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2014 ; 7
(4
): 348-54
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Collapsed athlete - atraumatic
#MMPMID25164684
Wen DY
Curr Rev Musculoskelet Med
2014[Dec]; 7
(4
): 348-54
PMID25164684
show ga
There are several potential causes for an athlete to collapse without trauma on
the playing or practice field. Fortunately, most of the time the etiology is
benign and recovery is rapid and uneventful. However, when faced with a collapsed
athlete, medical personnel need to be prepared for life-threatening conditions
until these conditions are ruled out. The most common cause of atraumatic sudden
death in athletes is cardiac arrest, usually because of a variety of underlying
cardiac conditions. Immediate initiation of CPR with rapid AED use can be the key
to survival. Rectal temperature can detect possible heat stroke with need for
immediate cooling instituted prior to athlete transport. Exertional hyponatremia
is another cause of life-threatening collapse in prolonged endurance events such
as marathons and triathlons.