Twin Cities in Motion

Medtronic Twin Cities Marathon

Medical Information

Runners’ Responsibilities

In registration and pre-race communications all runners are advised to prepare for the physical demands of a marathon with proper training. To help participants achieve this, Twin Cities In Motion provides information on its website about local running clubs that offer marathon training programs. We also encourage you to share your medical information in case of emergency with the medical team. Having the information can be a big difference for our medical team and YOU. 

Links will be posted mid-September.


Saturday Events (10K, 5K, Family Events)


Sunday Events (Marathon and 10 Mile)

Medical Aid Stations

Presented by Medtronic 

Medical aid stations are located just after each fluid station along the course. Orange vested medical volunteers will provide petroleum jelly, athletic tape and First Aid. We do not supply ibuprofen or naproxen at the medical stations. The aid stations have emergency medications for heart attack, bee stings and asthma.


A Participant Guide emailed to registrants prior to the race also provides guidelines on proper hydration and on symptoms of serious running-related illnesses and injuries. All runners are asked to list an emergency contact phone number and any medical problems, allergies, medications and their usual weight on the back of their race number in permanent ink. Runners with heart disease, diabetes, or chronic medical problems are advised to consult with their physician before they compete, wear a medic alert tag, and run with a friend who knows their medical condition. All runners are encouraged to provide family and friends with their race number in case of a medical emergency and to use the RunSafe app to allow the medical team to have the best information to help with your care if needed.

Event Alert System (EAS) Information and Flag Colors

TCM uses a color-coded Event Alert System (EAS) to communicate the status of course conditions to participants leading up to and on race day. Flags will be positioned at the start lines and along the course at fluid stations. Please familiarize yourself with the EAS flag color indicators, prepare properly for varying weather conditions and remain alert for instruction from event officials in the case of changing conditions.


Finish Line Medical Tent

Presented by Medtronic

The finish line medical tent is staffed and supplied to treat common marathon-related injuries and illnesses, and to begin stabilization procedures for severe problems. Any runner who requests assistance will be evaluated in the medical tent and treated based on our protocols for runner medical care. The medical team may authorize transportation to a nearby hospital in case of serious injury or illness. Three advanced life-support ambulances are on call immediately adjacent to the medical tent for emergency situations.


No media, family or friends of ill or injured runners are allowed in the medical tent or area because of privacy, confidentiality, biohazard, and crowding issues. There is a family-waiting tent near the medical area for information and shelter while waiting for a runner to be released from the medical treatment facility.

Medical Director

Bill Roberts MD, MS, FACSM, family medicine and sports medicine, is a Professor in the Department of Family Medicine and Community Health with the University of Minnesota Medical School and practices at the Phalen Village Clinic in St. Paul. He has earned a reputation in marathon circles that has led to invitations to consult with, work at, or observe internationally recognized marathons, including Boston, Marine Corps, Houston, New York, Chicago, Barcelona, London and the 1996 Olympic Marathon in Atlanta.


Ask the Sports Doc

Medical Staff

The medical staff includes over 300 volunteers, from physicians and paramedics to nurses, physical therapists, resident physicians, medical students, emergency medical technicians and certified athletic trainers.

Medical Personnel on the Course

The marathon has one of the best medical teams in the industry and is led by Medical Director, Dr. Bill Roberts.  On average, one to three percent of every 1,000 entrants will seek medical assistance along the course or at the finish line. With that in mind, 300 medical personnel are positioned along the course and at the finish line. All medical personnel can be identified by their orange vests and all are trained to assist in medical care. A medical team will be assigned to each aid station along the course. There are also medical volunteers stationed at many of the mile and half-mile marks of the race course.


Communications personnel in yellow shirts are paired with the medical volunteers to provide access to mobile medical teams and ambulance services. Seriously injured or ill runners will be transported to the nearest hospital from any of the Medical Aid Stations on the course, and well runners who drop out of the race will be taken to the finish area. Medical volunteers will have first aid supplies at every medical location.


Impaired Runner Policy

Medical personnel are authorized to remove from the race course any runner deemed medically impaired without an automatic disqualification. To be allowed to continue the race, a runner must:


a) be able to proceed in a straight path toward the finish line;

b) be able to explain who they are, where they are on the course, and what they are doing;

c) look clinically fit to proceed with good skin color and body appearance and maintain a reasonable running posture.

Downed Runner Procedure

When a runner goes down during or immediately after the race, the medical team will assess for cardiac arrest, exertional heat stroke, hyponatremia, insulin shock, and exercise associated collapse; begin first aid; and transfer to a medical facility if needed. On the course, a fellow runner is most likely to be the “first on scene.” Twin Cities In Motion will give a complimentary and guaranteed registration for next year’s race to a runner who helps out a fellow runner in a time of need. This is titled our “runners helping runners” policy. All of our course volunteers have a central number that they can call to alert the medical team of an emergency problem on the course. The medical response plan includes advanced life support ambulances and bike teams with automatic defibrillators.