Document Detail

Acute respiratory emergencies in emergency treatment of the injured athlete.
MedLine Citation:
PMID:  2663179     Owner:  NLM     Status:  MEDLINE    
Exercise and physical fitness are becoming increasingly popular in our society. As a result there are more individuals who are at risk for the development of acute respiratory emergencies associated with sports and athletics. EIB is a common feature of asthma and is characterized by a postexercise fall in FEV1 of more than 10 per cent. Although a variety of medications have been used for the prevention of EIB, cromolyn sodium and inhaled adrenergic agonists have been shown to be the most effective. EIA and cholinergic urticaria are two physical allergies in which hypotension can be brought on by exercise. In some individuals, EIA develops only in association with the ingestion of a particular food. Associated with sports and recreational activities in alpine areas is the risk of developing acute high-altitude medical problems. One of the most dramatic and potentially life threatening is high-altitude pulmonary edema. The management of this condition can be problematic, particularly if rapid descent to lower elevations is not possible. Although rare, spontaneous pneumothorax and pulmonary emboli do develop in the otherwise well-conditioned athlete. These entities must be considered when the physician evaluates any athlete in whom acute cough and dyspnea develop.
D C Adelman; S L Spector
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.; Review    
Journal Detail:
Title:  Clinics in sports medicine     Volume:  8     ISSN:  0278-5919     ISO Abbreviation:  Clin Sports Med     Publication Date:  1989 Jan 
Date Detail:
Created Date:  1989-08-25     Completed Date:  1989-08-25     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8112473     Medline TA:  Clin Sports Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  71-9     Citation Subset:  IM    
Division of Clinical Immunology and Allergy, UCLA School of Medicine.
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MeSH Terms
Acute Disease
Anaphylaxis / therapy
Asthma, Exercise-Induced / therapy
Pulmonary Edema / etiology,  therapy
Respiratory Hypersensitivity / etiology,  therapy
Respiratory Tract Diseases / etiology,  therapy*
Grant Support

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