Unable to put a finger on, or differentiate your young healthy patients first time seizure activity? The absence of trauma, infection, stroke, any pertinent historical findings, heat/altitude illness or other pharmacological based explanation leading you toward a primary diagnosis of neoplasm or some other insidious intracranial nasty?
As the summer and warmer months are upon us, the consideration of Exercise Associated Hyponatremia (EAH) is warranted in these individuals.
Wilderness Medical Society Practice Guidelines for the Ttreatment of Exercise Associated Hyponatremia are representative of “…the great strides that are taking place in an effort to prevent what is now recognized as a leading cause of preventable mobidity and mortality in endurance activities throughout the world“.
How does this affect me as a pre hospital practioner you ask? We here at rightseatmedicine have encountered a small cohort of patients in the Lower Mainland region of BC presenting with exercise associated hyponatremia.