I was a volunteer medical first aid captain. The runners were great to watch. At mile 23, 3.1 miles from finish line. Runners have numerous issues by this mile. Here are some issues I dealt with, so you might want to take note for your next marathon.
1. Wear good shoes. Broken in. I treated blisters, galore! Which gave me a chance to see which brands were being worn, while I tended the blisters, of varying degree. Just because they are mainstream & fashionable, does not mean they are a wise choice. I personally wear, Hoka brand. As do some doctors, who are marathoners. Just saying, not all flashy are worth it. Can say, not one runner I treated for blisters, was wearing Hokas.
2. One runner, saw me, pleaded with me to "cut it off!" in a very thick accent. Finally, through hand gestures, I realized what he wanted me "cut off!" He had on compression calf sleeves. They were at least two sizes, too small, as his calves were developed from running. They acted as tourniquets. Worse, were doubled over. By the time he saw me, over 22 miles, he was in executing pain. As I cut them off, within a few minutes of both being removed, & massaging. His face regained color & relief & calm. Hydrated, as I accessed him. He realized the error in wearing something not for his size.
Choose wisely what you wear.
3. One runner wore too tight running pants, that ended above the knees. They cut deep into the lower thighs. Creating like another tourniquet situation only above the knees. In this case, veins were bulging on the left leg. Wanting the runner to end. Declined. Secured ice packs to the leg. Warned & encouraged the runner to check in at the Medic tent at the finish line. Those pants needed to come off.
Wear the right clothes & size for your body type.
4. One runner saw me, came running up, mumbling "What do you think?!" The whole chin area blooding. Around mile 12, fell. Looked like face first. Treated, kept running. Asked me about doing stitches? I inquired whose with the runner? Find out, no one! Hitting the asphalt while running, jarring your head, and cutting your chin causing a gash, could cause a problem. Especially, later on. I cleaned up the runner's face. Tried to really bandage with heavy gauze, to act more like a sponge. I really wanted to have the runner to call it. Take the runner to the Medic tent, at the finish line. Declined.
Warning: IF you have had any minor procedures, have stitches, in at least few weeks, any physical exertion, is going to rise your blood pressure & your going to bleed. Does not matter how many stitches you have in place. If you wind up having any laceration during the run, and insist on running to the end, you are going to bleed. Especially, in a heavy vascular area, like your face! I was concerned about possible concussion.
4. Barefoot runner! What can I say? Unless your barefoot most of the time, 24/7, doing rugged terrain running, with tough enough soles on your feet, your going to get blisters. Running barefoot on a Highway, is not good for your skeleton. Ankles, knees, hips, back, are taking the impact. Admitting it was not well thought out, does not help you. WEAR SHOES!!
5. One runner was edge of getting into trouble. Pale, asking me for something for cramping. Since it was bi-lateral, I felt the runner was dehydrated, but kept insisting they were not. The runner sweating, was a bit clammy. Calf cramps. Massaging Ben-Gay, covered the runner in a blanket, let the runner rest only for a few moments, then walked w/me. You cannot sit after running miles. Blood pools in the calves. I gave hydration, which was drank. After walking w/said runner, admitted they might have been severely dehydrated. Yep!
6. I covered so many different maladies. To try and watch for a runner who might be in trouble, not knowing they were getting into situation, I started handing out tissues, as the cold, environment was causing many runny noses. My way of accessing you. from head to toe. SLY!
7. ALL runners NEED to know about, and only 4 of the thousands asked me for it. SALT. Not Gatorade. It is when the salt level in your blood drops. Called: HYPONATREMIA. Look it up. Low sodium in your blood is dangerous. This is as dangerous a cardiac event.
Thanks to mobile medical squads on bikes. They were "eyes" on those who refused to finish.
Lesson: Wear right shoes (broken in), clothes, prepare for any run. Have your doc clear you. Munch salted pretzels for couple days prior. Know physiology what happens to your body while running. Plus hard surface vs soft course. Do not ask for pain med! Your a winner by trying. It is not a race. It is ok to call it. Your life means more.
Failing to prepare, is preparing to fail.
To those who did not have a need for medical, but continued on, you are GREAT! You did not make it in the 6 hours, but your spirit of persistence is priceless. Including the 70 year old lady who had your bib taken. Your STELLAR! read more