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EM Quick Hits 59 Traumatic Coronary Artery Dissection, Proper Use of Insulin, Mesenteric Ischemia, Exercise Associated Hyponatremia, AI for OMI

Emergency Medicine Cases

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Managing Exercise-Associated Hyponatremia

This chapter examines a case of exercise-associated hyponatremia (EAH) in a 30-year-old female who experienced severe symptoms following a marathon. It explains the mechanisms behind EAH, its symptoms, and the importance of appropriate management strategies, including hypertonic saline for severe cases. The chapter also emphasizes the critical need for athletes to have pre-planned rehydration strategies to prevent EAH and correctly distinguish it from heat-related illnesses.

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