– UTAH LICENSED EMS · • UTAH CODE 53-2D-210 COMPLIANT · • 24-HOUR DISPATCH
info@guardianmedx.org | DISPATCH: (801) 332-0012 option 2
High-volume patient contact is the defining challenge of endurance events — hundreds of runners, thousands of crowd, heat injuries, cardiac events. Guardian MedX covers 5Ks, road marathons, trail ultras, and obstacle events (Spartan, Tough Mudder, Rugged Maniac style) with ALS-led, physician-directed coverage.
Endurance events are uniquely demanding: a 5K has a narrow 40-minute acute window, a marathon generates hundreds of minor patient contacts plus a handful of critical cardiac and heat emergencies, and obstacle events add trauma to the heat-and-dehydration profile. The response system has to scale.
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Sudden cardiac events spike at finish lines. ALS with AED and rapid defibrillation at finish is the lifesaving baseline.
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Summer races produce mass heat illness. IV rehydration, cooling protocols, and active crowd monitoring required.
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Hundreds of contacts in hours. Triage, patient flow, and documented aid station throughput determine outcomes.
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Race organizations and USATF-sanctioned events require specific medical documentation. Our ePCR and AAR satisfy these requirements.
The event profile here demands a specific combination of speed, clinical capability, and event-literate personnel. Here’s where most vendors fall short.
A mid-size marathon generates 200+ medical contacts in under 4 hours. Without a patient flow system and triage protocol, aid stations collapse and critical cases get missed.
One of the highest cardiac-event rates of any event type. AED placement, rapid response, and ALS capability at the finish line is not optional — it’s where lives are saved.
Spartan / Tough Mudder-style events add wet, muddy, awkward-landing trauma. Lacerations, fractures, aspiration. Clinical capability has to match the course.
Every engagement runs through the same four-stage protocol — translated specifically for this event type. Every stage produces a document your team and your underwriter can read.
Course map review. Aid station placement optimized for risk. Hospital capability mapping. Heat index and weather protocol activation thresholds set.
ALS + AED at finish line. BLS team staffing by race size formula. Aid station placement every 2 miles (road) or 3 miles (trail). Mobile UTV rover for remote sections.
Race HQ medical liaison. Hospital pre-notification for anticipated transports. Radio channel integration with race marshals. Physician-authored heat and cardiac protocols active.
Every patient contact in ePCR. Aid station throughput tracked by hour. AAR with trend data delivered within 24 hours. Race-specific insurance documentation provided.
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Trail ultras, backcountry marathons, remote course sections. W-EMT and W-Paramedic on roster for any race that leaves pavement.
ACLS, PALS, PHTLS. ALS Paramedic at finish line with active AED and defibrillation capability. This is the line between saved and lost.
Physician-authored heat illness protocols. IV fluid resuscitation on course. Active cooling in GMMC. Essential for summer racing.
Spartan / Tough Mudder / Rugged Maniac course familiarity. Mud-aspiration protocols. Wet extrication. Impact-injury assessment.
For events with water crossings or open-water segments. SRT-certified responders available on request.
Obstacle event falls produce concussion risk. Standardized sideline assessment. Return-to-course or medical-hold decisions documented.
Aggregate totals across our book. Individual engagements served under confidentiality are not named here.
Our previous vendor would have called 911 and waited. Guardian MedX treated and recovered the patient in under thirty minutes. The runner sent us a handwritten thank-you note two weeks later.
What I appreciate most, beyond the medicine, is that they understand the culture of ultrarunning. They do not pull a runner off the course unnecessarily, but they will not allow a runner to continue when continuing would be dangerous, and they make those calls with a steady judgment that runners and crews respect
1,200 registered runners across marathon, half-marathon, and 5K distances. Arsenal deployed: ALS Paramedic team at finish with two AEDs. Six aid stations with BLS responders. GMMC at start/finish as treatment hub. Scout UTV for course sweep. Scout dirt bike for remote trail sections. Advanced Clinical credentials on every deployment. Total 47 patient contacts logged, no transports required.
Guardian MedX maintains familiarity with the medical coverage requirements of every major governing body in this vertical.
Risk-tier dependent. Guardian MedX uses a formula based on registered runners, heat forecast, course profile (road/trail), and cardiac screening. Baseline for a 2,000-runner marathon: 1 ALS team at finish + 1 BLS team per aid station + mobile UTV rover + GMMC treatment hub. We’ll provide exact staffing in our PEP.
Yes. Guardian MedX operates under an in-house Emergency Physician Medical Director — the same model used by municipal 911 systems. Clinical protocols are owned and maintained by a licensed emergency physician. Utah raised the bar in May 2025; we already meet the full standard, and the audit trail is handled so you don’t have to manage it.
Yes. Obstacle events are a specific specialty. We have course-familiarity with all major obstacle brands, mud-aspiration protocols, wet extrication gear, and the clinical capability to handle the trauma-plus-heat combination these events produce.
Yes. Guardian MedX deploys AEDs with every BLS team. Finish-line ALS has additional defibrillation capacity. AED battery and pad expiration tracked as operational KPI. Usage documented in ePCR.
Physician-authored heat protocols. IV fluid resuscitation on course. Active cooling at GMMC (chilled fluid, cold pack application, ambient cooling). Race control gets real-time heat illness contact counts so pace / cutoff decisions can be made with data.
Yes. Our standard PEP and AAR formats meet USATF and RRCA medical coverage documentation standards. Additional sanctioning documentation available on request.
Tell us about your race. We’ll build coverage that scales to your volume.
We'll be in touch within one business day to discuss your event and the coverage tier that fits.