TD Banknorth Beach to Beacon 10K
Medical Coverage ~ Overview
Course Medical Coverage:
The volunteers from our Medical Team will be stationed at fixed locations at the
start (just up from Fowler Road on Rte 77) and at Pond Cove on Shore Road and
Belfield. Both tents will have basic medical supplies (including Epi Pens and
Albuterol inhalers), communications, and an AED. Once the runners have
passed these stations, these medical teams will proceed to Fort Williams for
reassignment.
Medical Tent/Fort Williams
At the Medical Tent (located 15 yards from the finish line) there will be two triage
volunteers positioned at the entrance of the tent to prioritize the treatment of the
patients. In addition, there will be one person handling medical security and a
second recording the names, bib numbers, and arrival times of each patient
entering the tent for treatment. The tent will be divided into treatment sections.
To the immediate left of the entrance, there will be a dedicated orthopedic and
podiatry section. All other sections will have 2-3 cots and 2 ice immersion tubs.
Sections will be numbered and will be staffed with a physician, 2-3 nurses and a
medical scribe. A roving IV team (2 medical volunteers) and a glucose team (1
medical volunteer) will be available if the physician in any section feels a runner
needs IV fluids or a blood glucose evaluation. Dr. Michael Baumann, Co-Medical
Director, will be stationed in the tent, and Dr. Mylan Cohen, Co-Medical Director,
will at the finish line. They will direct volunteers within each section and evaluate
the progress of each team. Medical Teams will provide patient triage, treatment
of wounds (cleaning, dressing and bandaging), and record vital signs, provide
hydration and start rapid cooling of runners who have dangerously high body
core temperatures. (See Medical Protocols). Cape Elizabeth Fire and Rescue
personnel will be located at the far end of the tent and are prepared to transport
patients to local emergency departments if necessary. Captain Stephen Peters
from CEFR will coordinate the transport with Dr. Baumann.
Medical Records/Scribes:
The medical scribe is responsible for recording all patient information and
treatments on the forms provided. The medical record consists of a two-part
NCR form. Scribes will record as much information as required by the form and
any other information each medical team deems necessary. If the patient needs
to be transported to a local hospital, the top copy of the form will accompany the
EMS crew and the patient. Completed medical records must be turned into Joni
Troyanos, who will be located in the medical tent. A running list of all patients
treated in the tent should be updated with the CEFR Command Post, located
near the medical tent.
Medical Tent Equipment:
There will be tables set up in the center of the tent and between each section. A
variety of supplies will be available. These supplies include: gloves, dressings,
bandages, roller gauze, triangular bandages, Band-Aids, antiseptic solution,
alcohol wipes, Vaseline, tape, convenience bags, ace bandages, plastic bags for
ice packs, tongue depressors, bio-hazard disposal bags, paper towels, hydrogen
peroxide, Moleskin, Kleenex, rectal thermometers, antiseptic hand cleaner,
pocket mask, body substance isolation kit, trauma shears, BP cuffs,
stethoscopes, water, Gatorade, ice, ice immersion tanks, oxygen units, pulse
oximeters, AED’s, wool blankets, and Mylar blankets.
Finish Line Medical Team:
The finish line medical team will provide medical coverage from the immediate
finish line in the Fort to the end of the finish line chute at the top of the hill. Dr.
Mylan Cohen will coordinate and direct staff. Volunteers working this large
section must stay spread out and continually scan the crowd for runners in need
of medical assistance. Water will not be provided in this area, so runners should
be encouraged to keep walking and to move toward the water stations further in
the Fort.
Each member of the Finish Line Medical Team will perform visual triage on
runners and will assist with transportation to the medical tent. Runners who are
in need of medical attention will be walked toward the entrance of the medical
tent, while more severely injured runners will be taken to the medical tent via
wheelchair or stretcher.
Kids Fun Run - Medical Tent:
A small staff of volunteers will provide medical care to the Kid’s Fun Run. The
tent will be supplied with medical equipment and supplies similar to the medical
stations at the start and Pond Cove. Note: The Kids Fun Run will be held on
Friday night, July 31st and will be staff by members of the B2B Medical
Committee.
Medical Sweep Teams: (Pre-finish and Family Meeting areas)
Some areas in the Fort create very unique problems for observing and reaching
runners who may be in distress. The area leading up to the finish line is
extremely congested causing problems reaching a runner who may have
become injured before reaching the finish line. At least 4 Medical Teams of 2
volunteer’s with radio communications will be stationed in these established
areas, each team will be working with Cape Elizabeth Fire & Rescue. Downed
runners will be transported via stretcher or golf cart to the Medical Tent for
treatment. A BLS unit is located in this area in the event a direct hospital
transport is needed from this site.
Another concern for our sweep teams is the Family Meeting area at the top of the
hill near the end of the finish line chute. This section includes food tents,
massage therapy, and vendor tents. Congestion makes this area of the Fort very
difficult to observe an injured runner or spectator. The density of people in this
area will create challenges for locating medical teams as well as potential
transports. Five teams of 2 volunteers will walk these areas, including the hill
leading up from the line adjacent to the medical tent. Each team will have
portable basic medical supplies and a two-way radio, or a ham radio operator to
assist with communications.
Revised 6-26-2009