Universität zu Köln

Finke, Simon-Richard, Jaenig, Christoph, Deschler, Andreas, Hanske, Jan, Herff, Holger, Hinkelbein, Jochen, Boettiger, Bernd W., Schmidbauer, W. and Schroeder, Daniel C. . Medical emergencies during running events. Notfall Rettungsmed.. NEW YORK: SPRINGER. ISSN 1436-0578

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Abstract

Background The number of short- and long-distance running events in Germany is increasing. Running as a popular sport is practiced by a large number of people of different ages, risk groups, and degrees of professionalism, which results in a wide range of medical emergencies. Objective The present article elucidates incidence, pathophysiology and therapy of relevant emergencies during running events. Aim was the optimization of work processes of emergency personnel. Materials and methods A literature search was conducted in PubMed. Results Exercise-associated muscle cramps, gastrointestinal symptoms, collapse, compartment syndrome, and tendinopathy are common clinical manifestations. Cardiac arrest and sudden cardiac death are rare events. Consciousness and seizures are major complications. Disseminated intravascular coagulation, exercise-associated hyponatremia, heat stroke, rhabdomyolysis, and thromboembolism are associated with high morbidity and mortality. Substances increasing pain resilience as well as performance-enhancing substances are popular among amateur and professional runners and are associated with a high incidence of side effects. Conclusion General symptoms including vomiting, fever, collapse, muscle-pain, nausea and weakness are the leading symptoms during running events. A careful anamnesis is important for targeted clinical therapy. Symptom control is the main task. Fluid management the most challenging task for healthcare providers in the prehospital setting.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Finke, Simon-Richard UNSPECIFIED UNSPECIFIED UNSPECIFIED Jaenig, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED Deschler, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED Hanske, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED Herff, Holger UNSPECIFIED UNSPECIFIED UNSPECIFIED Hinkelbein, Jochen UNSPECIFIED UNSPECIFIED UNSPECIFIED Boettiger, Bernd W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmidbauer, W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schroeder, Daniel C. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-574607
DOI:	10.1007/s10049-021-00959-w
Journal or Publication Title:	Notfall Rettungsmed.
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1436-0578
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language EXERCISE-ASSOCIATED HYPONATREMIA; SUDDEN CARDIAC-ARREST; LONG-DISTANCE RUNNER; MUSCLE CRAMPS; UNITED-STATES; MARATHON; RESUSCITATION; GUIDELINES; ETIOLOGY; DEATH Multiple languages Emergency Medicine Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/57460