Medical Training

We are pleased to make this series of medical training videos available through collaboration with the Ultra Medical Team .  This approximately 3-hour on-line program developed out of numerous live educational sessions that Nick and Marty have provided as part of their work with the Ultra Medical Team.  While this material is geared towards medical provider of ultramarathons, much of the information is pertinent to other endurance events, and should also be of interest to race directors, coaches and educated athletes.

We are making this training available without charge, but we encourage a donation of at least $100 to help support our programs.  Proceeds will be split between the Ultra Sports Science Foundation and the Ultra Medical Team, both non-profit organizations with 501(c)(3) status offering possible tax benefits.  Donate here.

Please note that the program was initially prepared in early 2016, and is based upon information that was available at that time.  We have done some minor updates, and if the interest in these training videos is high, we will periodically update and expand on the information provided here.

We hope you enjoy and benefit from the training.  Feel free to let us know what you think about it by emailing Dr. Marty Hoffman.

About the Presenters

Nick Nudell, MS, NRP, FACPE

Nick has been a paramedic for many years working on building equitable and sustainable emergency care systems in rural and remote areas.  Although he is not a particularly gifted athlete, that has not stopped him from attempting a number of challenging mountainous 50 and 100 mile races in addition to single and multi-day solo fastpack efforts.  Through the Ultra Medical Team, he has directed medical operations for more than 50 races (from trail marathons to 200 mile trail races) in North America and has led a team of more than 100 dedicated volunteers.


Marty Hoffman, MD, FACSM

Marty is among the relatively small group of individuals who have sustained ultramarathon running for over 30 years.  He has had modest success as a runner with the occasional victory, including winning the Grand Master division at the 2008 USATF National 100 Mile Trail Championship.  For a decade, he focused on cross-country ski racing, and was a multiple time top-200 (“Elite Wave”) finisher at the American Birkebeiner.  But, he derives greater personal satisfaction from generating new knowledge that may benefit others, particularly those who enjoy exploring their limits.  In this regard, he has published over 135 original scientific papers, and is frequently invited to share this information around the world.


To watch any video, Click here to register and access the videos for free. (video links will appear on next page after you register)

  1. Welcome and Introductions (5:40) – Nick Nudell and Marty Hoffman
  2. Overview of the UMT Training (29:05) – Nick Nudell
  3. Rational for Medical Coverage and Additional Resources (6:32) – Marty Hoffman
  4. The Main Medical Issues During Ultramarathons (7:01) – Marty Hoffman
  5. Potentially Life Threatening Medical Issues (6:40) – Marty Hoffman
  6. Major Trauma, Acute Coronary Syndrome, Thermal Injuries and Hypoglycemia (15:55) – Nick Nudell
  7. Exercise-Associated Collapse (5:40) – Marty Hoffman
  8. Exercise-Associated Hyponatremia: Incidence, Pathophysiology and Diagnosis (23:06) – Marty Hoffman
  9. Exercise-Associated Hyponatremia: Treatment (7:43) – Marty Hoffman
  10. Exercise-Associated Hyponatremia: Prevention (16:18) – Marty Hoffman
  11. Altitude Illness, Envenomation, Anaphylaxis and Bronchospasm (6:35) – Marty Hoffman
  12. Common and Generally Not Serious Medical Issues: Musculoskeletal Issues and Cramping (5:57) – Marty Hoffman
  13. Common and Generally Not Serious Medical Issues: Wounds (5:14) – Nick Nudell
  14. Common and Generally Not Serious Medical Issues: Blisters (26:58) – Marty Hoffman and Nick Nudell
  15. Common and Generally Not Serious Medical Issues: GI and Eye Issues (6:58) – Marty Hoffman
  16. Post-Race Concerns (14:12) – Marty Hoffman
  17. All In Good Fun (4:59) – Nick Nudell