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Fatality at Pac Crest, and safety in general

Ironmom's picture
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started by Ironmom on June 30, 2008

For once, I was at a race and not racing, so I had a front-row seat to the events that transpired at the boat ramp yesterday at the Pac Crest triathlon. Coming to the race area on the day before to cheer on the TNT HIM participants, my friend (a nurse) and I had noted the lack of an ambulance and water safety crew (we also noted the heat and the utter lack of water for athletes at the swim start). It was especially notable considering that the last triathlon we'd attended together (the Duck Bill Chill, a much much smaller race) had an ambulance, medic unit, and an paramedic/water safety crew standing by on the beach.

So fast-forward to the Pac Crest Olympic Tri and I'm standing on the ramp with camera in hand ready to catch all of my TNT athletes coming out of the water. A 45 year old athlete comes in limp on a jet ski (according to the swimmer who aided him out of the water, he was waving arms frantically and then assisted onto the jet ski), at the top of the ramp, I hear a woman running up and down through the spectators asking if there is a doctor or a nurse among them. WTF??? Where are the trained medics? ambulance? emergency crew? First aid volunteers give CPR. There is no AED (Automated External Defibrillator) onsite. There is no ambulance. What feels like a very very long time later, they move aside spectators to bring in an ambulance. I don't know how much time had passed, but I know it was way too long to keep a guy alive on basic CPR with no oxygen, no AED, and no other aid equipment.

And the worst part of it is all of this is almost identical to the incident in 2005 in which a 41 year old athlete died with an ambulance not arriving for half an hour. The circumstances are eerily similar. Yesterday, I stood next to the victim's family member as she frantically tried to reach his wife, shook, and cried. It was just horrifying.

I have no idea if an AED or an ambulance could've saved this man's life, and I don't think anyone will ever know for sure. But I do know that statisically the sooner you can get appropriate medical care, the better your chances are, and this man went a very long time without appropriate medical care.

I do wonder and have questions about the responsibilities of race directors towards their participants. I've read the waivers we all sign, that it's a dangerous sport and we can't sue no matter what, but even with all of that I think there's some basic good common sense that says it is a responsibility to provide basic emergency care, especially at an event that takes place 30 miles from the nearest medical facilities and ambulances.

Additionally,another participant I know in the overwhelmingly HOT half-Ironman was told that the medical tent ran out of IVs and they would have to go to the hospital to get one. They finisher's tent also was completely out of water and sports drink when I visited my athletes there, as was the race start.

I'm just processing all of this mentally, being a spectator to a fatality. I wonder how far we can reasonably expect race directors to go. I wonder why a race with only 100 participants charging $60 apiece like the Duck Bill Thrill can afford an ambulance onsite, while an "Event Weekend" with hundreds of participants at $75 apiece (Oly) and $225 apiece (HIM) cannot. I'm wondering how an athlete can die in a race and then another athlete can pass away a few years later in the same circumstances without anything happening in between to increase the safety of participants. I'm wondering how much as athletes we are supposed to just suck up the dangers, and how much the race should be responsible for in terms of adequate medical care.

Additionally, I saw this come in this afternoon, and have not yet verified it, but am wondering what the deal is with this: According to the Deschutes County Planning Department the organizers of the triathlon did not apply for a Outdoor Mass Gathering Permit which is required by Deschutes County Code 8.16.240. According to that code, "each Outdoor Mass Gathering or Extended Mass Gathering shall have as a minimum one ambulance."

Blue Skies, -Robin-
http://ironmom.blogspot.com/

Tags: safety, fatality
toni's picture
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toni posted 14 weeks ago.

That blows... This can't be good for AA sports.

From doing it last year, I don't remember there being any aid cars there as well.

I'll definitely be rethinking my races.

-Toni
The only thing we have to fear is fear itself. - FDR

TryScott's picture
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TryScott posted 14 weeks ago.

When I sign up for an event, I just assume that things like water, ambulance, and medical needs. That's scary.

CadenceGuy's picture
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CadenceGuy posted 14 weeks ago.

Thats horrible!! Thoughts and prayers go to the family....

I worked a race yesterday for my Tri Shop and the RD is pretty close with us and he was all over his phone wondering where is ambulance was when he opened transition that morning.

You would think there would be a list of 'must haves' that an RD has to check off before that first horn goes off.....

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qb ant posted 14 weeks ago.

That's so very sad. I couple of years ago, I organized a 5K fun run for our elementary school - real small scale, like 100 people or so, but I was told I had to have an ambulance either at the event or on standby meaning I had to get in touch with our local fire dept. and let them know exactly what was going on so they would be prepared. I was also told by the county how many policemen I would need and for how long. And just for good measure, I asked one of the parents who is a pediatrician to volunteer and be on hand just in case. I'm very surprised that the race was allowed to go off without the proper security measures in place.

"90% of the game is half mental" Yogi Berra

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tri-ac posted 14 weeks ago.

That is sad news!
We were battling the heat here in PDX hoping the racers were doing OK too...

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deepbluex posted 14 weeks ago.

I think that a contributing factor to some race directors not feeling urgency in setting up the safest possible environment for the participants is the strong legal liability protection offered by the waivers that we sign at those events.

We do assume the risk legally speaking. But at the same time, this puts an honor system on the race directors to provide as good of a medical response team as they want to afford to.

You can easily look up quality ratings for hotels, airlines, restaurants, almost any electronic appliance but when it comes to triathlon races, there are no good sources of safety ratings, especially the non-Ironman branded ones, it's hard to tell which ones are well organized and which ones will be spotty.

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kylie posted 14 weeks ago.

Very sad for all.

Another thing I have noticed (in regards to running out of IVs) is the number of participants who have IVs that don't actually need them. I think that races probably go through more than necessary since it has become a "fast recovery" tool.

Iron Dan's picture
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Iron Dan posted 14 weeks ago.

This is extremely sad news.

I skipped out on the olympic at Pac. Crest this year and decided to do a century instead. During the century there was great support from police and paramedics and while I was riding I was thinking about who pays for this support. Do the race directors have to provide the money to pay for the support they receive, or does the local government pay for it and plan on recouping the money from stimulation to the local economy that these races bring? I don’t want to form a negative opinion of the R.D. if they are not the ones responsible for paying for or supplying the support.

TriSooner's picture
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TriSooner posted 14 weeks ago.

A post like "What kind of ___ should I get?" seems so inconsequential compared to Ironmom's accounting of the events.

JMA's picture
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JMA posted 14 weeks ago.

I read the brief account about this tragedy. Does any one have anymore information about what caused this man's death? Heart attack?

KitKat's picture
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KitKat posted 14 weeks ago.

This was complete BS and I hope AA get $#%@ed for it. With the weather that was forecasted for the weekend medic aid should have been on site. Seriously the cost for registration is $175, could they have not used some of those funds to prevent a death? I was there that morning and firmly believe the death could have been prevented. The man swam to the jet and ski and was conscious at initial contact. A few of my friends went up to the boat ramp and helped block the view so the athletes racing wouldn't have to see the people trying to resuscitate the man. This was seriously $#%!ed up, the ambulance took over 20 minutes to arrive. I feel if they had the appropriate medical staff and supplies/adrenaline on hand that man's life would have been saved.

Donna's picture
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Donna posted 14 weeks ago.

I'm assuming this is a USAT sanctioned event, right? I'm surprised they don't require having medics available as part of their sanctioning..... that would make the most sense to me.

Set goals...... but be here now. Enjoy the ride to the finish line.

KitKat's picture
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KitKat posted 14 weeks ago.

It was not USAT sanctioned. Tri NW

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iamtb13 posted 14 weeks ago.

How very sad.

Although we sign the waivers which prevents a Race Director from any legal obligation on our part, almost every park, county or township has requirements for these sort of things for any public gathering. Clearly he/she was in violation there and they could hold the RD liable.

As TriSooner said, it puts perspective on things.

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brittda posted 14 weeks ago.

You know, I was there participating (albeit not well) in the HIM. I never even gave it a second thought that there was no ambulance or medical staff at the boat launch. Now thinking on it, there were no ambulances, or medical staff that I can remember seeing AT ANY POINT on the race. This shockes me really with temperatures soaring into the 90's (ok, that is HOT for me coming from training in the 60's, it may as well have been 200 out). My point is I only remember seeing medical help at the finish line. In the 2 IMC races there were medical staff EVERYWHERE on the swim, bike and run course's. Very sad. I saw the story on the news today and again in the local paper in Bend. They still have not said what exactly the problem was.

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StephenPDennis posted 14 weeks ago.

This is awful. Simply tragic news. One piece of solace that I could think of is that the athlete died doing something they loved and leading an active and challenging lifestyle, which if you ask me, means that they were really living.

I think it goes without saying I'll be searching for the EMT crews before my next race.

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Iron Dan posted 14 weeks ago.

Donna wrote:
I'm assuming this is a USAT sanctioned event, right? I'm surprised they don't require having medics available as part of their sanctioning..... that would make the most sense to me.

It was USAT sanctioned last year when I did it, but even then, thinking back I don't remember any medical staff onsite at the swim start. This year it was not USAT sanctioned.

Ironmom's picture
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Ironmom posted 14 weeks ago.

Iron Dan wrote:
This is extremely sad news.

I skipped out on the olympic at Pac. Crest this year and decided to do a century instead. During the century there was great support from police and paramedics and while I was riding I was thinking about who pays for this support. Do the race directors have to provide the money to pay for the support they receive, or does the local government pay for it and plan on recouping the money from stimulation to the local economy that these races bring? I don’t want to form a negative opinion of the R.D. if they are not the ones responsible for paying for or supplying the support.

The RD's I have known have paid for police and medic/ambulance support. Often it affects the choice of course, since how many intersections have to be covered by police can affect the cost. One race I know decided to avoid all that and use a public bike path (no intersections = no police cost). Unfortunately, they couldn't block off the path to traffic from kids, bikes, people walking dogs, etc. As I almost got clotheslined by a woman on one side of the path with a poodle on the other, I vowed not to race any more cheaply-done races! I know I will personally call and check out ambulance and medical support for any future races. A medical emergency could happen to anyone in an event like this, and appropriate medical care is important. Now if it was a race like many urban ones, a 911 calll could bring medical care in an instant. But a rural race far from medical support is a different matter.

Blue Skies, -Robin-
http://ironmom.blogspot.com/

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jtrimom posted 14 weeks ago.

I was under the clearly misinformed impression that all these races needed to have medical/police support- good to know; next time I will make sure in advance...do all USAT races have the support?

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JMA posted 14 weeks ago.

USAT Sanctioned events must have medical personnel on site before the race can begin. From the RD Checklist:

**The following five items must be in place before the race begins**
-Lifeguards and swim safety mechanisms are in place
-Medical personnel are on-site and in place
-On-course law enforcement are in place or confirmed ready
-The transition area is secure and the race course from swim to TA is set up
-The event timer is present and equipment ready to start

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cogirl3 posted 14 weeks ago.

Wow, this is awful, but it seems not uncommon, unfortunately. When I did (attempted) the Vikingman 1/2 IM that I told you all about with my hypothermia, when I finally decided I needed help because I was going into hypothermic shock, there was an ambulance there, but noone in it. The people that eventually helped me were volunteers and they warmed me up by putting me in their car with the heat blasting. Although I was extremely fortunate that these people were there to help me, I couldn't help but think "where was the ambulance and medic support?" It seems like it should be standard at every race. This is sad, very sad. My thoughts go out to his family.

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Captain Mal posted 14 weeks ago.

I know we all sign the waivers and accept the inherent risk of the sport, but that won't let the event off the hook if they get sued. They do discourage us from bringing an action becuase we all remember signing them, but if I remember right from law school, it is not too hard to nullify these as contracts and they wont protect the event from a negligence claim.

As racers, we do have a responsibility to make sure we are up to the task and racing safe, but the event does have a responsibility to properly support the event they put on.

"Faster would be better!" -Captain Mal, Serenity-

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RV posted 14 weeks ago.

Tragic.
I just "assume" that med support etc is there for a race.

RV

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Slow is smooth; smooth is fast. - Rich Strauss

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Iron Dan posted 14 weeks ago.

I am scheduled to do this RD's next race that is again at another rural location. I will definitely be checking to see if he has appropriate medical personnel on staff.

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tri-ac posted 14 weeks ago.

at least the Deschutes Dash will be in town...

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Leroy Bonkers posted 14 weeks ago.

Captain Mal wrote:
I, but if I remember right from law school, it is not too hard to nullify these as contracts and they wont protect the event from a negligence claim.

Didn't go to law school, but majored in Recreation Administration (not joking) and event planning 101 is that waivers don't matter if you are negligent... or perhaps at all.

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brittda posted 14 weeks ago.

Word on the street (he was a friend of a friend, and went to school with my sister in law) is it was a heart attack. Guess he swam in college so ironically the swim should have been the easiest leg. This whole thing makes me sad :(

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toni posted 14 weeks ago.

This is the time to remind all of your "healthy" or otherwise male friends and relatives in their late 40's to 60's to get their hearts checked out. It doesn't matter how much you workout during the week, how fast you can swim/bike/run or how well you eat, clogged arteries can still occur and lead to heart attacks. You should definitely have a workup done with a cardiologist so you can avoid incidences like this at Pac Crest. Because even if there had been medics on the scene he still might not have lived if his arteries were that diseased. They'd have to be with the end result that occured.

Also, for the ladies of the same age range - our symptoms are not as typical as the men's. Women will experience upper back pain and/or heart burn which makes it even more important for women to be worked up by a cardiologist as well. Although, some women may experience the same symptoms as men.

And if you do have any of the above symptoms, you get your buns over to the ER immediately! Time saved is heart muscle saved. Basically the longer you let the symptoms go, the more of your heart muscle dies and goes to waste and you CAN'T get it back.

Ask your physician about taking an aspirin a day. Also check into Red Yeast Rice capsules at the health food stores. It's the active ingredient in Lipitor that keeps your cholesterol down if it's high.

That concludes your daily health message from your mama nurse, Toni.

-Toni
The only thing we have to fear is fear itself. - FDR

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cutiger95 posted 14 weeks ago.

Truly truly sad. From a person who has a lawyer sister that spends all her time defending Wal-Mart. The little waivers we sign for any event are basically worthless if you can prove negligence or incompetence on the RD's fault. Also you can most likely file suit against the township/county/city etc that allowed the event to knowingly happen. If this RD had a death in one of his events two years then it will be fairly simple for the family to prove negligence. Not that it will bring the poor guy back.

But reading this I will definitely be looking for emergency personel and services before I start my next race of whatever kind it is. Prayers will go out to this man and his family.

toni's picture
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toni posted 14 weeks ago.

I contacted the RD's for the HIM I'm doing this weekend - Desert Half IM - up in BC and this was their response:

Hi Toni,

Actually we had not heard anything about what happened at Pacific Crest yet though we are familiar with what occurred there in 2005. An awful situation.

At our races we hire out 2 BC Ambulances which are staffed by two certified ambulance attendants and are fully stocked ambulances. These are the ambulances that are used throughout the Province. This is an added expense but one that we are very happy to pay for each year as it money well spent and guarantees that these ambulances are available for there race and will not get called away on race day! Both ambulances are at the swim until final swimmer is out of the water. we have a 2 loop swim course as I feel that it is safer than a one loop course.

Once swim course is clear one ambulance stays at the finish line while the other is out on the bike course. Once the bike course is cleared this ambulance then travels the run course.

Dr Garnet Tarr and crew are at the finish, right near the swim, for the entire day and work closely with BC Ambulance and our communications team.

If you have any further questions don't hesitate to call or email us this week. I will be available for one on one questions after the pre-race meeting Saturday night.

Hope this helps and thanks for racing with us.

Joe

Outback Events Ltd.

Nice response and timely. Just glad there will be dedicated medics there.

-Toni
The only thing we have to fear is fear itself. - FDR

KitKat's picture
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KitKat posted 14 weeks ago.

Here's a link to the article by the Seattle Times.....

http://seattletimes.nwsource.com/html/localnews/2008026806_triathlete01m...

If only they had adrenaline/medical staff.

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ChunkyB posted 14 weeks ago.

Here's the link to the article above.

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KitKat posted 14 weeks ago.

ChunkyB wrote:
Here's the link to the article above.

Thanks!

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Anton posted 14 weeks ago.

I seem to write this several times a year now.
Just a reminder: The only moment you have, is right now.
Everyday you wake up on this side of the dirt is a good day.
It's sad when this happens especially someone so young and fit and full of life.
In perspective though: (And it took awhile to dig this up) The average daily death rate in the U.S. is
8.2 per 1,000 according to the CDC. That means that if you get 1,000 folks together from all walks of life, at random, of various ages and levels of fitness...there is a good chance that by the end on the day 8 of them will have died. While that seems like a lot it's just under 3 million a year. 2005 (the most current year for the stats) is just under that number. That's an average now,in some areas it's much lower in some areas it's much higher...
Over the years I can't tell you how many events I've been to where someone has died...including someone I was doing CPR on some years ago at the Colonial 1/2 Mary in Williamsburg. Two years ago two men died running the MCM. People die all the time at events and it has nothing to do with RD's and medical tents and adequate medical precautions. It's just a part of life.
We are shocked because our sport seems itself to be a celebration of life...and how rude when death intrudes.
Hug those you love and never go to bed angry at anyone...
Death waits for no one and doesn't care if there is an ambulance near by.

"What would life be if we had no courage to attempt anything?" - Vincent Van Gogh
My Blog: http://agingsuperhero.blogspot.com

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Ironmom posted 14 weeks ago.

Anton I do agree with you. My hubby lost his own dad to a heart attack at age 42, and he was at home, not doing a triathlon. Life is definitely not without risk, even when one isn't attempting serious sporting endeavors, and it's worthwhile to keep that in mind as we go about our days. But to me, the idea of grabbing every day and living life to its fullest in no way means that it's okay to take unnecessary risks, with my own life or anyone else's. To me, it's an unnecessary risk not to have the basic safety equipment at hand, at an event where extremes are pressed on the human body (water, heat, heartrate, etc.). I spent many years doing some very dangerous sports - skydiving, scuba diving, mountaineering, motorcycle racing. And I've seen more than a few friends die. And more than a few of them were IMHO taking unnacceptable risks, often in the name of "living life to its fullest". So my personal motto is to live life to its fullest, but also do my best live to see another day.

I mentioned in another thread that Scott Fischer asked me to go on his ill-fated 1996 Everest expedition (hubby and I had climbed Kili with his guide) and I knew from talking with him that things were just not going to go well. Too many inexperienced people (myself included, I was in no way ready to do that mountain and was shocked that he asked), too much push to "make the top". I think this is another example of someone not taking the responsibility to make things safe for people that they are guiding or providing a service to. As coaches, as race directors, as guides, as mentors, I think it's a responsibility to ensure that we're giving good advice, providing good service, taking the correct safety precautions. That in no way excuses people from individual responsibility, or takes away from the idea that at any point something could happen to any one of us. But the important thing is that something preventable doesn't happen, something that we (directors or coaches or guides) could've prevented with that ounce of caution. Scott Fischer was certainly held (posthumously) responsible for his safety failures. I would like to see AA Sports step up and take responsibility and ensure that any future races they put on have adequate safety precautions in place.

Blue Skies, -Robin-
http://ironmom.blogspot.com/

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chris91180 posted 14 weeks ago.

Not having emergency medical staff on hand is inconceivably negligent! Even if there is a hospital a few miles away, triathlons are not always very accessible to just drive into. Traffic gets pretty backed up on surrounding roads, and even if the ambulance can get through without much difficulty it would add extra risk to other racers. There are already enough crashes and close calls in races without the panic of having to pull over for an incoming ambulance! That is a travesty... absolutely devastating. At the same time, I feel really bad for the RD too. I wouldn't want to have something like that hanging on my shoulders.