Dr. Whitney Barrett, the Medical Director of the Highlonsome 100 mile ultra endurance race, discusses the critical considerations for EMS providers when encountering sick runners during endurance events. Insights on managing ultra-endurance athletes, focusing on conditions such as hyponatremia, dehydration, electrolyte imbalances, and the unique challenges presented by high-altitude races. Learn about effective rehydration and cooling strategies, and the critical role of context in diagnosing and treating affected runners.
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Blog Post and Critical Runner Algorithm- The Critical Care of the Sick Runner
00:00 Introduction and Hosts
00:39 Conference Recap
01:03 Guest Introduction: Dr. Whitney Barrett
01:29 Understanding the Sick Runner
02:29 Medical Considerations for Ultra Marathons
08:15 Common Issues in Ultra Runners
12:45 Responding to Sick Runners
19:42 Fluid Management and Hyponatremia
35:10 Handling Hyperthermia and Hypothermia
44:05 Dealing with Collapsed Runners
53:36 Final Thoughts and Takeaways