title: Medical Clearance for Desert and Land Sports, Adventure, and Endurance Events.
abstract: Endurance events are increasing in popularity in wilderness and remote settings, and participants face a unique set of potential risks for participation. The purpose of this article is to outline these risks and allow the practitioner to better guide the wilderness adventurer who is anticipating traveling to a remote or desert environment.
authors.affiliation: Central Maine Sports Medicine (A Clinical Division of CMMC), Lewiston, Maine (Dr Sedgwick). Electronic address: sedgwipe@cmhc.org.
authors.forename: Peter E
authors.initials: PE
authors.lastname: Sedgwick
authors.affiliation: Lynchburg Family Medicine Residency, Lynchburg, Virginia (Dr Wortley).
authors.forename: George C
authors.initials: GC
authors.lastname: Wortley
authors.affiliation: Department of Family and Community Medicine, Paul L. Foster School of Medicine, El Paso, Texas (Dr Wright).
authors.forename: Justin M
authors.initials: JM
authors.lastname: Wright
authors.affiliation: Family Medicine, Georgia Regents University, Augusta, Georgia (Dr Asplund).
authors.forename: Chad
authors.initials: C
authors.lastname: Asplund
authors.affiliation: Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, Minnesota (Dr Roberts).
authors.forename: O Roberts
authors.initials: OR
authors.lastname: William
authors.affiliation: Primary Care Sports Medicine, Marymount University, MedStar Medical Group, Arlington, Virginia (Dr Usman).
authors.forename: Saif
authors.initials: S
authors.lastname: Usman
mesh_terms: D004777:Environment; D015444:Exercise / Q000502:physiology; D006801:Humans; D007010:Hyponatremia / Q000453:epidemiology / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control; D010807:Physical Endurance / Q000502:physiology; D010808:Physical Examination / Q000379:methods*; D018570:Risk Assessment; D012307:Risk Factors; D013177:Sports / Q000502:physiology*; D013178:Sports Medicine / Q000379:methods*; D055814:Wilderness
keywords: adventure racing; desert; endurance events; environmental medicine; hyponatremia; preparticipation; spelunking; triathlon; wilderness medicine