id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
ecj-4279	Kaufman, Elizabeth A.; Lipman, Grant S.; Sharp, Louis J.; Krabak, Brian J.	Two cases of paradoxical hypothermia in a Sahara desert multi-stage ultramarathon	2014	3	.pdf	application/pdf	2750	137	51	Heat-related illnesses are a concern for any medical provider of ultramarathon runners with presentations that range from mild, usu- ally self-limited heat exhaustion to potentially fatal heat stroke.7 Heat-related illness can present similarly to EAH8 or altitude illness,9 but a concomitant concern for, or presentation of hypothermia has not been discussed in recent practice guidelines.10 Exertional hypothermia was first documented in the tem- perate 1901 Boston Marathon in one runner who had consumed large amounts of alcohol, and in another who was exhausted more than the average.11 However, as there are no report- ed cases of exertional hypothermia in hot con- ditions, a seemingly contradictory state, we introduce and define the term, paradoxical hypothermia. [Emergency Care Journal 2014; 10:4279] Discussion There are little data that examine the inci- dence of hypothermia in geographical regions with a warm climate.12 Hypothermia is the con- dition when the body’s temperature falls to 35°C (95°F) or below,13 that can present as a primary environmental disease or a complicat- ing secondary state to a medical or traumatic condition.	cache/ecj-4279.pdf	txt/ecj-4279.txt