A Community-Based Model for Medical Management of a Large Scale Sporting Event

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To develop and assess a community-based model for medical coverage for a large multisport event. The model included pre-event risk stratification, a concise training program for all medical volunteers, and detailed medical control guidelines. Prospective data collection was performed using standardized injury reporting forms. The 2005 World Masters Games in Edmonton, Alberta, Canada. Approximately 21,600 athletes between the ages of 25 and 97 who were participants in the World Masters Games. A 4-category risk scale was developed and applied to each sport. Medical volunteers were provided intensive training and guided by concise medical control guidelines. Medical encounters were recorded using a standardized injury report form. Incidence of injury by sport. Rate of ambulance transportation. Rate of medication use. Relevance of medical control guidelines. Medical coverage for over 80 venues was provided by 243 volunteers. A total of 1767 medical encounters were documented, with an overall injury rate of 8.2% (95% CI, 7.9 to 8.5). The majority of injuries were of a minor nature. Only 35 (0.16%) athletes had injuries that required medication or ambulance transportation. Cardiopulmonary resuscitation and defibrillation was required in only 1 patient. The risk of injury during the World Masters Games appears to be low, and the risk of severe injury is extremely low. The described community-based model for medical coverage for multi-sport events appears to be safe and practical.