Dr. Whitney Barrett, the Medical Director of the Highlonsome 100 mile ultra endurance race, discusses the critical considerations for EMS providers when encountering sick runners during endurance events. Insights on managing ultra-endurance athletes, focusing on conditions such as hyponatremia, dehydration, electrolyte imbalances, and the unique challenges presented by high-altitude races. Learn about effective rehydration and cooling strategies, and the critical role of context in diagnosing and treating affected runners.

 

 

00:00 Introduction and Hosts

00:39 Conference Recap

01:03 Guest Introduction: Dr. Whitney Barrett

01:29 Understanding the Sick Runner

02:29 Medical Considerations for Ultra Marathons

08:15 Common Issues in Ultra Runners

12:45 Responding to Sick Runners

19:42 Fluid Management and Hyponatremia

35:10 Handling Hyperthermia and Hypothermia

44:05 Dealing with Collapsed Runners

53:36 Final Thoughts and Takeaways