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  1. Home
  2. Optimizing Clinical Risk Management Through Motorcycle Emergency Response: A Three-year Retrospective Study Of The Khon Kaen International Marathon In Thailand.
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  2. Optimizing Clinical Risk Management Through Motorcycle Emergency Response: A Three-year Retrospective Study Of The Khon Kaen International Marathon In Thailand.

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Optimizing Clinical Risk Management Through Motorcycle Emergency Response: A Three-Year Retrospective Study of the

Korakot Apiratwarakul1, Lap Woon Cheung2,3, Chatkhane Pearkao4

  • 1Department of Emergency Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

Risk Management and Healthcare Policy
|September 3, 2025

View abstract on PubMed

Summary
This summary is machine-generated.
Keywords:
emergency medical servicesmarathonmotorlancepatient safetyresponse timerisk management

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Motorcycle ambulances (motorlances) improved emergency response at marathons, showing increased use and faster response times. Over 90% of treated runners could continue racing, highlighting effective prehospital care.

Area of Science:

  • Emergency medicine
  • Sports medicine
  • Public health

Background:

  • Large-scale sporting events like marathons require robust emergency medical services.
  • Traditional ambulance services may face challenges in reaching participants quickly in crowded event settings.

Purpose of the Study:

  • To evaluate the effectiveness of motorcycle ambulances (motorlances) in providing emergency medical response during the Khon Kaen International Marathon (KKIM) from 2023 to 2025.
  • To assess improvements in response times, clinical interventions, and patient outcomes with motorlance utilization.

Main Methods:

  • A retrospective analysis of emergency medical service (EMS) data from three consecutive KKIM events (2023-2025).
  • Data collected included EMS operation intervals, clinical interventions, and patient outcomes from patient care documents.
  • Statistical analysis involved comparative year-over-year assessments using IBM SPSS, with chi-square tests for categorical variables (p<0.05 significance).
  • Main Results:

    • Motorlance use increased significantly from 25 cases in 2023 to 65 in 2025 (p=0.011).
    • Mean response times remained consistently rapid (5.3-5.6 minutes).
    • Advanced interventions, like IV glucose and pain management, rose from 0% to 23.1% (p=0.010), with increased scene time (8.2 to 18.6 minutes, p<0.001).
    • Over 90% of patients treated by motorlance were able to resume racing.

    Conclusions:

    • Motorcycle ambulances significantly enhance emergency medical response efficiency at large marathon events.
    • Increased motorlance utilization, rapid response, and advanced interventions demonstrate improved prehospital care capabilities.
    • The high rate of return to racing post-treatment confirms the efficacy of motorlance interventions in marathon settings.