EMS providers from an American Medical Response (AMR) crew in Wichita Falls, Texas, arrive at medical tents to transport a patient who complained of abdominal pain and difficulty breathing after he fell near mile 26 of the “Hotter ‘N Hell Hundred” bike race, a day-long 100-mile ride. The patient was assessed by a team of paramedics, EMTs and physicians and transported to the United Regional Health Care System in Wichita Falls. The goal of the medical staff who work the race is to eliminate the need for hospital care, according to executive director Ben “Chip” Filer. “One of our primary goals is to ensure that everyone who comes to the race goes home vertical,” he says. But just in case, the AMR ambulances as well as the Wichita Falls Air Evac Lifeteam are standing by all day. The nearly 1,000 medical volunteers saw some 900 patients at 15 stops along the route during the 96ºF day. Of those patients, only 14 required transport to emergency departments.