Author: Fiona Mendes / Editor: Yasmin Sultan / Codes: EnvC1, SLO2, SLO3Published: 09/02/2022

A 26-year-old estate agent goes running after work on a hot summer afternoon. He is training for a running a marathon.

He develops leg cramps, nausea and vomiting. He feels dizzy and light-headed. His running partner calls an ambulance when he has a seizure.

On arrival to your Emergency Department (ED), his temperature is significantly raised and he is drowsy. His skin is dry and hot to touch. His past medical history is unknown.

He occasionally uses cocaine and drinks alcohol, although he has stopped since commencing his marathon training.

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