Race Day Medical Information

Medical Information Provided by

Dr. Mark Westfall
Dr. Mark Westfall
Fox Cities Marathon Medical Director

Course & Finish Line Medical Stations

We are here for your safety and medical needs while you participate in the event with dozens of Fox Cities Marathon medical volunteers in red shirts with a white cross. Look for these volunteers at on-course medical stations; patrolling the course on bicycles, motorcycles and ATVs; and at the Finish Line. 

To assist our volunteers and medical personnel in providing you with fast and appropriate medical attention. Complete your emergency contact information and medical conditions or allergies on the back of your bib for quick access by non-emergency personnel.

Impaired Runners Policy

Our medical personnel reserve the right to remove any competitor deemed medically impaired or medically unsafe to finish the race. Impairments may include disorientation to person, place and time or difficulty running in a straight line with proper positioning. Our number one concern is your safety!

It’s for Your Safety!  

We are dedicated to providing a safe environment on race day. Below are some tips to keep you healthy and help you reach your running goals.  

  • Complete your emergency contact and medical information on the back of your bib. Also include any medical conditions, medications or allergies.
  • Do not participate if you are feeling ill or have recently been ill. This includes Covid-19 symptoms and other symptoms such as diarrhea, vomiting, chest pains, or fevers. Running if you are not well poses a significant risk to your health and is unfair to yourself, your family, and the event support staff because it creates medical emergency situations during or after the race.
  • Start the race well hydrated. Your urine should be pale yellow (the color of lemonade). Get plenty of rest, avoid alcohol, and try to stay cool in the days leading up to the race.
  • On race day, be aware of your fluid intake. Be certain to drink a mixture of electrolyte solutions or sport drinks as well as water. Try to avoid drinking only water. Your goal is to drink enough to replace fluid losses from sweating. Thirst is the best guide to how much you should drink. When in doubt, drink 3-6oz (about ½ cup) every 20 minutes. After the race, consume water and electrolyte drinks until your urine is pale yellow.
  • In hot or humid weather it is important to prevent overheating by staying hydrated, wearing a hat and a light-colored, mesh top which breathes. In extreme conditions you may need to slow your pace, walk, or withdraw from the competition.
  • Dress appropriately in cool or wet weather. Wearing a hat and gloves will prevent heat loss. A polypropylene top as a base layer will help wick moisture away from your skin and will help to keep your body warm.

We will be using and providing you guidance through a color-coded Event Alert System on the course to inform participants of the current course conditions. Please watch for alerts and follow the instructions of all race officials.

Cold Stress

Cold weather brings the danger of hypothermia. Hypothermia is the lowering below normal of the central or core temperature of the body. As the temperature falls, the body responds with shivering, which is the muscle’s attempt to produce heat. If not attended to, you could become incoherent and then lapse into a coma, even die.

Follow these guidelines for racing in the cold:

  • Dress in layers that can be easily adjusted. The innermost layer should be non-absorbent (moisture wicking) and non-irritating, such as polypropylene.  The second layer is usually insulating, such as fleece. The outer shell is usually designed to break the wind, such as Gore-Tex.
  • Keep extremities covered (mittens, cap, and coating face with petroleum jelly).
  • There is great danger in not only under dressing, but also in overdressing. You should open up your clothing as soon as sweat starts to build up.  You will get cold much more quickly in sweat soaked clothing.
Medical member helping runner.

Tips for Race Day

  • During the race, drink fluids along the route and extra when you are thirsty. It is very important to drink extra in hot weather. If race conditions are YELLOW, I would recommend drinking fluids at every water station.
  • Do not take any product with “ephedra” in it race day as this increases your risk of heat illness.  
  • Stay away from dehydrating agents such as cold medications, anti-diarrhea products, sinus medication and caffeine, which all can lead to dehydration.  
  • It is recommended that you avoid anti-inflammatory medications from midnight of race day and 6 hours post-race. Only after you have been able to drink without any nausea or vomiting, have urinated once, and feel physically and mentally back to normal would an anti-inflammatory medication be safe and beneficial in preventing post-event muscle soreness. 

Finish Line Tips

During the race, blood has been redirected to working muscles in your legs and away from internal organs.  It’s important to continue walking after you finish your race for about 20 minutes to allow the body to re-balance your blood supply. Otherwise you may feel nauseous (not enough blood flow to the stomach) or dizzy and weak (not enough blood flow to the brain).  

Continue to replenish fluid by hydrating with water, sports drinks and electrolytes solutions.Drink fluids slowly at the Finish Line as your body is able to tolerate without feeling nauseous.  In addition, as you’re able to tolerate them, eating salty foods such as pretzels and bananas will also help replenish salt stores in your body.

Our medical staff is here to help so please seek us out at the Finish Line if you have any questions. GOOD LUCK and HAVE A GREAT RACE!

Covid 19 Safety information

Your safety has and always will be a top priority. As we all have been navigating COVID-19 pandemic procedures, we have learned creative ways to stay healthy and come together as a community. With that in mind, we are planning to implement several COVID-19 Safety Protocols for our 2021 in-person events that focus on social distancing, mask/face coverings and good hand hygiene. These are subject to change as we work with local officials, public health officers and medical partners.

Please watch our App and website for the most updated and complete guidelines at