Emergency responders and hospitals are preparing for the increase in emergency calls that the Sturgis Motorcycle Rally has historically caused in the area.
Emergency calls can quadruple during the week of the rally that begins Monday. About 450,000 will descend on Sturgis for the annual event.
Emergency responders typically get five calls a day in a regular week, but can receive 20 or more a day during the rally to treat everything from shattered bones to strokes to inebriation.
The newspaper reports that Regional Health officials limit staff vacations and add 30 more people to work each day in Rapid City during the rally.
Hospital officials expect to spend about $100,000 per day in additional operating costs during the event.