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Medical Clearance for Desert and Land Sports, Adventure, and Endurance Events

Sedgwick, Peter E. MD*; Wortley, George C. MD; Wright, Justin M. MD; Asplund, Chad MD, MPH§; Roberts, William O. MD, MS; Usman, Saif MD

Clinical Journal of Sport Medicine: September 2015 - Volume 25 - Issue 5 - p 418–424
doi: 10.1097/JSM.0000000000000228
Care of the Wilderness Athlete

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.

*Central Maine Sports Medicine (A Clinical Division of CMMC), Lewiston, Maine;

Lynchburg Family Medicine Residency, Lynchburg, Virginia;

Department of Family and Community Medicine, Paul L. Foster School of Medicine, El Paso, Texas;

§Family Medicine, Georgia Regents University, Augusta, Georgia;

Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, Minnesota; and

Primary Care Sports Medicine, Marymount University, MedStar Medical Group, Arlington, Virginia.

Corresponding Author: Peter E. Sedgwick, MD, Central Maine Sports Medicine (A Clinical Division of CMMC), Lewiston, ME 04240 (

The authors report no conflicts of interest.

This article appears in a “Care of the Wilderness and Adventure Athlete” special issue, jointly published by Clinical Journal of Sport Medicine and Wilderness & Environmental Medicine.

Received March 09, 2015

Accepted June 12, 2015

Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.