ready to do CPR
heat running 26 miles messy
Heat + Running 26 miles = messy
  • Dehydration
  • Vomiting
  • Diarrhoea – blood shunting
  • Water + Gatorade
  • Damp towel
  • Rest
hyponatraemia
Hyponatraemia
  • Blood = water + protein + electrolytes (salts)
  • Sweat = water + salts
  • Water = water
  • = Problem!
  • Too little salts
hyponatremia
Hyponatremia
  • Headache
  • Confusion
  • Vomiting
  • Seizures
  • Death
  • Swollen ankles
how to tell
How to tell?
  • Water vs Sports drinks?
  • Overloaded vs dehydrated (pinch)
  • Slow vs fast
  • Charity vs professionals
  • Need doctor
  • Fluid and salt replacement
collapse
Collapse
  • Exercise Related Collapse
    • Cramps
    • Dehydration
    • Hyponatremia
    • Fatigue
    • Heat exhaustion / stroke
    • Heart Attack
heart attack
Heart Attack
  • The only person to die in London Marathon:
    • 22 year old male – Heart Attack
heart attack28
Heart Attack
  • Recognition
      • Crushing, tight chest pain
      • Radiates to jaw, shoulder, arm
      • Nausea
      • Breathless
      • Impending doom!
      • Ashen skin / blue lips
      • Rapid weak irregular pulse
      • Sweaty
      • Unconscious
      • Aspirin on them
heart attack29
Heart Attack
  • Treatment
    • W position
    • 999 + Doctor
    • 300mg aspirin to chew slowly
    • Angina medicine (sprays)
    • Rest
    • Monitor and record vitals
    • Be prepared for recovery position and CPR