Every time your heart beats, sodium is involved. Every time a muscle contracts, sodium is involved. Every time your body holds onto fluid rather than flushing it straight through, sodium is involved.
It regulates fluid balance inside and outside your cells, transmits nerve signals, maintains blood pressure and plasma volume and enables your muscles to work properly. It also stimulates thirst, which sounds minor but is actually critical because if you're not feeling thirsty when you're dehydrated, you're not going to drink.
For active people, sodium is non-negotiable. When you sweat, it's the primary electrolyte you lose, anywhere from 0.5 to 3 grams per hour depending on how hard you're working and how hot it is. When those levels drop, things go wrong quickly.