Please Pass the Salt
Author: Katie Dolbec, MD, CAQ-SM
Peer-reviewer: Matthew Negaard, MD, CAQ-SM
Final Editor: Alex Tomesch, MD, CAQ-SM
A patient presents to the Emergency Department endorsing fatigue, malaise, nausea, and headache after completing his first marathon. It was a hot, humid day with a wet bulb globe temperature (WBGT) of 87. He was concerned about dehydration so drank as much water as possible at each hydration station. His partner reports he is confused since finishing. On exam, he is pale and diaphoretic with moist mucous membranes. He is awake, alert, and oriented to self and place but not to time or events.
References
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