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The collapsed marathon runner 

The collapsed marathon runner
The collapsed marathon runner

Lisa Black

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date: 18 May 2022

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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