@article{ref1,
title="Critical hypophosphatemia in a special operations combat dive candidate: a case report",
journal="Journal of Special Operations Medicine",
year="2023",
author="Davis, G. and Czarnik, J. and Evans, J.D. and McGrane, O.L.",
volume="23",
number="2",
pages="107-109",
abstract="In contrast to shallow water (hypoxic) blackout and swimming-induced pulmonary edema (SIPE), acute electrolyte disturbance secondary to acute respiratory alkalosis is not considered a common Combat Swimmer injury but has the potential to be life-threatening. We present the case of a 28-year-old Special Operations Dive Candidate who presented to the Emergency Department after a near-drowning incident with altered mental status, generalized weakness, respiratory distress, and tetany. He was found to have severe symptomatic hypophosphatemia (1.00mg/dL) and mild hypocalcemia secondary to intentional hyperventilation between subsurface &quot;cross-overs,&quot; causing subsequent acute respiratory alkalosis. This is a unique presentation of a common electrolyte abnormality in a highly specialized population that is self-limiting when caused by acute respiratory alkalosis but poses a significant danger to Combat Swimmers if rescue personnel are not able to respond quickly.<p /> <p>Language: en</p>",
language="en",
issn="1553-9768",
doi="10.55460/PMWA-GHDT",
url="http://dx.doi.org/10.55460/PMWA-GHDT"
}