Extreme sports: extreme physiology. Exercise-induced pulmonary oedema

Emerg Med Australas. 2013 Aug;25(4):368-71. doi: 10.1111/1742-6723.12101.


We report five patients who presented to an on-site medical team with concurrent haemoptysis and shortness of breath at a recent triathlon event. After initial management in the field, three of the five patients were transported to hospital via ambulance for further management, resulting in patients with haemoptysis and dyspnoea being 17 times more likely to require hospital transport. It is important to consider the differential diagnoses for this presentation, particularly exercise-induced pulmonary oedema.

Keywords: dyspnoea; exercise; field hospital; haemoptysis; pulmonary oedema.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bicycling / physiology
  • Diagnosis, Differential
  • Dyspnea / etiology
  • Exercise*
  • Hemoptysis / etiology
  • Humans
  • Male
  • Middle Aged
  • Physical Endurance
  • Pulmonary Edema / etiology*
  • Pulmonary Embolism / etiology*
  • Running / physiology
  • Swimming / physiology