大会中の事故と自己管理（英文）

ACCIDENTS IN THE TRIATHLON RACE AND ITS PREVENTION
Chief of JTU Medical Comittee
Introduction
I’m going to mention about accidents occurable in the triathlon race and its personal prevention, showing accidents occurred past triathlon races in Japan.
【SWIM】
Swim of the triathlon race take place in the nature, the river, the lake or the sea. So swim is influenced by the weather condition(water temperature, wind, wave, current), but personal condition is also important. Accident in the swim has a tendency to become serious accident(death accident), so personal management of body condition is important. In Japan the death accidents in the swim part of the triathlon races have occurred ten times and eleven athlete died in the race.
1.Hypothermia
Immersion syndrome---bradycardia or severe arythmia due to vagal reflex, following to loss of consciousness.
2.Hyperventilation before entrance of water
Hyperventilation-submersion syndrome
3.Acute balance disorder due to intrapyramidal bleeding
4.Sudden attack of basic disease
【BIKE】
1.Head and neck injury
Fructure of skull, Basal fructure, Cerebral contusion, Cervical spinal cord injury, Chronic subdural hematoma
2.Injury of intraabdominal or intrathoracic organs
3.Spinal cord injury
4.Bone fracture
5.Abration
【RUN】
In Japan the death accidents in the run part have occurred four times. Severe heat stroke is followed by multiple organ failure.
1.Heat syndrome(or Dehydration)
Heat cramps → Heat exhaution → Heat stroke
2.Rhabdmyolysis
Myoglobinuria → Acute renal failure