In this conversation with Luca Carenzo, we delve into the complexities and challenges surrounding Exercise Associated Collapse (EAC). Drawing from a recent publication in the Journal of Science and Medicine in Sport titled "An Unusual Case of Marathon-related Exercise-associated Collapse: Case Report and Some Considerations for Medical Care at Endurance Mass Participation Events," we unravel a fascinating case that sheds light on the importance of a thorough diagnostic approach and multi-disciplinary collaboration in EAC management. Luca, an esteemed Anaesthetic and Critical Care consultant from Milan, Italy, shares his insights on empirically proven treatments for EAC and how this unique case has reshaped his perspective on the differential diagnoses in EAC. We explore the significance of patient-focused research, the power of intra-specialty collaboration, and the potential for EAC collated databases to advance our understanding of this complex condition. With a rich background working at The Royal London Hospital Adult Critical Care Unit, participating in mission work with Doctors without Borders, and serving as a faculty member at World Extreme Medicine, Luca brings a wealth of expertise to the discussion. Currently, he works at the Instituto Clinico Humanitas, Department of Anaesthesia and Intensive Care Medicine in Milan, and serves as a consultant for iHelp, an Italian critical care company dedicated to mass event medical care. Join us for an enlightening exploration of EAC that will challenge your assumptions and inspire a more comprehensive approach to patient care in endurance events. This paper is also mentioned in the episode: Sudden cardiac arrest in a marathon runner: a case report Please note: this episode was originally aired on ⁠The Pre-Hospital Care Podcast.⁠ World Extreme Medicine was given permission by the podcast host to share this episode.

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