Current Issue
Volume: 38
Number: 4
Index: December 2010
Clinical Focus:Respiratory Care
Editorial Calendar
December 2010
Clinical Focus: Respiratory Medicine
  • Asthma and the athlete
    • Vocal cord dysfunction
    • Exercise-induced asthma
    • Exercise-induced bronchospasm
  • COPD
    • Obesity and COPD
    • Relationship between COPD and nutrition intake
  • Treatment options for steroid-induced osteoporosis in men
  • Treatments for asthma
    • Bronchodilators, anticholinergics
    • Corticosteroids
    • Metered-dose vs other types of inhalers
  • Respiratory infections in winter sports athletes
  • Asthma in elite athletes
  • Pulmonary rehabilitation and physical activity
  • Fitness and long-term oxygen therapy/lung transplantation
  • Airflow function and the metabolic syndrome
View More
Submission deadline: November 05
Fast-Track deadline: November 15
Fast-Track
About
Fast-Track peer review is available for those papers requiring immediate review (for an additional fee). Complete peer review is finalized in 1-2 weeks and comments are provided to the author within 72 hours of their receipt by the editorial office. Authors are asked to submit a revised manuscript within 10-12 days. Accepted manuscripts are processed within 2-3 weeks, published online within 3 business days of final author approval, and in print in the next available issue.
Submissions
Submit your FAST-TRACK manuscript online today. It's fast, it's easy! Just follow the detailed instructions, fill in all the required fields, and upload your manuscript.
Get started NOW!
Contacts
Libraries:
[email protected]

Reprints:
[email protected]

Subscriptions:
[email protected]

Supplements:
[email protected]

Document Delivery Services
1986-2010:

[email protected]

Editorial:
[email protected] [email protected]

Website:
[email protected]

Managing Director:
John Elduff
Phone: 610-889-3732
Fax: 1-866-297-3168
[email protected]

General Information
Phone: 610-889-3730
Fax: 1-866-297-3168
1235 Westlakes Drive
Suite 320
Berwyn, PA 19312
doi: 10.3810/psm.2000.09.1209
The Physician and Sportsmedicine: Volume 28: No.9
Hyponatremia in Distance Athletes
Pulling the IV on the 'Dehydration Myth'
Timothy D. Noakes, Mb Chb, MD
Abstract: The strength of modern medicine is its relentless quest for an elusive perfection. That quest requires that we examine our errors even more closely than our successes. It is for this reason that the case report of Flinn and Sherer ("Seizure After Exercise in the Heat: Recognizing Life-Threatening Hyponatremia," page 61) is so important. For it records a potential tragedy that was prevented by expeditious and appropriate medical care (1)–care that conflicted with popular dogma. The timeworn understanding is that collapse during or after prolonged exercise is caused by heat exhaustion; heat exhaustion is caused by dehydration; both are prevented by inordinate fluid ingestion; and immediate treatment should be intravenous fluids. I have termed this traditional litany the "dehydration myth" (2,3). It has been relentlessly perpetuated, always in the guise of good science.

(read)

Back to the table of contents for the September 2000 issue