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An Analysis of Patient Presentations at a 2-Day Mass-participation Cycling Event: The Ride to Conquer Cancer Case Series, 2010-2012

Published online by Cambridge University Press:  01 August 2014

Adam Lund ,
Sheila A. Turris ,
Peter Wang ,
Justin Mui ,
Kerrie Lewis  and
Samuel J. Gutman
Adam Lund
Affiliation:
University of British Columbia, Department of Emergency Medicine, Faculty of Medicine, Vancouver, British Columbia, Canada
Sheila A. Turris*
Affiliation:
University of British Columbia, Department of Emergency Medicine, Faculty of Medicine, Vancouver, British Columbia, Canada
Peter Wang
Affiliation:
University of British Columbia, Faculty of Science, Vancouver, British Columbia, Canada
Justin Mui
Affiliation:
University of British Columbia, Department of Emergency Medicine, Faculty of Medicine, Vancouver, British Columbia, Canada
Kerrie Lewis
Affiliation:
Fraser Health Authority, Emergency Department, New Westminister, British Columbia, Canada
Samuel J. Gutman
Affiliation:
University of British Columbia, Department of Emergency Medicine, Faculty of Medicine, Vancouver, British Columbia, Canada
*
Correspondence: Sheila Turris, PhD University of British Columbia Department of Emergency Medicine Vancouver, British Columbia, Canada E-mail [email protected]
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Abstract

Objective

To analyze the unique factors involved in providing medical support for a long-distance, cross-border, cycling event, and to describe patient presentations and event characteristics for the British Columbia (BC) Ride to Conquer Cancer from 2010 through 2012.

Methods

This study was a 3-year, descriptive case series report. Medical encounters were documented, prospectively, from 2010-2012 using an online registry. Data for event-related variables also were reported.

Results

Providing medical support for participants during the 2-day ride was complicated by communication challenges, weather conditions, and cross-border issues. The total number of participants for the ride increased from 2,252 in 2010 to 2,879 in 2011, and 3,011 in 2012. Patient presentation rates (PPRs) of 125.66, 155.26, and 198.93 (per 1,000 participants) were documented from 2010 through 2012. Over the course of three years, and not included in the PPR, an additional 3,840 encounters for “self-treatment” were documented.

Conclusions

The Ride to Conquer Cancer Series has shown that medical coverage at multi-day, cross-national cycling events must be planned carefully to face a unique set of circumstances, including legislative issues, long-distance communication capabilities, and highly mobile participants. This combination of factors leads to potentially higher PPRs than have been reported for noncycling events. This study also illuminates the additional workload “self-treatment” visits place on the medical team.

LundA , TurrisSA , WangP , MuiJ , LewisK , GutmanSJ . An Analysis of Patient Presentations at a 2-Day Mass-participation Cycling Event: The Ride to Conquer Cancer Case Series, 2010-2012. Prehosp Disaster Med. 2014;29(4):1-8.

Keywords

case seriescharity ridelong-distance cyclingmass-gathering healthmass-gathering medicine
Type
Case Report
Information
Prehospital and Disaster Medicine , Volume 29 , Issue 4 , August 2014 , pp. 429 - 436
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2014 

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References

1. Ride to Conquer Cancer Website. http://www.conquercancer.ca/bclandingpage/index2b.html. Accessed November 21, 2013.Google Scholar
2. Milsten, AM, Maguire, BJ, Bissell, RA, Seaman, KG. Mass-gathering medical care: a review of the literature. Prehosp Disaster Med. 2002;17(3):151-162.Google Scholar
3. Arbon, P. The development of conceptual models for mass-gathering health. Prehosp Disaster Med. 2004;19(3):208-212.Google Scholar
4. Mass Gathering Medicine Interest Group Website. http://www.mgmcanada.ca/. Accessed October 21, 2013.Google Scholar
5. Lund, A, Gutman, SJ, Turris, SA. Mass gathering medicine: a link to disaster preparedness. CJEM. 2011;13(4):231-236.Google Scholar
6. Arbon, P, Bridgewater, FHG, Smith, C. Mass gathering medicine: a predictive model for patient presentation and transport rates. Prehosp Disaster Med. 2001;16(3):150-158.Google Scholar
7. Canadian Institutes of Health Information Website. http://www.cihi.ca Accessed on November 21, 2013.Google Scholar
8. Macpherson, AK, To, TM, Macarthur, C, Chipman, ML, Wright, JG, Parkin, PC. Impact of mandatory helmet legislation on bicycle-related head injuries in children: a population-based study. Pediatrics. 2002;110(5):e60.Google Scholar
9. Dannenberg, AL, Needle, S, Mullady, D, Kolodner, KB. Predictors of injury among 1,638 riders in a recreational long-distance bicycle tour: Cycle Across Maryland. Am J Sports Med. 1996;24(6):747-753.Google Scholar
10. Emond, SD, Tayoun, PM, Bedolla, JP, Camargo, CA. Injuries in a 1-day recreational cycling tour: Bike New York. Ann Emerg Med. 1999;33(1):56-61.Google Scholar
11. Kennedy, J. Neurologic injuries in cycling and bike riding. Neurol Clin. 2008;26(1):217-279.Google Scholar
12. Bowles, HR, Rissel, C, Bauman, A. Mass community cycling events: who participates and is their behaviour influenced by participation? Int J Behav Nutrition Phys Act. 2006;3:39.Google Scholar
13. Friedman, LJ, Rodi, SW, Krueger, MA, Votey, SR. Medical care at the California AIDS Ride. Exper in Event Med. 1998;31(2):219-223.Google Scholar
14. Boeke, PS, House, HR, Graber, MA. Injury incidence and predictors on a multiday recreational bicycle tour: the Register's Annual Great Bike Ride Across Iowa, 2004 to 2008. Wilderness Environ Med. 2010;21(3):202-207.Google Scholar
15. Townes, DA, Barsotti, C, Cromeans, M. Injury and illness during a multiday recreational bicycling tour. Wilderness Environ Med. 2005;16(3):125-128.Google Scholar
16. Gutman, SJ, Lund, A, Turris, SA. Mass medical support for the 2009 World Police and Fire Games: a descriptive analysis of a large scale participation event and its impact. Prehosp Disaster Med. 2011;26(1):33-39.Google Scholar
17. Martinez, JM. Medical coverage of cycling events. Cur Sports Med Rep. 2006;5(3):125-130.Google Scholar
18. Herring, SA, Bergfeld, JA, Boyajian-O'Neil, LA, et al. Mass participation event management for the team physician: a consensus statement. Med Science in Sports Exer. 2004;36(11):2004-2008.Google Scholar
19. Armstrong, LE, Epstein, Y, Greenleaf, JE, Haymes, EM, Hubbard, RW, Roberts, WO. American College of Sports Medicine position stand: heat and cold illnesses during distance running. Medicine and Science in Sports and Exercise. 1996;28(12):i-x.Google Scholar
20. Lund, A, Turris, SA, Amiri, N, Carson, M, Lewis, K. Mass gathering medicine: creation of an online event and patient registry. Prehosp Disaster Med. 2012;27(6):601-611.Google Scholar
21. Environment Canada Website. http://www.weatheroffice.gc.ca/canada_e.html. Accessed January, 2012.Google Scholar
22. Turris, SA, Lund, A. Triage during mass gatherings. Prehosp Disaster Med. 2012;27(6):531-535.Google Scholar
23. Bullard, MJ, Unger, B, Spence, J, Grafstein, E. CTAS national working group: revisions to the Canadian Emergency Department Triage and Acuity Scale adult guidelines. CJEM. 2008;10(2):136-151.Google Scholar
24. Navin, DM, Sacco, WJ, McCord, TB. Does START triage work? The answer is clear!. Ann Emerg Med. 2010;55(6):579-580.Google Scholar
25. Lund, A, Wong, D, Lewis, K, Turris, SA, Vaisler, S, Gutman, SJ. Text-messaging as a strategy to address the limits of audio-based communication during mass gathering events with high ambient noise. Prehosp Disaster Med. 2013;28(1):2-7.Google Scholar
26. Arbon, P. Mass-gathering medicine: a review of the evidence and future directions 484 for research. Prehosp Disaster Med. 2007;22(2):131.Google Scholar
27. Ranse, J, Hutton, A. Minimum data set for mass-gathering health research and evaluation: a discussion paper. Prehosp Disaster Med. 2012;27(5):1-8.Google Scholar
28. Turris, SA, Lund, A. Minimum data set for mass-gatherings health research and evaluation: a response. Prehosp Disaster Med. 2013;28(2):191-193.Google Scholar
29. Grange, JT, Baumann, GW, Vaezazizi, R. On-site physicians reduce ambulance transports at mass gatherings. Prehosp Emerg Care. 2003;7(3):322-326.Google Scholar
30. Rivara, FP, Thompson, DC, Thompson, RS. Epidemiology of bicycle injuries and risk factors for serious injury. Inj Prev. 1997;3(2):110-114.Google Scholar
31. Linn, S, Smith, D, Sheps, S. Epidemiology of bicycle injury, head injury, and helmet use among children in British Columbia: a five year descriptive study. Inj Prev. 1998;4(2):122-125.Google Scholar
32. Nguyen, RB, Milsten, AM, Cushman, JT. Injury patterns and levels of care at a marathon. Prehosp Disaster Med. 2008;23(6):519-525.Google Scholar
33. Hnatow, D, Gordon, DJ. Medical planning for mass gatherings: a retrospective review of the San Antonio Papal Mass. Prehosp Disaster Med. 1991;6(4):443-450.Google Scholar