- Dedication
- Foreword
- Acknowledgements
- Contributors
- Abbreviations
- Case 1 The sepsis resuscitation bundle
- Case 2 Cardiopulmonary resuscitation for the twenty-first century
- Case 3 Traumatic occult pneumothorax
- Case 4 Facial burns and inhalation injury
- Case 5 Paediatric head injury
- Case 6 Vaginal bleeding in early pregnancy
- Case 7 The limping child
- Case 8 Corneal injury
- Case 9 Procedural sedation in the emergency department
- Case 10 Atraumatic testicular pain
- Case 11 Pretibial laceration
- Case 12 Complex wrist fractures
- Case 13 Fever in the ED
- Case 14 Tricyclic antidepressant overdose
- Case 15 Headache
- Case 16 Self-harm
- Case 17 Febrile seizures
- Case 18 Right lower quadrant abdominal pain in women: gynaecology or surgery?
- Case 19 Dentofacial emergencies
- Case 20 Safeguarding: recognizing the abused child and acting on the evidence base
- Case 21 Femoral nerve block for fractured neck of femur
- Case 22 Sedation and restraint in the ED
- Case 23 Hypothermia
- Case 24 ‘Cocaine chest pain’
- Case 25 Croup
- Case 26 The collapsed marathon runner
- Case 27 Haemorrhagic rashes in children
- Case 28 Facial palsy
- Case 29 Back pain
- Index
(p. 259) The collapsed marathon runner
- Chapter:
- (p. 259) The collapsed marathon runner
- Author(s):
Lisa Black
- DOI:
- 10.1093/med/9780199654093.003.0026
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.
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- Dedication
- Foreword
- Acknowledgements
- Contributors
- Abbreviations
- Case 1 The sepsis resuscitation bundle
- Case 2 Cardiopulmonary resuscitation for the twenty-first century
- Case 3 Traumatic occult pneumothorax
- Case 4 Facial burns and inhalation injury
- Case 5 Paediatric head injury
- Case 6 Vaginal bleeding in early pregnancy
- Case 7 The limping child
- Case 8 Corneal injury
- Case 9 Procedural sedation in the emergency department
- Case 10 Atraumatic testicular pain
- Case 11 Pretibial laceration
- Case 12 Complex wrist fractures
- Case 13 Fever in the ED
- Case 14 Tricyclic antidepressant overdose
- Case 15 Headache
- Case 16 Self-harm
- Case 17 Febrile seizures
- Case 18 Right lower quadrant abdominal pain in women: gynaecology or surgery?
- Case 19 Dentofacial emergencies
- Case 20 Safeguarding: recognizing the abused child and acting on the evidence base
- Case 21 Femoral nerve block for fractured neck of femur
- Case 22 Sedation and restraint in the ED
- Case 23 Hypothermia
- Case 24 ‘Cocaine chest pain’
- Case 25 Croup
- Case 26 The collapsed marathon runner
- Case 27 Haemorrhagic rashes in children
- Case 28 Facial palsy
- Case 29 Back pain
- Index