Chapter

The collapsed marathon runner

Lisa Black

in Challenging Concepts in Emergency Medicine

Published on behalf of Oxford University Press

Published in print March 2015 | ISBN: 9780199654093
Published online June 2015 | e-ISBN: 9780191813313 | DOI: https://dx.doi.org/10.1093/med/9780199654093.003.0026
The collapsed marathon runner

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This chapter provides a discussion of the specific challenges facing the emergency physician dealing with a patient presenting with a collapse after marathon running. It describes an overview of the range of heat-related presentations, the monitoring required, and the subsequent electrolyte disturbances and the acute management strategies required.

It examines the evidence base for three key clinical questions:a consideration of whether standard tympanic temperature measurement is accurate and adequate; an analysis of how patients with exertional heat stroke should be best cooled; and discussion around whether standard antipyretic treatments have a role in lowering temperatures and alleviating symptoms.

Chapter.  3542 words. 

Subjects: Emergency Medicine

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