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

2014 ◽  
Vol 29 (4) ◽  
pp. 429-436 ◽  
Author(s):  
Adam Lund ◽  
Sheila A. Turris ◽  
Peter Wang ◽  
Justin Mui ◽  
Kerrie Lewis ◽  
...  

AbstractObjectiveTo 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.MethodsThis 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.ResultsProviding 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.ConclusionsThe 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.

2005 ◽  
Vol 33 (8) ◽  
pp. 1224-1230 ◽  
Author(s):  
Venu Akuthota ◽  
Christopher Plastaras ◽  
Kirstin Lindberg ◽  
John Tobey ◽  
Joel Press ◽  
...  

Background Distal ulnar neuropathies have been identified in cyclists because of prolonged grip pressures on handlebars. The so-called cyclist palsy has been postulated to be an entrapment neuropathy of the ulnar nerve in the Guyon canal of the wrist. Previous studies utilizing nerve conduction studies have typically been either case reports or small case series. Hypothesis Electrophysiologic changes will be present in the ulnar and median nerves after a long-distance multiday cycling event. Study Design Cohort study; Level of evidence, 2. Methods A total of 28 adult hands from 14 subjects underwent median and ulnar motor and sensory nerve conductions, which were performed on both hands before and after a 6-day, 420-mile bike tour. A ride questionnaire was also administered after the ride, evaluating the experience level of the cyclist, equipment issues, hand position, and symptoms during the ride. Results Distal motor latencies of the deep branch of the ulnar nerve to the first dorsal interosseous were significantly prolonged after the long-distance cycling event. The median motor and sensory studies as well as the ulnar sensory and motor studies of the abductor digiti minimi did not change significantly. Electrophysiologic and symptomatic worsening of carpal tunnel syndrome was observed in 3 hands, with the onset of carpal tunnel syndrome in 1 hand after the ride. Conclusion Long-distance cycling may promote physiologic changes in the deep branch of the ulnar nerve and exacerbate symptoms of carpal tunnel syndrome.


2019 ◽  
Author(s):  
Thaís R. Gontijo ◽  
◽  
Nilceana M. A. Freitas ◽  
Ana F. P. G. Campedelli ◽  
Nathalya A. Yagi ◽  
...  

2021 ◽  
Vol 62 ◽  
pp. 386-390
Author(s):  
Ángel Serrano del Moral ◽  
Estíbalitz Pérez Viejo ◽  
Israel Manzanedo Romero ◽  
Fernando Pereira Pérez

2013 ◽  
Vol 271 (7) ◽  
pp. 1851-1856 ◽  
Author(s):  
B. K. Mukara ◽  
P. Munyarugamba ◽  
S. Dazert ◽  
J. Löhler

2012 ◽  
Vol 38 (10) ◽  
pp. 1435-1442 ◽  
Author(s):  
Mohamed I. Fayad ◽  
Paul J. Ashkenaz ◽  
Bradford R. Johnson

1971 ◽  
Vol 24 (4) ◽  
pp. 553-556
Author(s):  
D. J. Lindsay

By the North European Trade Axis is meant the trade route from Ushant and Land's End, up the English Channel, through the Dover Strait fanning out to serve eastern England, the north coast of continental Europe and leading to the Baltic Basin. Recent events in this area have left a feeling that some form of tightening of control is not only desirable, but is rapidly becoming imperative. There is a basic conflict between the two forms of shipping using the area: the local users who use the area more or less constantly, and the long-distance traders, usually much larger, which arrive in the area for a brief stay after a prolonged period at sea, which has usually been in good weather conditions. Frequently these latter ships have a very poor notion of the hornet's nest into which they are steaming when they arrive. The net result is all too often the same: the local users, with familiarity breeding contempt, wander about as they see fit, with scant regard for routing or the regulations; all too often the big ships arrive from sea with navigating staffs who are too confused, sometimes too ignorant—and sometimes too terrified—to do much more than blunder forward in a straight line hoping for the best. Quite obviously this is not a total picture, and there are large numbers of ships which navigate perfectly competently, but the minority of those which do not seem to be rising rapidly, and show every sign of continuing to increase.


2013 ◽  
Vol 25 ◽  
pp. 2-5 ◽  
Author(s):  
Shannon Melissa Chan ◽  
Philip Wai Yan Chiu ◽  
Sok Fei Hon ◽  
Anthony Wing Ip Lo ◽  
Simon Siu Man Ng

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