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The authors note that the air is actually comparable to that of an operating room. Most of the dehydration that occurs is more likely due to inadequate water intake and excess caffeine and alcohol consumption depending on the time of day. Nachi: Then why are people always getting sick after flying…? Nachi: Interesting.
A 2001 study described an augmented risk of myocardial infarction within the first hour of cannabis use and found an almost 5-fold increase in those who reported smoking cannabis at least weekly when compared to those who smoked monthly or less. Be sure to look for and treat dehydration, acute renal failure, and rhabdo though.
Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)]. Premonitory symptoms (Nausea, pallor, diaphoresis, flushing), or triggers (Valsalva, Pain, Emotion, Prolonged Standing, Dehydration) are very useful in making the diagnosis. 111(3):177-84, 2001 Aug 15.
Aseptic causes (less common): thrombophilia, maxillofacial/ocular surgery or trauma, dehydration, systemic disease including sepsis or autoimmune disease, intracranial tumors, and medications, though these are less common. thrombophilia, head/neck operation or trauma, dehydration, etc.) 2001 Dec 10-24;161(22):2671-6.
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