Medical Clearance for Desert and Land Sports, Adventure, and Endurance Events

Peter E Sedgwick; George C Wortley; Justin M Wright; Chad Asplund; O Roberts William; Saif Usman

doi:10.1016/j.wem.2015.09.005

Medical Clearance for Desert and Land Sports, Adventure, and Endurance Events

Wilderness Environ Med. 2015 Dec;26(4 Suppl):S47-54. doi: 10.1016/j.wem.2015.09.005.

Authors

Peter E Sedgwick¹, George C Wortley², Justin M Wright³, Chad Asplund⁴, O Roberts William⁵, Saif Usman⁶

Affiliations

¹ Central Maine Sports Medicine (A Clinical Division of CMMC), Lewiston, Maine (Dr Sedgwick). Electronic address: sedgwipe@cmhc.org.
² Lynchburg Family Medicine Residency, Lynchburg, Virginia (Dr Wortley).
³ Department of Family and Community Medicine, Paul L. Foster School of Medicine, El Paso, Texas (Dr Wright).
⁴ Family Medicine, Georgia Regents University, Augusta, Georgia (Dr Asplund).
⁵ Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, Minnesota (Dr Roberts).
⁶ Primary Care Sports Medicine, Marymount University, MedStar Medical Group, Arlington, Virginia (Dr Usman).

PMID: 26617378
DOI: 10.1016/j.wem.2015.09.005

Abstract

Endurance events are increasing in popularity in wilderness and remote settings, and participants face a unique set of potential risks for participation. The purpose of this article is to outline these risks and allow the practitioner to better guide the wilderness adventurer who is anticipating traveling to a remote or desert environment.

Keywords: adventure racing; desert; endurance events; environmental medicine; hyponatremia; preparticipation; spelunking; triathlon; wilderness medicine.

Publication types

Review

MeSH terms

Environment
Exercise / physiology
Humans
Hyponatremia* / epidemiology
Hyponatremia* / etiology
Hyponatremia* / physiopathology
Hyponatremia* / prevention & control
Physical Endurance / physiology
Physical Examination / methods*
Risk Assessment
Risk Factors
Sports / physiology*
Sports Medicine / methods*
Wilderness*