Abstract
Marathon race medical coverage involves coordinating many organisations, personnel and government agencies. An infrastructure of aid stations, finish-line medical tents, ambulance services, communication networks and transport vehicles support the medical professionals covering the event. Knowledge of the volume and type of medical problems that arise during a marathon allow the medical director to assemble the necessary components for a safe event. Published data and/or historical race information will assist in planning for anticipated medical utilisation. Organisers must prepare for uncommon but possible catastrophic medical events such as cardiac arrest and exertional heat stroke. Advances in point-of-care medical devices and significant increases in training and education of medical professionals providing care at these events have greatly improved the quality of on-site medical care at marathon races.
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