Information to Provide:

• Your/Rider’s location
• Rider’s bib number
• Nature of illness
• If rider’s bicycle needs to be retrieved

If needed, utilize other riders and support members to help with traffic control and scene safety.

Remember, emergency contacts and allergy information can be found on the back of a rider’s bib

Scene Safety

• Ensure scene is safe for all
• Get help from other riders
• Contact Cascade Support if minor injuries

Call 911 if:

• obvious major injuries,
• broken helmet,
• loss of consciousness,
• profuse bleeding or
• obvious deformities

Scrapes, abrasions, “road rash”, sprains

Treatment of bleeding injuries

• Remove any fabric from injured area
• Encourage rider to irrigate wound and wash away any visible debris. (Use rider provided water if available. SAG can refill water bottles.)
• If available: gently apply Triple Antibiotic Ointment, (carefully not to cause more bleeding).
• Apply gauze or Telfa (non-adherent dressing).
• Secure dressing with tape or Ace bandage
• Have SAG transport rider to next major rest stop with a medical tent
• If major injury: Call 911
• Pack-out bloody materials in plastic bags

• Wear medical gloves
• Cover bleeding wound with gauze
• Apply direct pressure
• If bleeding persist, apply new gauze pad on top of old gauze.  Do not remove old gauze pad.

Continue Direct Pressure to the injury until additional help arrives

Symptoms:

Treatment

• Severe pain at site of injury
• Swelling
• Visible deformity (closed or open skin, stepped-down shoulder)
• Bruising
• Possible numbness/tingling to extremity

• Call 911, rider needs to seek medical treatment at a hospital
• Immobilize the arm and shoulder by having the rider hold the arm close to their body with the other arm
• If available, place arm in a sling & swathe/unzip jersey hand in
• Gently apply ice to injured area
• Monitor rider’s alert status till EMS arrives
• If possible, obtain witness/bystander statement

Assess Level of Consciousness

Keep cyclist still /immobilize neck

• Ensure scene is safe for all
• Assess rider for alertness and orientation

• Person
• Place
• Time/Event

• Rider should be able to talk and answer questions appropriately
• When in doubt contact Cascade Support for assistance
• Call 911 if rider is unconscious or experienced a loss of consciousness
• Call 911 if rider appears confused, altered or “in and out” of consciousness

• If rider is lying down, move only as necessary for safety
• Support rider’s head, remove helmet, supporting neck, assess for head injury
• Only move if in danger, drag by armpits or feet inline with spine, support neck.
• If vomiting occurs, gently turn rider onto their side, moving head and shoulders together (to maintain stability of neck)
• Assess helmet for damage
• Obtain witness reports of events leading up to accident
• Have witnesses stand by till EMS arrives

Mild dehydration:

• Feeling thirsty
• Headache
• Dark, yellow urine
• Dizzy or lightheaded
• Feeling tired
• Dry lips mouth or tongue

Severe dehydration:

• Weak, rapid pulse
• Change in mental status
• “Sunken” appearance around the eyes
• Excessive tiredness (lethargy)
• Dry skin
• Unsteady walking
• No urine in 3-hour period

Treatment: rehydration

• Move the rider into a shady area
• Replacement drink with electrolytes (such as Gatorade) –not water alone
• Rest, cease physical activity
• Cool down if needed

Severe cases require IV fluid replacement. Call 911 if: severely altered mental status, unable to stand or walk in a straight line, weak pulse.

Rider may present with:

Treatment: cool down and hydrate

• Abdominal cramps
• General muscle cramps
• Flushed (red) moist skin
• Dizziness
• Heavy sweating
• Nausea or vomiting
• Tiredness or weakness

• Move to shady area
• Drink water/sports drink
• Eat snacks with carbohydrates, like bananas or granola bars
• Massage cramping muscles
• Apply ice to muscle cramps

Rider may present with:

Treatment: cool down and hydrate

• Dizziness
• Blurred vision
• Confusion
• Headache
• Vomiting
• Rapid, shallow breathing
• Severe or excessive sweating
• Cold, pale or moist skin
• Fever - hand to back of neck

Same treatment as heat cramps:

• Move to shady area
• Drink water/sports drink
• Eat snacks with carbohydrates, like bananas or granola bars
• Massage cramping muscles
• Apply ice to muscle cramps

Rider may present with:

Treatment: Cool down and hydrate, EMS

• Warm, DRY skin (sweating has stopped)
• Rapid heart rate
• Confusion
• Agitation
• Lethargy
• Nausea/vomiting
• Rapid heart rate
• Fever >104 (very high fever)

• Call 911
• Move to a cool shady place
• Loosen clothing
• Drench skin with cool water
• Place ice bags on the armpits and groin areas

Assessment:

Treatment:

• Ask/Check rider if they have Diabetes or take medication to treat diabetes
• Check rider for RoadiD or medical alert bracelet for underlying condition.
• In mild cases:

• Confusion
• Lethargy
• Fatigue

• In Severe Cases:

• Vomiting
• Seizures

• Differentiating: hypoglycemia usually starts with headache, while confusion can be an early sign of hyponatremia.

• Hyponatremia

• Offer salt/electrolyte tablets
• Drink sports drink (like Gatorade). Don’t guzzle as this could cause vomiting.

• Hypoglycemia

• Eat carbohydrates like crackers or protein bar
• Slowly drink juice or non-diet soft drink
• coach to measure sugar

• Call 911 if rider shows signs of vomiting, seizures, or loss of consciousness

Rider may present with:

Treatment

• Nausea
• Headache
• Fatigue
• Fever
• Fast breathing
• Muscle cramps
• Shivering

• If rider begins to shiver cover them with a mylar space blanket

• Get out of the sun
• Remove any fabric from injured area
• Apply cool compresses to help reduce inflammation and discomfort
• Apply aloe vera to affected area
• Stay hydrated
• Over-the-counter Ibuprofen or Aspirin may be taken to reduce pain and redness
• If blisters are present or form, leave them alone and seek medical attention
• Burn may be covered with loose fitting clothing or bandages

Rider may present with:

Treatment:

• Skin changes color
• Skin may itch, sting, burn, or feel like “pins and needles”
• Skin may sting or swell, become hard and may look shiny or waxy
• Skin may be completely numb, and it may be difficult to move
• Rider may lose all sensation in the frostbitten area, and joints and muscles may stop working

• Get to a warm place and remove any wet clothes
• Don't rub or massage the area because this can cause more damage
• Put the frostbitten area in warm (not hot) water. If you don't have warm water, rewarm the area with body heat (i.e. have rider place frostbitten fingers in their armpit)
• Encourage rider to move the affected body part as it thaws

Call 911:

• If rider develops skin color and texture changes, pain, numbness, or blisters
• Show signs of hypothermia, such as intense shivering, slurred speech, drowsiness, and loss of coordination

Symptoms

Treatment

Asthma flare-up:

• Wheezing or difficulty breathing
• Frequent coughing
• Fast breathing

Seasonal allergies may look like:

• Red, swollen or itchy eyes
• Coughing, sneezing

• Check rider’s wrist/ankles for RoadiD
• Ask rider is they have asthma and if they have their inhaler with them, and have them use it
• Contact Cascade Support for assistance
• Call 911 if symptoms persist or worsen

A severe allergic reaction may present with:

Treatment

• Red blotchy skin rash
• Difficulty swallowing or swollen tongue
• Wheezing
• Tightness in the chest

Check rider’s wrist/ankles for RoadiD

If suspected allergic reaction ask rider if they have an Epi Pen and have them use it

Call 911 even if epi pen administered.

Signs of Chest Pain and Potential Cardiac Event:

• Pressure or tightness in your chest
• Shortness of breath
• Sweating
• Dizziness
• Nausea
• Anxiety
• Back or neck pain
• Pain radiating down the left arm
• Jaw Pain (late sign)
• Women will sometimes present with severe abdominal pain

Call 911:

        This is a medical emergency