Runners may developed exercise associated shortness of breath or wheezing.  Most will have an underlying history of asthma or exercise induced bronchoconstriction.  Be alert to other medical conditions masquerading as shortness of breath.  These include cardiac conditions and pulmonary edema from hyponatremia.

• Check for severity of symptoms and air movement
• Check pulse ox
• O2 by mask/nasal canula
• Albuterol nebulizer treatments available
• Arrange for transport to the ED if no improvement with 3 neb treatments