干旱区生态环境知识资源中心(Arid): Two cases of paradoxical hypothermia in a Sahara desert multi-stage ultramarathon

Arid

DOI	10.4081/ecj.2014.4279
	Two cases of paradoxical hypothermia in a Sahara desert multi-stage ultramarathon
	Kaufman, Elizabeth A.; Lipman, Grant S.; Sharp, Louis J.; Krabak, Brian J.
通讯作者	Kaufman, EA
来源期刊	EMERGENCY CARE JOURNAL
ISSN	1826-9826
EISSN	2282-2054
出版年	2014
卷号	10 期号:2 页码:80-82
英文摘要	Exertional hypothermia in a hot environment. a seemingly contradictory state is a clinical presentation that has not been previously described in the medical literature. We present two cases of symptomatic hypothermia of 34-35(circle)C (95(circle)F) which resolved with ingestion of calories in otherwise healthy men competing in a multi-stage ultramarathon in the Sahara desert, Egypt 2012 with ambient temperatures of approximately 38-39(circle)C (100-102(circle)F). Hypothermia is well documented in the medical literature as a presenting sign of hypoglycemia in both conscious and comatose patients. The mechanism by which hypoglycemia contributes to hypothermia is poorly understood, but may represent a compensatory response that reflects a decrease in energy demand during glucose deprivation. Wilderness medicine practitioners at endurance events should be cognizant of hypothermia as a potential presenting sign of hypoglycemia, as it can be empirically treated and rapidly reversed.
英文关键词	hypothermia ultramarathon hypoglycemia multi-stage desert
类型	Article
语种	英语
开放获取类型	DOAJ Gold
收录类别	ESCI
WOS记录号	WOS:000216473600008
WOS类目	Emergency Medicine
WOS研究方向	Emergency Medicine
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/330739
作者单位	[Kaufman, Elizabeth A.; Lipman, Grant S.] Stanford Univ, Sch Med, Dept Surg, Stanford, CA 94305 USA; [Sharp, Louis J.] Presence Resurrect Med Ctr, Emergency Med Residency, Chicago, IL USA; [Sharp, Louis J.] Univ Illinois, Dept Emergency Med, Chicago, IL USA; [Krabak, Brian J.] Univ Washington, Dept Rehabil Orthoped & Sports Med, Seattle, WA 98195 USA; [Krabak, Brian J.] Seattle Childrens Hosp, Seattle, WA 98195 USA
推荐引用方式 GB/T 7714	Kaufman, Elizabeth A.,Lipman, Grant S.,Sharp, Louis J.,et al. Two cases of paradoxical hypothermia in a Sahara desert multi-stage ultramarathon[J],2014,10(2):80-82.
APA	Kaufman, Elizabeth A.,Lipman, Grant S.,Sharp, Louis J.,&Krabak, Brian J..(2014).Two cases of paradoxical hypothermia in a Sahara desert multi-stage ultramarathon.EMERGENCY CARE JOURNAL,10(2),80-82.
MLA	Kaufman, Elizabeth A.,et al."Two cases of paradoxical hypothermia in a Sahara desert multi-stage ultramarathon".EMERGENCY CARE JOURNAL 10.2(2014):80-82.