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Query: UMLS:C0344329 (collapse)
 28,634 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This article reviews causes of marathon collapse related to physical exhaustion, heat exhaustion and dehydration. During severe exercise-heat stress (high skin and core temperatures), cardiac output can decrease below levels observed during exercise in temperate conditions. This reduced cardiac output and vasodilated skin and muscle can make it difficult to sustain blood pressure and perhaps cerebral blood flow. Dehydration can accentuate this cardiovascular strain. In contrast, excessive heat loss to the environment during cold weather may result in hypothermic collapse. Other factors contributing to post-race collapse might include reduced skeletal muscle pump activity and dehydration and prior heat stress mediated changes in cerebrovascular responses to orthostatic challenges.
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PMID:Heat exhaustion and dehydration as causes of marathon collapse. 1746 13

Burnout is a state of physical or mental collapse caused by overwork or stress. Burnout during residency training has gained significant attention secondary to concerns regarding job performance and patient care. The new COVID-19 pandemic has raised public health problems around the world and required a reorganization of health services. In this context, burnout syndrome and physical exhaustion have become even more pronounced. Resident doctors, and especially those in certain specialties, seem even more exposed due to the higher workload, prolonged exposure and first contact with patients. This article is a short review of the literature and a presentation of some considerations regarding the activity of the medical residents in a non-Covid emergency hospital in Romania, based on the responses obtained via a questionnaire. Burnout prevalence is not equal in different specialties. We studied its impact and imagine the potential steps that can be taken in order to reduce the increasing rate of burnout syndrome in the pandemics.
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PMID:Burnout syndrome in Romanian medical residents in time of the COVID-19 pandemic. 3253 40