Sebastien Racinais

@physoc 10 years later funny story, but suffered a lot during the desert part - good studies though with @DrJPeriard and @ephysiol

🚑 You’re the Doctor: A 25-year-old marathon runner collapses at the finish line. Bystanders say he was confused and agitated before collapsing. On arrival: •BP: 88/60 mmHg •HR: 145 bpm •Temp: 41°C (105.8°F) •RR: 30/min •Skin: Hot, dry, no sweating. What’s your next step? 🩺 A. IV fluids and antipyretics 🌡️ B. Rapid sequence intubation 🛏️ C. Ice-water immersion 🧊 D. Administer adrenaline 💉 E. CT brain to rule out stroke 🧠 👇 Comment your answer & reasoning! #MedTwitter #FOAMed #EmergencyMedicine #MedicalEducation #MedStudentTwitter #DoctorLife #HeatStroke #CriticalCare

Why are we still ice bathing? Robust evidence shows cold-water immersion after training INHIBITS recovery by blunting muscle protein synthesis and anabolic signaling. Why, then, are we still doing it? It's culturally ingrained at this point. Athletes are jumping in cold tubs because that's what we do, and fitness influencers have more sway than credible scientific experts. Only in unique circumstances, e.g., between successive competitive heats, is there any potential benefit. 🔗skepticalinquirer.org/exclusive/why-… #science #exercise

Free in today issue of @BJSM_BMJ (September): This is just an editorial, but already attracted some attention Stay tuned for upcoming original research by @ValentinDab @Mery_MT_ and others with data challenging ice usage in for musculoskeletal injury bjsm.bmj.com/content/58/17/…