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Saturday, October 27, 2012
USA Triathlon Fatality Incidents Study Released
USA Triathlon is the National Governing Body for the sport in the United States. Due to the number of deaths in the sport in the recent past, it convened a panel to objectively review the event-related fatalities.
Over the past several months, USA Triathlon conducted a review of the collective experience with fatalities at USA Triathlon-sanctioned events from 2003 through 2011. Its goals were to bring clarity, identify potential patterns and underlying causes, and investigate opportunities to make any future improvements in event safety.
Its five-member Medical Review Panel included 3 physicians and 2 race directors with broad experience in triathlon, and interest or expertise in the issue of race safety. This group reviewed information for 45 cases and assembled its findings into a preliminary report.
The preliminary report was shared first with the attendees of the USA Triathlon Race Directors Symposium in January 2012 as well as a Review Group that included the editorial staff of the Daily News of Open Water Swimming and representatives from the broader triathlon community—athletes, coaches, event organizers, risk management experts, and medical professionals.
The information on each fatality included the individual's age, gender, and the name, date, format, and length of the USA Triathlon event, as well as a brief narrative of the circumstances of the fatality and press accounts of the fatalities.
But the information that was not available for review included a detailed medical history of the viction (i.e., medical conditions), a detailed accounts of medical treatment(s) provided at the event or during/after transport to the hospital, official autopsy findings, if any, experience level with triathlon or endurance sport in general, the safety plan in place for the event, medical resources on site for the event, and the water temperature and conditions during the swim leg. In some cases, limited second-hand information about victim’s medical history, medical treatment, and autopsy findings were available, but the panel recognized this information may not be accurate or complete.
USA Triathlon provided some good baseline information on the sport's popularity in this period of view (2003-2011): nearly 23,000 sanctioned events involved more than 3 million participants with 4,334 events involving 537,317 participants in 2011 alone.
Of the 45 fatalities, 9 were women and 35 were men ranging in age from 24-76 for an overall fatality rate for triathletes of approximately 1 per 76,000 participants.
- 5 deaths were traumatic, caused by injuries sustained in cycling crashes
- 38 deaths were non-traumatic
- 30 deaths occurred during the swim
- 3 deaths occurred during the bike
- 3 deaths occurred during the run
- 2 deaths occurred after an athlete had completed a race
- 1 death was of a non-athlete spectator who died from bike crash injuries
- 1 death was at a USA Triathlon training clinic
Of the 31 swimming-related deaths, 1 athlete died during a quarter-mile swim at a triathlon clinic due to cardiac arrest. The remaining deaths occurred in races that took place from March to November of various distances from 400 yards to 2.4 miles. 4 victims were relay swimmers; 26 victims were individual racers.
5 deaths were in the ocean; 13 in a lake; 6 in a bay or gulf; and 6 in a river.
3 had time-trial starts (with participants starting individually at 2-5 second intervals); 2 had mass starts; and 25 with wave starts with a range of 40-150 athletes per wave.
Complete information about wetsuit use by the victims was not available.
The vast majority of the victims was rescued from the water and received CPR and advanced life support measures at the scene. In two cases, there was a delay of up to several hours before the missing participants were found. In these cases the victims were pronounced dead at the scene.
Detailed autopsy information was not available for review, although available data indicates the swimming fatalities appear to be caused by episodes of sudden cardiac death (SCD).
Background on SCD
There are an estimated 4,300 sports-related SCDs in the U.S. annually, according to a recent scientific report published by the American Heart Association. These occur during all forms of athletic activity. According to a recent scientific report in the New England Journal of Medicine, most, but not all, episodes of SCD are thought to be due to an underlying, often unrecognized, abnormal heart conditions such as hypertrophic cardiomyopathy (HCM) or coronary artery disease. The treatment for sudden cardiac arrest is prompt bystander CPR, early defibrillation (within a few minutes), and follow-up hospital care. Even with prompt medical attention the survival rate for sports-related sudden cardiac arrest remains low, at 10-25%.
Studies indicate that triathlon’s rate of 1 fatality per 76,000 participants is similar in comparison to the sport of marathon running. A 2010 study on the London Marathon cited one fatality for every 67,414 runners over a 20-year period. A 2008 study examined the Twin Cities and Marine Corps Marathons and cited one fatality for every 75,000 runners since 1976.
Key Findings of the report included the following:
1. The fatality rate did not increase as a trend between 2003-2011. However, the total number of deaths increased as the total number of participants increased.
As the sport continues to grow (USA Triathlon annual membership more than tripled between 2003 and 2011), the incidence of fatalities in the sport will likely increase as well.
2. The fatality rate does not appear to be related to the length of the race, the type of swim venue, or the method of swim start (e.g., mass, wave or time trial).
3. The victims appear to have included athletes from a broad range of triathlon experience. Fatalities were not confined to inexperienced triathletes.
4. There is no clear evidence that swimming ability, typical drowning, anxiety/panic, wetsuit-related factors, lack of a warm-up, lack of medical exam or unusual medical problems (e.g., stroke, seizure, syncope, swimming-induced pulmonary edema (SIPE), pulmonary embolism, or bodily trauma) were responsible for deaths during the swim.
As it relates specifically to SIPE, recently a popular theory for cause of death in these cases, we recognize this clinical syndrome and the difficulties of establishing this diagnosis clinically or at autopsy. It is known from scientific reports that this syndrome affects swimmers and divers with progressive shortness of breath and low levels of oxygen in the blood—symptoms that resolve completely with cessation of swimming and removal from the water.
Although USA Triathlon cannot exclude the possibility of a role for SIPE in the victims’ deaths, it knows of no victim with an antecedent diagnosis of SIPE and it found no information in its review that would establish this diagnosis with certainty in the victims.
Part 2 will follow.
Copyright © 2012 by Open Water Source
2014 Global Open Water Swimming Conference
Courtesy of WOWSA, Huntington Beach, California.
CLICK HERE TO REGISTER FOR THE CONFERENCE
The Global Open Water Swimming Conference is a conference on the sport of open water swimming, marathon swimming and swimming during triathlons and multi-sport endurance events.
The conference which has been attended by enthusiasts and luminaries from 6 continents, is devoted to providing information about the latest trends, race tactics, training techniques, equipment, psychological preparation, race organization and safety practices used in the sports of open water swimming, marathon swimming and triathlons.
The conference's mission is to provide opportunities to listen and meet many of the world's most foremost experts in open water swimming, and to meet and discuss the sport among swimmers, coaches, administrators, event organizers, sponsors, vendors, officials, escort pilots, and volunteers from kayakers to safety personnel.
Dozens of presentations at the 2014 Conference at the Mount Stuart House cover numerous aspects of the vast and growing world of open water swimming where attendees can learn and share the latest trends, race tactics, training modalities, swimming techniques, equipment, race organization, logistics, operations, and safety practices for open water swimming as a solo swimmer, competitive athlete, fitness swimmer, masters swimmer, triathlete, multi-sport athlete, administrator, race promoter, sponsor or referee.
The conference was first held in Long Beach, California as part of the 2010 USA Swimming National Open Water Swimming Championships. It has since been held on the Queen Mary in California, at Columbia University and the United Nations in New York City, and in Cork, Ireland. This year in September, it comes to another iconic location, the Mount Stuart House on the Isle of Bute in Scotland.
"The Global Open Water Swimming Conference was started due to the desire and need for athletes, coaches, referees, administrators, race directors, promoters and sponsors from around the world to share, collect and learn information about the growing sports of open water swimming, marathon swimming and triathlons," said founder Steven Munatones. "Other swimming conferences usually offering nothing on open water swimming or perhaps a speech or two, but we thought open water swimming deserves its own global conference. It is great that the community shares its information via the online social network, but there is nothing like meeting other open water swimming enthusiasts face-to-face and talking about the sport from morning to night."
Speakers at the conference include English Channel swimmers, ice swimmers, record holders, renowned coaches, world champions, professional marathon swimmers, renowned race directors, officials and administrators from the Africa, Americas, Asia, Europe and Oceania.
"Because the audience is passionate and educated about the sport and its finest practitioners, the Global Open Water Swimming Conference is also the location of the induction ceremonies for the International Marathon Swimming Hall of Fame and the annual WOWSA Awards that recognize the World Open Water Swimming Man of the Year, the World Open Water Swimming Woman of the Year, the World Open Water Swimming Performance of the Year, and the World Open Water Swimming Offering of the Year. Special Lifetime Achievement Awards are also occasionally presented to individuals who have made significant contributions to the sport over their career."
The 2014 Global Open Water Swimming Conference Programme
Wednesday, September 17th
Leave Glasgow to commence 2-day tour of Scotland [closest international airport is Glasgow]
Thursday, September 18th
Stay Mainland, North of Scotland
Friday, September 19th
14:00 - Swim Loch Lomond
17:00 - Head to Isle of Bute
19:30 - Scottish Banquet
21:30 - Dinner Dance
Saturday, September 20th
09:00 - Registration & Coffee
10:00 - Speeches
12:20 - Lunch and WOWSA Awards
13:40 – Speeches
15:40 - Round Table
19:00 - International Marathon Swimming Hall of Fame Dinner & Induction Ceremony
Sunday, September 21st
09:00 - Registration & Coffee
10:00 - Speeches
14:30 - Swim in St Ninian's Bay on the Isle of Bute
The luminaries of the open water swimming world who will be honored in Scotland will include:
* Sandra Bucha (U.S.A.), International Swimming Hall of Fame Honor Open Water Swimmer and International Marathon Swimming Hall of Fame Honour Swimmer
* Jon Erikson (U.S.A.), International Swimming Hall of Fame Honor Open Water Swimmer
* Claudio Plit (Argentina), International Swimming Hall of Fame Honor Open Water Swimmer
* Judith van Berkel-de Njis (Netherlands), International Swimming Hall of Fame Honor Open Water Swimmer
* David Yudovin (U.S.A.), International Swimming Hall of Fame Honor Open Water Swimmer
* Mercedes Gleitze (Great Britain), International Swimming Hall of Fame Honor Open Water Swimmer
* George Young (Canada), International Swimming Hall of Fame Honor Open Water Swimmer
* Dale Petranech (U.S.A.), International Swimming Hall of Fame Honor Open Water Contributor
* Melissa Cunningham (Australia), 2013 Irving Davids-Captain Roger Wheeler Memorial Award winner
* Vojislav Mijić (Serbia), International Marathon Swimming Hall of Fame Honour Swimmer
* James Anderson (U.S.A.), International Marathon Swimming Hall of Fame Honour Administrator
* Dr. Jane Katz (U.S.A.), International Marathon Swimming Hall of Fame Honour Administrator
* Indonesian Swimming Federation, , International Marathon Swimming Hall of Fame Honour Organisation
* Elizabeth Fry (U.S.A.), International Marathon Swimming Hall of Fame Honour Swimmer
* Pádraig Mallon (Ireland), the 2013 World Open Water Swimming Man of the Year
* Olga Kozydub (Russia), the 2013 World Open Water Swimming Woman of the Year
* Bering Strait Swim (international team), the 2013 World Open Water Swimming Performance of the Year
* International Ice Swimming Association (Ram Barkai, founder, South Africa), the 2013 World Open Water Swimming Offering of the Year
For additional articles on the 2014 Global Open Water Swimming Conference, visit:
* Olga Kozydub To Be Honored In Scotland
* Pádraig Mallon To Be Honored In Mount Stuart Castle
* Mount Stuart House, Splendid Setting For Swimming
* Colleen Blair To Kick-off Global Open Water Swimming Conference
* The Man Who Swims Better Than He Walks
* Joining In The Sea Goddess At The Hall Of Fame
* Mercedes Gleitze To Be Honored In Scotland
* The Incredible Career Of Merceded Gleitze
* Jon Erikson To Be Honoured In Florida
* The Incredible Career Of Mercedes Gleitze
* St Ninian's Bay To Host International Swim Conference
Copyright © 2014 by World Open Water Swimming Association
Swim Across the English Channel...
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Open Water Swimming Magazine
Open Water Swimming MagazineThe Open Water Swimming Magazine is the monthly magazine entirely focused on open water swimming heroes and heroines of every age, ability, and background. Published by the World Open Water Swimming Association, the Open Water Swimming Magazine is a free benefit to WOWSA members.
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The Other Shore
The Other Shore follows world record holder and legendary swimmer Diana Nyad as she comes out of a thirty-year retirement to re-attempt an elusive dream: swimming 103 miles non-stop from Cuba to Florida without the use of a shark cage. Her past and present collide in her obsession with a feat that nobody has ever accomplished. At the edge of The Devil’s Triangle, tropical storms, sharks, venomous jellyfish, and one of the strongest ocean currents in the world, all prove to be life-threatening realities. Timothy Wheeler’s documentary brings Diana Nyad’s extraordinary adventure to life as Diana sets out to prove that will and determination are all you need to make the unimaginable possible.
2014 Open Water Swimming Almanac
An Almanac for Open Water SwimmingAn almanac is essentially a body of knowledge which is so complete that it enables people in different fields to make predictions about the future of their respective industries.
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