Barbell Medicine Podcast Episode #354: Man Collapses 50-Meters From The Finish Line (Medical Mystery)
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Jul 2, 2025 Two hosts dive into a gripping medical mystery involving a 61-year-old man who collapses just before finishing a marathon. They discuss the challenges faced by medical interns, emphasizing the importance of preparedness in athletic settings. The analysis of vital signs leads to intriguing diagnostic possibilities, including neurological and cardiopulmonary issues. With a focus on various diagnostic tools and the significance of recognizing emergencies, the conversation highlights how trainers can play a critical role in managing such incidents.
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First Day as Supervisor
- Dr. Austin Baraki describes his first day supervising new medical interns on July 1st.
- He emphasizes the mix of anxiety and rapid learning that comes with starting residency training.
Neurologic Clues in Collapse
- Sudden collapse near marathon finish line with normal EKG and pulses suggests non-cardiac primary cause.
- Labored breathing and dilated pupils steer suspicion toward neurological causes like brain hemorrhage.
Pituitary Hemorrhage Suspicion
- Despite unconsciousness, the patient's vitals and heart ultrasound were normal.
- CT showed a hyperdense spot on the pituitary gland, raising suspicion for pituitary apoplexy.