Archive for Sports Blog

10K Time Trial Results: May 11th

10K Time Trial

Tailwind! Something we’re not used to on this time trial course. Although we’re accustomed to copious amounts of wind in Kansas, someone described tonight’s breeze as “weird.” We like that kind of weird on race night.

Tonight’s mini-clinic covered gear choice for the start line presented by Mark Thomas. Scott Sifferman gave insight on his wind-tunnel experience, and Mike Harrison reminded us to pay attention to pedal stroke technique. Thank you all for sharing your knowledge. Thank you to all the racers for the fun and competition!

Appreciation goes out to Mark Thomas for being our holder, Roger Harrison for the race bib numbers, and Jeff Englert for the safety signs.

13:00Scott Sifferman
13:26Steve Wathke
13:50Craig Henwood
14:32Chris Formen
15:16Neil Malone
15:30Mike Harrison
15:33Chuck Procner
16:08Teresa Jarzemkoski
16:19Kathy Johnson
17:53Gene Lamb
18:41Art Berger

View From the Pace Car

Tour of Lawrence at Haskell Indian Nations University, this is a short clip of the Men’s Masters 40+ and 50+ race.

Medicine of Cycling: Head Injuries

Head injuries, compared to upper extremity and skin injuries, occur less frequently in cycling accidents; however they can have more serious consequences for the rider. Helmet improvements in both protection and comfort has vastly improved along with the attitudes of wearing helmets to the point where riders will chastise each other to comply. Sanctioned racing and bicycle events have mandatory rules requiring helmets to participate making the practice routine. Still, injuries do occur and should be ruled out because too often riders are allowed to continue to ride. The professional cyclists we see in the races set the tone for the amateur and recreational cyclists.

From Dr Mark Greve, MD, team doctor for pro cycling team Novo Nordisk: 
Generally, so long as a rider is willing and able to get back on his bike, he is permitted to ride. Even riders rendered unconscious, so long as they wake up, will be allowed back on the bike by many physicians. While this is still permitted, it is likely to change very soon —because it’s crazy. Lacking leadership from organizing bodies, groups tasked with providing medical coverage, such as Medalist Sports, have permitted their physicians to use standardized treatment algorithms for assessing neurologic injuries in cyclists. Of all the injuries one could have, traumatic brain injury (TBI) is one of the most serious, more common, and hardest to diagnose. Loss of consciousness is far from the best test for neurologic injury. Of the most severely injured riders, those with major TBI, it’s unlikely they will be awake and alert for long. For these riders, the clock has started. Every step in their care carries with it the critical outcomes of life and death, disability and recovery.

High energy crashes such as fast down hills, road races, or with motor vehicles increase the chances of injury. The nature of how the rider crashes such as going over the handle bars is a clear warning sign. Such a collision does not dissipate the energy before the head makes contact with the ground which increases the chance the rider will hit head first before the rest of the body, taking the full force of the energy into the skull.

MIPS helmet impact deflection.

MIPS helmet impact deflection.

In a side collision, the the legs, shoulders, and back will absorb the energy first, before the head makes contact to the ground and lessens the energy transference to the skull and brain. Going over the handle bars or has some say, “doing an endo,” prevents the rider getting arms out taking the brunt of the blow. Spinal injuries of the neck should be a high concern.

A broken helmet, or a laceration and bleeding to the head, and loss of conscious is a clear sign energy transference occurred to the skull which requires further medical assessment. Any complaint of neck tenderness should be taken seriously. These are usually clear to the layman bystanders and fellow riders to either call EMS or get the rider taken to ER as soon as possible.

More studies are showing lower impacts can have an effect on the brain and should be taken into consideration. Attached is a tool the Medicine of Cycling™ medical committee developed. This flow chart helps event organizers know how and when to intervene for medical evaluation or when to let the rider continue the event. The first people on scene of a bicycle accident are usually fellow riders or event volunteers. This flow chart tool works much better than asking the rider how many fingers you’re holding up in front of their face!

Click charts to enlarge:

           MoCtbi MoCsx concussion card

These charts are a good item to keep in first aid kits or as a handout to volunteers for guidance. Do not assume your volunteers will use good judgement. Volunteers are not screened and may have no medical background. Locally, we had a case this year where an 18-year-old male racer crashed on the pavement, with bleeding to the head, his helmet was cracked, and sustaining a shoulder injury. The volunteer of the wheel car ask if he was alright and left him to be picked up by his father from the finish line. Injury always supersedes the duties to provide spare wheels to riders.

Race directors and event planners who do not have a medical plan in place are only giving lip service to providing a safe race for participants. Risks are part of cycling but should be minimized at every level by providing EMS personnel, a plan to call EMS and when to call EMS or transport person to local hospital. The plan will depend on the size of each event.

If an injury occurs during a race or event, it would be good to have it documented to help cover expenses if follow-up is necessary. MRI and CT scans are usually ordered to look for signs

of traumatic head injury. At an event sanctioned by USA Cycling, an injured rider fills out a First Report of Occurrence form, or someone can get it started for them if they are unable or need to be transported quickly. The Chief Referee and/or Race Director will have these forms on hand which should be signed and dated by the Chief Ref or Official. This is the beginning of the documentation process for a sanctioned event.

In any assessment, it would be ideal to know the medical history, look for medical bracelets or interview bystanders or other riders what preceded the accident. Medical condition could be the underlying reason for the crash. Seizure disorder or diabetes leading to hypoglycemia could be the initial cause of the crash as the rider loses cognitive ability.

The MIPS liner in a Lazer brand bicycle helmet. Photo credit: Lazer Sport

The MIPS liner in a Lazer brand bicycle helmet.
Photo credit: Lazer Sport

The technology in helmet design and head injury prevention continues to move forward. A new helmet system emerged in the pro ranks called the MIPS® Brain Protection system which is now available in many brands of helmets. MIPS® is an acronym for Multi-directional Impact Protection System. In a helmet with MIPS®, the shell and the liner are separated by a low friction layer. According to the company, MIPS AB, “When a helmet with MIPS Brain Protection System is subjected to an angled impact, the low friction layer allows the helmet to slide relative to the head.”

The link below provides videos and demos. The MIPS® system is currently offered in ski and bicycling helmets. Wearing correct equipment, a good medical plan, and using effective assessment tools can reduce the severity of head trauma.

About the Authors:
Paul Engler, BSN, RN has been working in medicine for 25 years. A cyclist for more than 30 years, he has enjoyed riding for recreation, racing, and gravel grinding. Paul is a member of the Lawrence Bike Club, Kaw Valley Bike Club, Medicine Of Cycling, and USA Cycling.

Gina Poertner, CHES, is the founder of Life Balance Sports specializing in bike fitting, soft tissue mobility, and adapted sports. Gina has trained athletes from beginner to elite for 25 years and is a USA Cycling official. Find out more at

Medicine of Cycling: Road Rash

By Paul Engler, RN, BSN

Cycling has many health benefits. However, there is always a risk of injury or medical issues. As a cyclist, a nurse and event volunteer, I find myself helping injured cyclists, doing medical assessments and giving treatment. I wanted a new resource to educate myself on injuries, prevention, improving care and educating the public. My solution was to attend the yearly conference in Colorado Springs presented by Medicine of Cycling™. It turned out to be wonderful resource for medical professionals who are involved in the sport. The Medicine of Cycling™ mission is prevention of crashes with injuries and rehabilitation with performance to help cyclists across the country get better care and help them achieve their goals.

This organization is affiliated with USA Cycling and is made up of a panel of sports doctors from around the country and teaching universities. Professional team doctors from Cannondale Garmin and Team Type 1 sit on the panel and were present and ran lab simulation. They were excellent teachers and presenters. If you’re a bicycle racer, USA Cycling would be familiar as the organizing and sanctioning body for bicycle racing in the United States. MOC looks at evidence-based research and methods to treat or prevent cycling related medical problems. This year’s focus covered a number of areas with experts across the nations. If you are wanting to know more, see the MOC website

This is the first of a few articles on what I learned at MOC and I hope you find interesting and useful. I shall keep them brief and to the point and start with the least serious to the most serious injuries to follow in the coming months. Most crashes will have abrasions or lacerations. Studies at the this conference showed around 60-70% of all injuries from the skinned knee of a child to the full body road rash of the back, shoulder, hip and knee of the crit racer. “Road rash” is the common term and the most common injury, and is very painful.

Event planners  such as race directors or large ride leaders can stock up their first aid kits. Clubs and race teams should keep a well-stocked first aid kit in their trailers. It’s a nice service to add to a rider’s membership. Also make sure they are covered under the club’s or USAC insurance policy and get the paperwork filled out. It’s best to buy supplies on online as the selection is greater and the cost is affordable. A formal medical plan should be part of your event to respond and treat injured cyclists.

Road Rash Treatment
This is assuming bumps and bruises with minor swelling, no fractures, lacerations or head injuries which have been well ruled out. If you have more serious injuries, road rash issues are the least of your worries. If any doubts have them driven to urgent care or activate EMS.

1. Dirty wound with possible contamination? Gravel, glass, cow poop (this happened in the Dirty Kanza gravel ride this year leading to secondary infection) or wet, slippery, muddy conditions increase the risk for infections. Elbows and knees are more at risk as the organism will get inside  the bursa of the joint where it can grow and is not easily washed out. Go to step 2 for a dirty wound. If NOT, skip 2. and go to step 3. Hydrogen Peroxide is very good at killing germs but it kills live tissue as well so you need to use good judgment.


For a cow poop wound while on gravel or trail, scrub the wound bed really well. Mountain Bikers get into dirt and rocks. Goose poop may be found on lake trails. With wet, slippery, or muddy pavement, a cyclist will lose traction and fall down.

2. A. Irrigate with normal saline or store bought bottled water. Normal saline reduces some of the sting while washing out a wound.

B. Use sterile scrub brush with hydrogen peroxide and scrub out wound and remove all foreign bodies.

A medical sterile scrub brush is used to get the grit out.

A medical sterile scrub brush is used to get the grit out.

Hate to say it but it’s going to hurt a lot. However, a $1500.00 day hospital bill while they treat you for infection for not cleaning out the wound properly is going to hurt more. If you cannot get all the crud out, go to the ER as they have tools such as VERSAJET hydro-surgery system which enables a surgeon to precisely select, excise and evacuate nonviable tissue, bacteria and contaminants from wounds and soft tissue injuries. Stronger anti-infectives and antibiotics can be prescribed with sedation to reduce the pain of the procedure.

4. Pat the wound dry and use triple antibiotic cream, then a
non-stick bandage such as Tegaderm. This provides a good barrier and healing environment. You can buy BSN Tegaderm on the internet in rolls to place in club or first aid bags.

5. For the second layer, apply a tegaderm4×4 gauze over Tegaderm as padding and base for final compression layer.

6. Compression bandages are used to hold the bandage in place. Shoulders, elbows and knees are hard areas to hold the bandage in place. Cover-Roll® Stretch is good product to use on shoulders as well as general areas of the forearm. Coban can be used as well. These products come in rolls to be cut to length and can be kept in first aid bags. Cover-Roll® Stretch runs about $10-$14 dollars a roll. The sock or tube bandages are very nice too. Either place over the CoverRoll or over the gauze as shown below.


Removal is done in the shower. The bandage will fall off easier with minimal sticking to the wound causing less discomfort. Wash the wound out gently and with shower water and then allow drying and re-bandaging starting with step 4 above.

Signs of infection include increased pain with swelling redness or streaking, yellow or white drainage, or not healing. Go to urgent care or doctor for assessment. Crashing in wet conditions increase the risk for secondary infection on knees and elbows. Infection may lead to hospital admission so it’s good to catch early. If you are a race or event director, send extra bandages in a plastic bag with the person to take home till they can get to the drug store or their doctor.

Paul Engler, BSN, RN has been working in medicine for 25 years. A cyclist for more than 30 years, he has enjoyed riding for recreation, racing, and gravel grinding. Paul is a member of the Lawrence Bike Club, Kaw Valley Bike Club, Medicine Of Cycling, and USA Cycling.

Peer review by Gina Poertner, CHES.

10K Time Trial: Results for July 9th

The forecast for T-storms gave way to a perfect night for a time trial. Thank you to all the riders who made the evening fun and competitive. Mark Thomas of returned as our holder, and Sarah Anderson as our official. Bib numbers were supplied by Roger Harrison of Lanterne Rouge Racing. A few of our “regulars” were missed on the course, they are competing this week at the National Senior Games in Minnesota, we wish them the best of luck!

11:57   Alex Hoehn
12:57   Craig Henwood
13:23   Luke Hall  (non-aero Merckx style – nice work!)
13:38   Bob Ades
13:41   Lane Johnson
13:51   Jeff Peters
14:20   Brendan Sheehan
14:22   Jeff Jensen
15:39   Roger Edgar
15:40   Teresa Jarzemkoski
16:06   Donna Stevens
16:08   Jon Koeller
16:27   Gene Lamb
21:30   Seth Wisdom

10K TT Tonight

Time Trial in Gardner tonight, first rider takes off at 6:30pm.
Weather looks good for race time. Allez!
See the Race Flyer for details:

New Venue for Tuesday Night Worlds

TNW 2014 is on… and we have an off-street venue!

We will be racing in the ancillary parking lots at Church of the Resurrection in Leawood. The connected lots give us options for different course layouts. With minimal traffic we can focus on RACING. There will be one section that is an access road, but traffic should be minimal.

Schedule and updates coming soon.

The 10K Time Trials are also in the works. Watch here for dates. The TT’s will be on the traditional course in Gardner.