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oa Impact of collaboration between Basic Life Support-trained first responders and on-site Advanced Life Support service in improving the out-of-hospital cardiac arrest outcome: A case study from the Penang Bridge International Marathon 2019
- Source: Journal of Emergency Medicine, Trauma and Acute Care, Volume 2022, Issue 5, Nov 2022, 35
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- 25 November 2021
- 18 September 2022
- 26 November 2022
Abstract
Sudden cardiac arrest (SCA) in long-distance running races has an incidence rate of 2.18 per 100,000 participants and a high mortality rate. Strategic planning for the medical response in a marathon event is therefore an uphill task for the organizer. Our medical operational model for the Penang Bridge International Marathon (PBIM) has not just improved the survival for marathon-related SCA, but also has been cost-effective for a middle-income country. Two runners from PBIM in 2019 had episodes of cardiac arrest at almost the same time at different locations towards the end of the run route, which were both responded by different teams of Basic Life Support trained volunteers, and then were sent to the Main Medical Base for further Advanced Life Support care before receiving ICU care in the tertiary hospital. Both patients achieved good neurological outcomes and survived hospital discharge.