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The Physician and Sportsmedicine Volume 43, 2015 - Issue 1
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Case Report

Exercise-associated hyponatremic encephalopathy and exertional heatstroke in a soldier: High rates of fluid intake during exercise caused rather than prevented a fatal outcome

Heinrich W. NolteERGOnomics TECHnologies - Research and Development, Armscor, Pretoria, South AfricaCorrespondence[email protected]
,
Tamara Hew-ButlerSchool of Health Sciences - Oakland University, Rochester, MI, USA
,
Timothy D. NoakesUCT/MRC Research Unit for Exercise Science and Sports Medicine - Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
&
Cornelia S. J. Duvenage1 Military Hospital - Department of Internal Medicine, South African Military Health Service, South African National Defence Force, Pretoria, South Africa
Pages 93-98 | Received 06 Nov 2014, Accepted 19 Dec 2014, Published online: 14 Jan 2015

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Martin D. Hoffman, Trent Stellingwerff & Ricardo J.S. Costa. (2019) Considerations for ultra-endurance activities: part 2 – hydration. Research in Sports Medicine 27:2, pages 182-194.
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Martin D. Hoffman, Theodore L. Bross$suffix/text()$suffix/text() & R. Tyler Hamilton. (2016) Are we being drowned by overhydration advice on the Internet?. The Physician and Sportsmedicine 44:4, pages 343-348.
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Articles from other publishers (15)

Michael John Stacey, S Brett, G Fitchett, N E Hill & D Woods. (2024) What do environment-related illnesses tell us about the character of military medicine and future clinical requirements?. BMJ Military Health 170:1, pages 43-46.
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Sean R. Notley, Duncan Mitchell & Nigel A. S. Taylor. (2023) A century of exercise physiology: concepts that ignited the study of human thermoregulation. Part 3: Heat and cold tolerance during exercise. European Journal of Applied Physiology 124:1, pages 1-145.
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William O. Roberts. 2023. Sideline Management in Sports. Sideline Management in Sports 377 380 .
Han‐ding Mao, Xin Li, Shu‐yuan Liu, Ling Xing, Jin‐bao Zhao, Zhi‐jun Tan, Hai‐long Sun & Qing Song. (2021) Exertional rhabdomyolysis in newly enrolled cadets of a military academy. Muscle & Nerve 64:3, pages 336-341.
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Shu-Yuan Liu, Jing-Chun Song, Han-Ding Mao, Jin-Bao Zhao & Qing Song. (2020) Expert consensus on the diagnosis and treatment of heat stroke in China. Military Medical Research 7:1.
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Zaw Maung & Aaron W. Tustin. (2020) The Heat Death Line: Proposed Heat Index Alert Threshold for Preventing Heat-Related Fatalities in the Civilian Workforce. NEW SOLUTIONS: A Journal of Environmental and Occupational Health Policy 30:2, pages 138-145.
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Brad L. Bennett, Tamara Hew-Butler, Mitchell H. Rosner, Thomas Myers & Grant S. Lipman. (2020) Wilderness Medical Society Clinical Practice Guidelines for the Management of Exercise-Associated Hyponatremia: 2019 Update. Wilderness & Environmental Medicine 31:1, pages 50-62.
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Heinrich W. Nolte, Kim Nolte & Tamara Hew-Butler. (2019) Ad libitum water consumption prevents exercise-associated hyponatremia and protects against dehydration in soldiers performing a 40-km route-march. Military Medical Research 6:1.
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Martin D. Hoffman. (2019) Proper Hydration During Ultra-endurance Activities. Sports Medicine and Arthroscopy Review 27:1, pages 8-14.
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Roy J. Shephard. 2019. Sports and Energy Drinks. Sports and Energy Drinks 131 159 .
Robert C. Oh, Meghan Galer & Michael M. Bursey. (2018) Found in the Field — A Soldier With Heat Stroke, Exercise-Associated Hyponatremia, and Kidney Injury. Current Sports Medicine Reports 17:4, pages 123-125.
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Daniela Chlíbková, Pantelis T. Nikolaidis, Thomas Rosemann, Beat Knechtle & Josef Bednář. (2017) Reported Hydration Beliefs and Behaviors without Effect on Plasma Sodium in Endurance Athletes. Frontiers in Physiology 8.
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Tamara Hew-Butler, Valentina Loi, Antonello Pani & Mitchell H. Rosner. (2017) Exercise-Associated Hyponatremia: 2017 Update. Frontiers in Medicine 4.
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Tamara Hew-Butler, Mitchell H. Rosner, Sandra Fowkes-Godek, Jonathan P. Dugas, Martin D. Hoffman, Douglas P. Lewis, Ronald J. Maughan, Kevin C. Miller, Scott J. Montain, Nancy J. Rehrer, William O. Roberts, Ian R. Rogers, Arthur J. Siegel, Kristin J. Stuempfle, James M. Winger & Joseph G. Verbalis. (2015) Statement of the Third International Exercise-Associated Hyponatremia Consensus Development Conference, Carlsbad, California, 2015. Clinical Journal of Sport Medicine 25:4, pages 303-320.
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E. Randy Eichner. (2015) Three Uncommon or Underrated Threats to Football Players and Others. Current Sports Medicine Reports 14:4, pages 270-271.
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