Medical Guidelines

Runner safety is a primary concern at all of our races. The marathon, a true test of endurance, requires preparation and planning by runners and event medical personnel. 

We work closely with city and state health and emergency service agencies to ensure we have medical staff and qualified volunteers in place at the start, throughout the course, and at the finish. These personnel are ready to respond immediately to the medical needs of runners, spectators, volunteers, and staff. 

We advise all participants to follow these precautions in order to have an enjoyable and stress-free experience:

  • Respect the marathon distance: Take part in the event only if you are properly trained and physically prepared to complete the full distance.

  • Respect your health: Consider consulting with your physician when planning to participate in our event.

  • Respect your body: If you are injured or experience any symptoms of fever, weakness, diarrhea, or vomiting prior to the event that could prevent you from being physically prepared to run 26.2 miles, we recommend that you consider not running the TCS New York City Marathon.

  • Respect your routine: Do not make any major changes to your training and hydration in the days leading up to the race. On race day, a simple rule is "drink to thirst." Drink both water and sports drinks to stay hydrated and maintain sodium levels. Don't wear new running shoes for the first time on race day.

  • Respect the weather: Pay attention to the forecast and dress for the conditions. Layer, but do not overdress. You want to feel slightly chilly when you start running.

If you experience any feelings or symptoms that seem very different than you expect, seek the attention of our medical staff and volunteers at the start, along the course, or at the finish. Review the course map and be aware of the locations of medical stations. Every medical station has water, sports drinks, toilets, medical facilities, and access to transportation vehicles in the event that you are unable to complete the race.

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