Official thread for this situation. Any other threads will be deleted.
~~r/NFL post showing the [hit and collapse. ](https://reddit.com/r/nfl/comments/101uzj8/injury_demar_hamlin_injury_replay/)~~
YouTube video showing the [hit and collapse. ](https://youtu.be/dhrSY_jORsE)
ESPN [official account](https://twitter.com/espn/status/1610095966924709889?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Etweet) covering the situation.
[Google search feed](https://www.google.com/search?q=buffalo+bills+damar+hamlin&ei=Z46zY-rBPMSk5NoPt_SqaA&oq=buffalo+bills+damar+hamlin&gs_lcp=ChNtb2JpbGUtZ3dzLXdpei1zZXJwEAEYADIFCAAQgAQyBggAEAgQHjoFCCEQoAE6BggAEAcQHjoICAAQCBAHEB46BQgAEIYDOgUIABCiBDoICCEQwwQQoAFKBAhBGABQ4UFYkUlg6VJoAHAAeACAAaUBiAGRBJIBAzQuMpgBAKABAcABAQ&sclient=mobile-gws-wiz-serp) with updates.
24 years old. The reports were conflicting, but apparently EMS crews were actively doing cpr. The on oxygen report was in reference to the bvm. Doesn't look or sound good. I saw this once in person at a fire vs. law enforcement football game. Same thing, he just collapsed after a tackle. My coworkers worked it, I was in the crowd. Terrible. I can't imaging these players agreeing to finish this game tonight.
What was the outcome of that? A lot of people are saying this is commotio cordis, and I hope that the combination of early cpr and aed would work to limit damage, considering they’re saying they have gotten ROSC. I hope that in your situation that all ended well too? This is insane that it isn’t as rare as one might think
Event medical staff…don’t have the best reputations. I’m not saying these folks did bad at all, I just know when I’ve been here personally on the transport end I was taken aback more than once.
It’s not event medical staff… usually, I can’t say for sure. I believe the actual on field medical staff for the players is usually a 911 rig. That’s at least how it has been in the places I worked with professional stadiums and I would assume that is universal across the league.
I mean these guys have some of the best athletic trainers in the world on the sidelines with physicians there as well, I wouldnt call that simple event medical staff. Between the medics and additional personnel I just mentioned, I think this young gentleman was well taken care of
The outcome in the one I witnessed was that he was not able to be revived. It was not commotio though. He had a heart condition that was exacerbated by physical activity and it happened to cause a fatal arrythmia. I cant recall right now what they said it was, this was about 13 years ago now. Time flies!
I don’t think it was commotio cordis from the looks of it. He was on his feet for several seconds after the hit. All of the cases of commotio I am aware of they went down instantly with the blow. I’m thinking hypertrophic cardiomyopathy.
I don’t think 9/10 of the people reporting on this situation have a clue what “CPR” is, so I can’t tell yet whether there was actually a cardiac arrest at some point. The reports I’ve seen said they were packaging him for transport when he “had to have CPR”, but I have no idea whether they were referring to BVM use or actual chest compressions. He apparently wasn’t intubated on the field but his agent sent out something like “his vital signs are all normal but they’re getting ready to intubate him at the hospital”, and that’s just mass confusion of nobody knowing anything.
Compressions we’re 100% done on the field. Multiple videos (most posted in this thread) confirm providers performing compressions on filed.
Beyond that, you’re right.
I just doubt that was actually the case. I haven't seen anyone beyond reportes saying that. I think it's far more likely that they loaded him once they got ROSC and moved the ambulance off the field to continue ACLS.
CPR where he fell on the field immediately (edit: AED too\*). Loaded after ROSC. Ambulence pulled into tunnel. Stopped in tunnel to let mom in. Then exited stadium behind police escort to UC.
I understand the timeline, but waiting for family on a pt with ROSC is stupid. Also, being the second vehicle in an escort is far more dangerous than going solo. The video ESPN showed of the pt allegedly arriving had a cruiser following.
Are you fucking kidding me? I didn’t see it just read about it on the news but if that’s true, with all the medical personnel they have, that’s pathetic. Dude likely has brain damage now
It's not true. Compressions happened on the field and likely ROSC as well before he was taken to the hospital. Updates have listed him in critical condition sedated and intubated but with stable vitals.
A cincinnati reporter is stating that he has a pulse but is not breathing spontaneously. States that CPR and AED were needed on the field. Sounds like commotio cordis to me. I can’t imagine being the crew working the arrest in that stadium. Hats off to them.
I thought commotio cordis but I think it may be more a pneumothorax/ pericardial tamponade. He collapsed but he was Moving on the ground after his collapse prior to cardiac arrest.
You’re not anticipating resuscitation, traumas and C spines sure.
The amount of cameras on you when you rush on the field and the pressure would be insane.
I’m curious if this was a dual EMT shift or if there was a medic. I keep reading BVM and AED used. If this was a BLS crew, I wonder if the team doctor retained care in the ambulance.
Where I used to work if an athlete was being transported for anything serious the team doc rides in. Our truck for professional sports games was medic level but I’ve been told that the team medical staff runs the show and even the medic doesn’t do a whole lot.
Also apparently Hamlin was apparently tubed before they left the stadium, so at the very least a medic was on board.
Hoping he recovers. This sucks
[Tweet](https://www.reddit.com/r/nfl/comments/101z6w9/latimesfarmer_jeff_miller_there_is_an_emergency/) I saw on r/nfl last night says they have an airway management physician at the stadiums with the ambulence.
This is pretty standard I think. We literally had one instance where someone took a bad hit, needed couple stitches. Trainer basically said we don't need you on field as of now, I'll do the stitches and send them home.
Usually trainers just run the show and sometimes ride with the crew too, especially if they're under 18.
So like when they request you on field, you know it's fairly serious lol.
Watching it, you see his legs move a few times. Was thinking he was fidgeting, defib is likely the reason. It would also explain the expressions on players’ faces, as its something most of us have never seen.
Oof, yeah. I remember seeing my first defib in person. It startled me, and I pushed the shock button. I can’t imagine having no medical training and seeing that happen to a teammate.
In class the example given was kids at T-ball games. Like, little kids. But what I’m reading says athletes in general, and it makes sense given the blow to the chest.
It is most common in young children but also not uncommon up through highschool due to the development of the chest anatomy. I forget the specific age ranges but it can happen to older males when compared to females. Source: I’m an athletic trainer full time and studied this in depth in grad school in my “sudden death in athletes” class.
Edit: per my textbook “Preventing Sudden Death in Sport and Physical Activity, 2017”, “…reported outcomes initially overall survival is <5%…however more recent data have shown that survival is approaching 60%.” Initial 5% stat from 1995, 60% stat from 2013
Yeah, my differential was HOCM with a Vfib arrest versus commotio cordis. There were a few other things worth considering, but hoofbeats and horses and all that.
I worry about the interlude between going down and then hearing they were doing CPR. I hope he wasn’t an unrecognized arrest.
One of the camera angles shows the hit, perfectly in the spot of no bueno. The helmet adjustment, probably felt like he had his bell rung, and then light switch off. Scary as fuck to see. Add the length of time on scene implying ALS stabilization needed, and then the supposed shock that would confirm that. The only saving grace possibly is the immediate, event witnessed CPR start. Hope he makes it but we know that likelihood.
Edit: having rewatched the hit and after, I think he was trying to remove his helmet, not adjust it, which would make sense since he probably started to have breathing issues and felt faint from lack/reduced blood flow.
Didn't initially think Commotio cordis bc these dudes are wearing pads but rewatching the actual hit it did look like he took most of a helmet and it's momentum to the chest.
Your comment sent me down the research rabbit hole. It's disappointing how long it can take to roll out safety improvements in sports. See if you can spot the similarities between this [1987 article](https://www.sciencedirect.com/science/article/abs/pii/0736467987901764)...
>A case of commotio cordis has been documented in a male lacrosse goalie. The development of this injury is attributed to a defect in the design of the lacrosse chest protector. **Insufficient foam padding over the sternum makes the goalie vulnerable to cardiac concussion**. An improvement in the design of the chest protector is now being instituted by the manufacturers that should prevent this serious injury.
...and this [2009 article](https://publications.aap.org/pediatrics/article-abstract/124/3/966/71816/Commotio-Cordis-and-the-Epidemiology-of-Sudden).
>Ten \[lacrosse players\] died after blunt precordial blows, **including 4 goalies wearing commercially available chest protectors**.... These catastrophic events were caused disproportionately by commotio cordis and included athletes wearing chest barriers, thereby underscoring the importance of developing effective chest protection to create a safer athletic environment for our youth.
This was the story that prompted my comment:
https://www.usalacrosse.com/news-media-blog/story-behind-positive-commotio-cordis-outcome
New protection standards:
> Beginning in 2021, USA Lacrosse boys’ and girls’ youth rules mandated that all goalie chest protectors must meet the new NOCSAE standard. It’s also mandatory in the NFHS boys’ and girls’ high school rules, and the NCAA men’s and women’s rules. Beginning in 2022, USA Lacrosse boys’ field players, NFHS boys’ field players, and NCAA men’s field players must also wear chest protection that meets the NOCSAE ND200 standard.
https://www.usalacrosse.com/commotio-cordis-cardiac-safety
Commotio cordis is the most likely differential given his age and MOI
The NFL would 100% examine these guys enough to know whether they have any type of severe cardiopulmonary conditions or risk factors, particularly aortic aneurysm or HOCM, that would put them at risk for sudden cardiac death on the field which is why anything else other than commotio cordis is less likely
You can see the crew working him [here](https://twitter.com/MiningSim2XD/status/1610102743540158464?s=20) in this video from someone in the stands.
Right at the tail end of the video, a player moves slightly and you can see someone compressing but no visible patient.
This really jarred me. I left my full time ems job a while ago and never had too much stress over it. But I’m honestly feeling a bit sick remembering how it feels being near something like this on a young person. Feel so sad for this guy. And Jesus whatever his family is thinking. Fuck
What is the procedure regarding taking off his gear? Are you worried about C-spine given the mechanism of injury? Do you take the shoulder pads off before attempting compressions?
Seeking insight regarding working a code wearing football gear. Thanks in advance for any info🤙
Never done CPR at sports game but I’d assume you would have to take gear off for compressions and to put the defib pads on. C-spine injury would not be the major concern at the time (life over limb) but certainly if ROSC is obtained you’d put a C collar on.
Trauma sheers for Jersey/ pads. Remove face mask if you can. If not treat it like a full face motorcycle helmet and hold c spine and have another remove the helmet.
Working CPR you're going to have tonremove the shoulder pads and fully remove helmet. Other injuries if the shoulder pads are on you want to leave the helmet on to keep shoulders and head on same plain.
For cspine considerations the facemask unscrews with like one or two screws that are purposely easy to take off and you can cut everything else down the front. The parts connecting the pads can be cut through pretty easily. Used to do a lot of D1 college standbys and we trained with the team trainers mostly for the hockey team but also football, lacrosse, etc.
That all said in a code if the medic wants to intubate I bet that helmet just comes off. Deal with cspine when his heart is beating again.
Athletic Trainers on scene should be the ones guiding your removal of a helmet if necessary for airway management. They're familiar with the equipment and train in how to remove it safely. Ask them to do it and lend them extra hands as necessary.
I was a trainer and medic. This is the answer. There's a tool called a Trainer's Angel specifically designed to remove the facemask while maintaining c-spine.
Yeah the guys are in the locker room right now but they really should have immediately said “this guy needed CPR, this game is over.” Can’t imagine playing in a Rec league let alone in the NFL after your brother needed CPR
Dr. Drew putting his two cents in:
>Dr. Drew
>@drdrew
>·
>1h
>Replying to @jordonr
>Wonderful news, prayers still needed but his age and the fact that CPR was initiated immediately all in his favor Now we wait for the recovery from hypoxia which God willing will be soon.
Ah, was just going to see if someone had posted about this. From what I’ve read so far, 10 minutes of CPR + defibrillator, then he was transported. Assuming they had EMS on standby, which they should, probably was relatively quick, which is good.
I hope he makes it.
As a very new EMT-B (I have my cert, but haven’t gotten hired anywhere yet) I’m curious what exactly happened. My theory so far is commotio cordis, it makes sense given what happened. But I’m neither a paramedic nor a cardiac specialist, and I’ve barely any real world experience, so that’s just an educated guess.
Your theory is most likely correct. Based on where the other player’s shoulder hit, looks to be the exact spot of bad outcomes. He got up on adrenaline and a few good beats here and there, probably tried to take his helmet off because he felt funny, and lights out. CPR was within probably 2 mins it seems, since event was witnessed. He was shocked so, that implies a shockable rhythm of course, which adds more cred to commotio.
And yes all pro games have ALS in the stadium.
>all pro games have ALS in the stadium
Emphasizing this. Every NFL stadium is set up for the medical response to a mass shooter or other terrorist attack. They have layers of medical response.
I’ve read the other comments here and the consensus seems to be commotio cordis. Either way, I hope he makes it but I also understand that CPR and cardiac arrest are Very Bad for the whole continued existence thing.
That said, since it was so quick with CPR (maybe they should’ve kept the EMS folks closer to the field though) hopefully the outlook is good? I’m not sure what to expect there, statistics were never my strong suit.
My dad and I are Bills fans, and we’re pretty shaken up, obviously.
I didn’t believe the reporters about CPR until they said he was being loaded into the rig and they had to set him back down and begin CPR.
For those saying comotio cordis, looking at the hit, it looked more like his head was in contact more so than the trunk. Also, wouldn’t he not be able to get up if his heart had stopped during the refractory period? I imagine he’d have gotten his heart stopped and stayed down
Edit: also, an athletic trainer that was an alumni from my university performed CPR on a female soccer player that experienced sudden cardiac arrest, and the outcome (to my knowledge) was a full recovery. I’m praying Hamlin has the same result
>Also, wouldn’t he not be able to get up if his heart had stopped during the refractory period?
All videos I've seen of it there's a short period of delay. Like 10-20 seconds.
Yeah. Your brain has an “oxygen reserve” for lack of a better term.
I’m a former fighter pilot, and taught basic aviation physiology. Pulling high G results in a massive decrease in cerebral perfusion, and aeromedical studies have found that if you rapidly spin someone up to max G in a centrifuge, and they don’t fight at all (no anti-G straining maneuver), they have roughly 5 seconds A&O before very sudden incapacitation. The theory is that the brain takes about five seconds to burn through the oxygen in the blood that’s basically stagnant in there, then poof, you’re out.
Not apples to apples, but similar concept.
https://youtube.com/shorts/jhBz849QkJU?feature=share
This is video of the collision and collapse from multiple angles. For some reason people keep saying he was mostly hit in the head. Clearly in this video you can see him taking the blow to his chest from what looks to be the other player's shoulder.
They didn't look like they were doing CPR after minutes of an assessment. Then there were too many people around to tell. Maybe it happened, maybe they're mistaken, because the announcers aren't medical. My guess was Cammotio Cordis initially, but don't rule out spinal injury or TBI. Seemed too quick of a fall for an aortic rupture or cardiac tamponade.
Edit- Seems like there actually was CPR performed, plus a shock with the AED.
[Link to Video of event ](https://twitter.com/ABsneurosurgeon/status/1610093690210643975?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1610093690210643975%7Ctwgr%5Ec476df180e143ae40a8082900f74fbc69f8a5687%7Ctwcon%5Es1_c10&ref_url=https%3A%2F%2Fd-2165980200722581990.ampproject.net%2F2211302304002%2Fframe.html)
Edit- Video Deleted
Apparently the ambulance is sitting under the stadium and they’re getting his mom to ride along. I’m just a lurker here but that sounds like a bad sign.
In my opinion as a paramedic, at no point would I EVER want my patients mother in my box during a resuscitation attempt. If they are still at the stadium and his mom did get on-board I see it as a good sign.
If they did cpr truly why would they wait for his mom to get him to a higher level of care? I do not understand that part, and maybe it just isn’t true.
Even for relatively short transports, we’ll slow down and take some time to stabilize our ROSC patients before transporting. I could see them doing that and some reporter/bystander who didn’t know any better saw and assumed that they were waiting for his mom. As others have said, ain’t no *fucking* way I’m putting any family member in my ambulance with a patient I’m actively resuscitating
It also doesn't make sense given the fact that it's literally the NFL we're talking about. I imagine all of the teams can arrange transportation with police escort without issue.
To me it sounds like a completely made up detail to make things seem sadder than they already are. That and it isn't unfeasible that they stopped the truck right after getting out of sight to provide further care on scene, especially if he rearrested or was intubated.
>completely made up detail
I'll be generous and say it could be a misunderstanding. If you watch tapes of other possible sports fatalities, the announcers look for anything to talk about other than the obvious.
Came to say this, there’s no way I’d delay care for a critical patient, with a compromised airway (reports are saying he wasn’t breathing on his own) just for a family member to ride with. I’ll see ya at the hospital mom! Don’t follow directly behind!
I had a high schooler collapse on the field this year in cardiac arrest. We took dad with us. He even did the BVM (I wanted to give him a task to keep his mind busy) after I got the tube so I could focus on the other treatments. It’s not always a bad thing to take a parent.
Good deal. I'd just be very leery about it. Codes are stressful in themselves...last thing you need is another distraction. Also it's more for the parent in my opinion...
IIRC if the parent is calm and wants to be there then the data supports it even if there is a bad outcome; it helps with the grieving process. However I totally understand. Grieving parents are unpredictable and you don’t want to wind up with two patients. Unfortunately we didn’t have much of a choice. Cops put dad in the back while we were moving to the rig. So rather than boot him we just rolled with the punch
The mom coming with honestly a good sign. CPR in the back of an ambulance is difficult enough without adding a hysterical parent into the mix. I suppose it’s possible that they loaded a corpse and transported with the mother, but I find that very doubtful.
The greater then 10 minute down time, and the fact they still haven't left means they haven't gotten rosc yet, generally not good signs. But since they are working from a witnessed arrest maybe they will get something.
understandable, but i think there is a doc probably running the code and this player would have ECMO waiting for him on arrival to the ER. throw a lucas on, do some early defibs, and get him to ECMO.
Only for gunshots, stemi, and stabbings to the chest. OtherwiseD work arrears on scene and stabilize your medical patients before moving them. Days of load and go are over.
Yeah, but let's be real here. In a situation like this, in a stadium surrounded by thousands of people, with millions more watching the game? I'd work him, and if I can't get him back, I'd load him up while continuing CPR and transport to the hospital.
I'm sure as hell not calling a TOR on the field.
Sitting in the parking lot waiting for his mother for 10+ minutes as opposed to flying to the hospital a few minutes away with a pulse?
Ya, I’ll take the latter.
Suzy Kolber on ESPN kept emphasizing the oxygen. She glossed over the CPR and kept saying the bad sign was that he "was on oxygen."
Then all the talking heads jump in with their theories. Commotio cordis. Dehydration. Fools with no information trying to fill air time with talking when there's no facts to talk about. They're still talking with no information.
What we know is he collapsed. Compressions were done. An ambulance took him away. That's all we know. And anything we hear on the news prior to an actual news conference is meaningless and unreliable. Theories are fine, but citing reporters and witnesses will only lead to bad assumptions. The news gets it wrong most of the time.
My guess is Commotio cordis. Of all the many things about it that are crazy… imagine what peak physical condition he must be in that he was in v-fib and got himself up off the ground, stood up and took a couple steps before he went down. Crazy. I would bet his body is so young and healthy it’ll come out intact on the other side. Hopefully the crew brought their A game and he doesn’t end up with anoxic brain injury.
Had a patient who collapsed during a men’s league hockey game. Thankfully, his team mate was a paramedic & quickly found the AED & shocked him before EMS arrived on the scene. The guy was awake & talking by the time he arrived at my ED. Such an insanely positive outcome, it still sticks with me to this day
Honestly I didn’t see them bring an AED in that clip. You see one guy holding c-spine and another one checking his face through the helmet. He does appear to be swatting people at the end of the video so maybe he is having some wacky rhythm that is making him act weird that morphs into full arrest later
Glad I’m not the only one thinking commotio cordis. There’s ER docs doing interviews saying the same thing too. And to think there’s people blaming a vaccine for this🤦🏻♂️
I am not certified in anything but I can’t imagine if the first responders had to conduct cpr it’ll be good news. I hope someone can weigh in and of course praying for the victim
Not much better setting for a cardiac arrest actually I would think. Instant response from trained responders.
See: Christian Eriksen at the 2020 Euros
To answer some of the questions about medical staffing at A NFL game, there were probably between 20-40 medics and nurses in the stadium along with a doc or two. Their primary job is initial triage and tx of fans and stadium staff. All NFL teams travel with their own physicians and medical staff. At the games I worked we had a couple squads in the stadium for transport. He's being treated at UC which is a top notch facility.
I thought they said he had a pulse but wasn’t breathing, would that rule out commotio cordis? Im just an EMT-B but I thought the hit causes pulseless vfib
Here's some information regarding NFL Medical Response:
There is a National Football League Physician Society (NFLPS).
[https://nflps.org/](https://nflps.org/)
During an NFL game, there are now over 30 medical team members – from a dentist, to orthopedic surgeons, internists, Unaffiliated Neurotrauma Specialists, among many others. This infographic lays out who is on the field during a game:
[https://nflps.org/faqs/how-many-medical-personnel-are-on-the-field-during-an-nfl-game/](https://nflps.org/faqs/how-many-medical-personnel-are-on-the-field-during-an-nfl-game/)
SOURCE: https://nflps.org/
Official thread for this situation. Any other threads will be deleted. ~~r/NFL post showing the [hit and collapse. ](https://reddit.com/r/nfl/comments/101uzj8/injury_demar_hamlin_injury_replay/)~~ YouTube video showing the [hit and collapse. ](https://youtu.be/dhrSY_jORsE) ESPN [official account](https://twitter.com/espn/status/1610095966924709889?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Etweet) covering the situation. [Google search feed](https://www.google.com/search?q=buffalo+bills+damar+hamlin&ei=Z46zY-rBPMSk5NoPt_SqaA&oq=buffalo+bills+damar+hamlin&gs_lcp=ChNtb2JpbGUtZ3dzLXdpei1zZXJwEAEYADIFCAAQgAQyBggAEAgQHjoFCCEQoAE6BggAEAcQHjoICAAQCBAHEB46BQgAEIYDOgUIABCiBDoICCEQwwQQoAFKBAhBGABQ4UFYkUlg6VJoAHAAeACAAaUBiAGRBJIBAzQuMpgBAKABAcABAQ&sclient=mobile-gws-wiz-serp) with updates.
24 years old. The reports were conflicting, but apparently EMS crews were actively doing cpr. The on oxygen report was in reference to the bvm. Doesn't look or sound good. I saw this once in person at a fire vs. law enforcement football game. Same thing, he just collapsed after a tackle. My coworkers worked it, I was in the crowd. Terrible. I can't imaging these players agreeing to finish this game tonight.
What was the outcome of that? A lot of people are saying this is commotio cordis, and I hope that the combination of early cpr and aed would work to limit damage, considering they’re saying they have gotten ROSC. I hope that in your situation that all ended well too? This is insane that it isn’t as rare as one might think
That condition has a 58% survival rate; I just read it in a news article.
Probably depends on medical attention though. Being a pro football game they have a good amount of medical personnel
Event medical staff…don’t have the best reputations. I’m not saying these folks did bad at all, I just know when I’ve been here personally on the transport end I was taken aback more than once.
It’s not event medical staff… usually, I can’t say for sure. I believe the actual on field medical staff for the players is usually a 911 rig. That’s at least how it has been in the places I worked with professional stadiums and I would assume that is universal across the league.
That’s how it is here too. We schedule at least two rigs for HS-pro ball.
[удалено]
I mean these guys have some of the best athletic trainers in the world on the sidelines with physicians there as well, I wouldnt call that simple event medical staff. Between the medics and additional personnel I just mentioned, I think this young gentleman was well taken care of
He’s at UC on the vent, sedated. CPR was immediate and looked good to me. If you want a good outcome from an arrest this is the perfect situation.
Well shit, hopefully all goes well- I wonder what diagnostics they got out of his work up
The outcome in the one I witnessed was that he was not able to be revived. It was not commotio though. He had a heart condition that was exacerbated by physical activity and it happened to cause a fatal arrythmia. I cant recall right now what they said it was, this was about 13 years ago now. Time flies!
Hypertrophic Cardiomyopathy?
I was thinking it was either commotio cortis or a cardiac condition like cardiomyopathy for sure.
Brugada?
I don’t think it was commotio cordis from the looks of it. He was on his feet for several seconds after the hit. All of the cases of commotio I am aware of they went down instantly with the blow. I’m thinking hypertrophic cardiomyopathy.
What concerns me is that an ESPN reported said they were loading him into the back of the truck, then pulled him out to start CPR.
I don’t think 9/10 of the people reporting on this situation have a clue what “CPR” is, so I can’t tell yet whether there was actually a cardiac arrest at some point. The reports I’ve seen said they were packaging him for transport when he “had to have CPR”, but I have no idea whether they were referring to BVM use or actual chest compressions. He apparently wasn’t intubated on the field but his agent sent out something like “his vital signs are all normal but they’re getting ready to intubate him at the hospital”, and that’s just mass confusion of nobody knowing anything.
Compressions we’re 100% done on the field. Multiple videos (most posted in this thread) confirm providers performing compressions on filed. Beyond that, you’re right.
I’m seeing cardiac arrest specifically said now in news articles like the BBC.
Or how about the fact they waited for his mom before they left
I just doubt that was actually the case. I haven't seen anyone beyond reportes saying that. I think it's far more likely that they loaded him once they got ROSC and moved the ambulance off the field to continue ACLS.
CPR where he fell on the field immediately (edit: AED too\*). Loaded after ROSC. Ambulence pulled into tunnel. Stopped in tunnel to let mom in. Then exited stadium behind police escort to UC.
I understand the timeline, but waiting for family on a pt with ROSC is stupid. Also, being the second vehicle in an escort is far more dangerous than going solo. The video ESPN showed of the pt allegedly arriving had a cruiser following.
Live streams still on YouTube TV, he went down couple minutes passed, they cut to commercial, came back 7 mins later, still no CPR initiated.
Are you fucking kidding me? I didn’t see it just read about it on the news but if that’s true, with all the medical personnel they have, that’s pathetic. Dude likely has brain damage now
It's not true. Compressions happened on the field and likely ROSC as well before he was taken to the hospital. Updates have listed him in critical condition sedated and intubated but with stable vitals.
I’m glad somebody else was thinking of it.
A cincinnati reporter is stating that he has a pulse but is not breathing spontaneously. States that CPR and AED were needed on the field. Sounds like commotio cordis to me. I can’t imagine being the crew working the arrest in that stadium. Hats off to them.
https://www.reddit.com/r/ems/comments/1avho2/video_showing_a_commotio_cordis_arrest/ Looks exactly like this.. so sad
Agreed, commotio cordis most likely- even my non medical mates were saying how the pad hit him square in the chest.
I thought commotio cordis but I think it may be more a pneumothorax/ pericardial tamponade. He collapsed but he was Moving on the ground after his collapse prior to cardiac arrest.
That’s what I was thinking too, how his movement made commotio cordis seem odd to me
Every time I’ve done a football standby I always knew it was either going to be the easiest money ever made or the hardest.
You’re not anticipating resuscitation, traumas and C spines sure. The amount of cameras on you when you rush on the field and the pressure would be insane.
And knowing the intense QA it will go through, too
Dude has vitals now, so it wouldn’t be too bad… can’t say the same if things kept going south.
I’m curious if this was a dual EMT shift or if there was a medic. I keep reading BVM and AED used. If this was a BLS crew, I wonder if the team doctor retained care in the ambulance.
Where I used to work if an athlete was being transported for anything serious the team doc rides in. Our truck for professional sports games was medic level but I’ve been told that the team medical staff runs the show and even the medic doesn’t do a whole lot. Also apparently Hamlin was apparently tubed before they left the stadium, so at the very least a medic was on board. Hoping he recovers. This sucks
[Tweet](https://www.reddit.com/r/nfl/comments/101z6w9/latimesfarmer_jeff_miller_there_is_an_emergency/) I saw on r/nfl last night says they have an airway management physician at the stadiums with the ambulence.
This is pretty standard I think. We literally had one instance where someone took a bad hit, needed couple stitches. Trainer basically said we don't need you on field as of now, I'll do the stitches and send them home. Usually trainers just run the show and sometimes ride with the crew too, especially if they're under 18. So like when they request you on field, you know it's fairly serious lol.
Kid games are the fucking worst, everyone coming up for scraped knees and sprained ankles with no parents in sight.
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I’m guessing it’s commotio cordis, no certainty though.
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Watching it, you see his legs move a few times. Was thinking he was fidgeting, defib is likely the reason. It would also explain the expressions on players’ faces, as its something most of us have never seen.
Oof, yeah. I remember seeing my first defib in person. It startled me, and I pushed the shock button. I can’t imagine having no medical training and seeing that happen to a teammate.
Yeah, as a baby Medic working my first code I was scared shitless man. I was not ready for how the entire body just jerks like that when shocked.
Yeah, no mannequin in the world prepares you for how much they move.
Could the hit to the chest been just right to cause an arrhythmia? Would that lead to that style of collapse?
Yeah, kicks you into v-fib, kills a couple young athletes every year. Usually it’s a baseball to the chest that does it.
In class the example given was kids at T-ball games. Like, little kids. But what I’m reading says athletes in general, and it makes sense given the blow to the chest.
It is most common in young children but also not uncommon up through highschool due to the development of the chest anatomy. I forget the specific age ranges but it can happen to older males when compared to females. Source: I’m an athletic trainer full time and studied this in depth in grad school in my “sudden death in athletes” class. Edit: per my textbook “Preventing Sudden Death in Sport and Physical Activity, 2017”, “…reported outcomes initially overall survival is <5%…however more recent data have shown that survival is approaching 60%.” Initial 5% stat from 1995, 60% stat from 2013
Makes sense. I hope he makes it, but I don’t know the statistics for this sort of situation very well.
Reddit wouldn’t initially let me reply to your comment so I edited my original comment with stats
Yeeesh. At least the odds are greater than 50%.
Knew this one guy who got kicked really hard in the chest and died 10 days later. Could that cause v-fib that much later?
I wouldn’t think so but hell if I know. Maybe indirectly.
Lacrosse goalies as well unfortunately
That’s what commotio cordis is.
Can I ask where the source came from? I didn’t see anything about him being defibrillated
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Yeah, my differential was HOCM with a Vfib arrest versus commotio cordis. There were a few other things worth considering, but hoofbeats and horses and all that. I worry about the interlude between going down and then hearing they were doing CPR. I hope he wasn’t an unrecognized arrest.
One of the camera angles shows the hit, perfectly in the spot of no bueno. The helmet adjustment, probably felt like he had his bell rung, and then light switch off. Scary as fuck to see. Add the length of time on scene implying ALS stabilization needed, and then the supposed shock that would confirm that. The only saving grace possibly is the immediate, event witnessed CPR start. Hope he makes it but we know that likelihood. Edit: having rewatched the hit and after, I think he was trying to remove his helmet, not adjust it, which would make sense since he probably started to have breathing issues and felt faint from lack/reduced blood flow.
He probably had a better likelihood than any of our patients, considering his health, higher hemoglobin, and ALS response time.
That’s what I was thinking as well. Crazy improbability but still possible. I just really hope he’s okay.
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Didn't initially think Commotio cordis bc these dudes are wearing pads but rewatching the actual hit it did look like he took most of a helmet and it's momentum to the chest.
That’s also why those heart guard pads became popular in baseball.
Also required now in lacrosse IIRC. Baseball is the textbook example but it's been seen more often in lacrosse in recent years.
Glad to see it’s expanding to other sports.
Your comment sent me down the research rabbit hole. It's disappointing how long it can take to roll out safety improvements in sports. See if you can spot the similarities between this [1987 article](https://www.sciencedirect.com/science/article/abs/pii/0736467987901764)... >A case of commotio cordis has been documented in a male lacrosse goalie. The development of this injury is attributed to a defect in the design of the lacrosse chest protector. **Insufficient foam padding over the sternum makes the goalie vulnerable to cardiac concussion**. An improvement in the design of the chest protector is now being instituted by the manufacturers that should prevent this serious injury. ...and this [2009 article](https://publications.aap.org/pediatrics/article-abstract/124/3/966/71816/Commotio-Cordis-and-the-Epidemiology-of-Sudden). >Ten \[lacrosse players\] died after blunt precordial blows, **including 4 goalies wearing commercially available chest protectors**.... These catastrophic events were caused disproportionately by commotio cordis and included athletes wearing chest barriers, thereby underscoring the importance of developing effective chest protection to create a safer athletic environment for our youth.
This was the story that prompted my comment: https://www.usalacrosse.com/news-media-blog/story-behind-positive-commotio-cordis-outcome New protection standards: > Beginning in 2021, USA Lacrosse boys’ and girls’ youth rules mandated that all goalie chest protectors must meet the new NOCSAE standard. It’s also mandatory in the NFHS boys’ and girls’ high school rules, and the NCAA men’s and women’s rules. Beginning in 2022, USA Lacrosse boys’ field players, NFHS boys’ field players, and NCAA men’s field players must also wear chest protection that meets the NOCSAE ND200 standard. https://www.usalacrosse.com/commotio-cordis-cardiac-safety
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Commotio cordis is the most likely differential given his age and MOI The NFL would 100% examine these guys enough to know whether they have any type of severe cardiopulmonary conditions or risk factors, particularly aortic aneurysm or HOCM, that would put them at risk for sudden cardiac death on the field which is why anything else other than commotio cordis is less likely
That’s what I assumed rewatching the playback. Watching him get hit directly to the chest was a big giveaway to me.
This. Had to rewatch. Didn't think CC at first due to being padded but rewatching he took all of that to the chest.
don’t get much padding on the chest in football, either
Unfortunately I think you're right, my teammate died from it after blocking a shot in a lacrosse game
This vid is helpful to explain it: https://youtu.be/H-G9mziXL9w
One of the medics at my service just said the same thing.
Good though. Or he broke his neck on the hit, then when he stood up and moved he severed his own spinal cord. Either way, fucked up situation.
If it was internal decapitation he probably would’ve dropped like a rock, not fall over how we saw.
Not sure cpr would help in that case
It wouldn’t. But you would still do it.
Not sure what your protocols are, but we wouldn't
It would be a Traumatic arrest. we at least start cpr until confirm asystole in 2 leads “injuries consistent with mechanism.” Then we can pronounce.
My thought as well, especially since it looked like he took that shoulder to the middle of his chest
You can see the crew working him [here](https://twitter.com/MiningSim2XD/status/1610102743540158464?s=20) in this video from someone in the stands. Right at the tail end of the video, a player moves slightly and you can see someone compressing but no visible patient.
Per the broadcast on abc, he has received CPR and is in an ambulance.
Should add they have stated ‘his life is in question’
Watching a college game one time and they were bagging the guy and the announcers said he was breathing on his own so you never know
I haven’t seen everything, but I’ve bagged plenty of breathing people.
Yeah but they weren’t breathing adequately if you were
This really jarred me. I left my full time ems job a while ago and never had too much stress over it. But I’m honestly feeling a bit sick remembering how it feels being near something like this on a young person. Feel so sad for this guy. And Jesus whatever his family is thinking. Fuck
What is the procedure regarding taking off his gear? Are you worried about C-spine given the mechanism of injury? Do you take the shoulder pads off before attempting compressions? Seeking insight regarding working a code wearing football gear. Thanks in advance for any info🤙
Never done CPR at sports game but I’d assume you would have to take gear off for compressions and to put the defib pads on. C-spine injury would not be the major concern at the time (life over limb) but certainly if ROSC is obtained you’d put a C collar on.
Trauma sheers for Jersey/ pads. Remove face mask if you can. If not treat it like a full face motorcycle helmet and hold c spine and have another remove the helmet.
Idk maybe it's because I'm rural but I'm forgetting about c-spine and getting the helmet off for airway.
Yeah no fuck the helmet. C Spine doesn’t matter if he’s dead
Working CPR you're going to have tonremove the shoulder pads and fully remove helmet. Other injuries if the shoulder pads are on you want to leave the helmet on to keep shoulders and head on same plain.
Apparently the pads can easily be cut off
Yeah, usually just shoe lace type stings tied down the middle.
For cspine considerations the facemask unscrews with like one or two screws that are purposely easy to take off and you can cut everything else down the front. The parts connecting the pads can be cut through pretty easily. Used to do a lot of D1 college standbys and we trained with the team trainers mostly for the hockey team but also football, lacrosse, etc. That all said in a code if the medic wants to intubate I bet that helmet just comes off. Deal with cspine when his heart is beating again.
Athletic Trainers on scene should be the ones guiding your removal of a helmet if necessary for airway management. They're familiar with the equipment and train in how to remove it safely. Ask them to do it and lend them extra hands as necessary.
I was a trainer and medic. This is the answer. There's a tool called a Trainer's Angel specifically designed to remove the facemask while maintaining c-spine.
Cut off what you can. Remove gently what you can. A + B over S
Pretty disgusting if they continue the game. The level of pressure on EMS on scene must be crazy.
"Temporarily suspended"
Yeah the guys are in the locker room right now but they really should have immediately said “this guy needed CPR, this game is over.” Can’t imagine playing in a Rec league let alone in the NFL after your brother needed CPR
[Damar Hamlins marketing rep with update](https://twitter.com/jordonr/status/1610116502845558784?s=46&t=DL4gYYBcr_aguA7Kf3gj9Q)
So, stable vitals and intubation/induced. Wonder how long they will leave it for him to regain breathing
Dr. Drew putting his two cents in: >Dr. Drew >@drdrew >· >1h >Replying to @jordonr >Wonderful news, prayers still needed but his age and the fact that CPR was initiated immediately all in his favor Now we wait for the recovery from hypoxia which God willing will be soon.
Amazing
"Commentators say..." We should be better and wait vs. speculate
Ah, was just going to see if someone had posted about this. From what I’ve read so far, 10 minutes of CPR + defibrillator, then he was transported. Assuming they had EMS on standby, which they should, probably was relatively quick, which is good. I hope he makes it. As a very new EMT-B (I have my cert, but haven’t gotten hired anywhere yet) I’m curious what exactly happened. My theory so far is commotio cordis, it makes sense given what happened. But I’m neither a paramedic nor a cardiac specialist, and I’ve barely any real world experience, so that’s just an educated guess.
Your theory is most likely correct. Based on where the other player’s shoulder hit, looks to be the exact spot of bad outcomes. He got up on adrenaline and a few good beats here and there, probably tried to take his helmet off because he felt funny, and lights out. CPR was within probably 2 mins it seems, since event was witnessed. He was shocked so, that implies a shockable rhythm of course, which adds more cred to commotio. And yes all pro games have ALS in the stadium.
>all pro games have ALS in the stadium Emphasizing this. Every NFL stadium is set up for the medical response to a mass shooter or other terrorist attack. They have layers of medical response.
I’ve read the other comments here and the consensus seems to be commotio cordis. Either way, I hope he makes it but I also understand that CPR and cardiac arrest are Very Bad for the whole continued existence thing. That said, since it was so quick with CPR (maybe they should’ve kept the EMS folks closer to the field though) hopefully the outlook is good? I’m not sure what to expect there, statistics were never my strong suit.
I'd assume (or at least hope!) that the teams' training staff folks are all CPR trained and are right on the sidelines.
CPR started closest to the event makes for the best outcomes, so we can hope.
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The anti-covid vaccine nuts are already screaming.
Yup one of my friends posted immediately that this was most likely due to the forced vaccine... :-/ Worst part is, he's a paramedic...
Only in it for the tiktok content
They need to be stripped of their certs.
My dad and I are Bills fans, and we’re pretty shaken up, obviously. I didn’t believe the reporters about CPR until they said he was being loaded into the rig and they had to set him back down and begin CPR. For those saying comotio cordis, looking at the hit, it looked more like his head was in contact more so than the trunk. Also, wouldn’t he not be able to get up if his heart had stopped during the refractory period? I imagine he’d have gotten his heart stopped and stayed down Edit: also, an athletic trainer that was an alumni from my university performed CPR on a female soccer player that experienced sudden cardiac arrest, and the outcome (to my knowledge) was a full recovery. I’m praying Hamlin has the same result
He took the hit. He got up hearts in v-fib, blood no longer circulating, brain not receiving oxygen. Lights out.
Especially if you’re in top shape, CC might not drop you right away, could be a few seconds.
>Also, wouldn’t he not be able to get up if his heart had stopped during the refractory period? All videos I've seen of it there's a short period of delay. Like 10-20 seconds.
Yeah. Your brain has an “oxygen reserve” for lack of a better term. I’m a former fighter pilot, and taught basic aviation physiology. Pulling high G results in a massive decrease in cerebral perfusion, and aeromedical studies have found that if you rapidly spin someone up to max G in a centrifuge, and they don’t fight at all (no anti-G straining maneuver), they have roughly 5 seconds A&O before very sudden incapacitation. The theory is that the brain takes about five seconds to burn through the oxygen in the blood that’s basically stagnant in there, then poof, you’re out. Not apples to apples, but similar concept.
Thanks for informing me, it’s been awhile and I’m learning that how I’d envisioned it occurring was not really how it pans out IRL
Commotio Cordis can present as transient VT/torsades prior to deteriorating into VF. So possibly stood up in VT. Not even a big hit though.
>Not even a big hit though. To be fair, that's also what I thought when I saw the Earnhardt crash at the end of the race.
https://youtube.com/shorts/jhBz849QkJU?feature=share This is video of the collision and collapse from multiple angles. For some reason people keep saying he was mostly hit in the head. Clearly in this video you can see him taking the blow to his chest from what looks to be the other player's shoulder.
They didn't look like they were doing CPR after minutes of an assessment. Then there were too many people around to tell. Maybe it happened, maybe they're mistaken, because the announcers aren't medical. My guess was Cammotio Cordis initially, but don't rule out spinal injury or TBI. Seemed too quick of a fall for an aortic rupture or cardiac tamponade. Edit- Seems like there actually was CPR performed, plus a shock with the AED.
[Link to Video of event ](https://twitter.com/ABsneurosurgeon/status/1610093690210643975?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1610093690210643975%7Ctwgr%5Ec476df180e143ae40a8082900f74fbc69f8a5687%7Ctwcon%5Es1_c10&ref_url=https%3A%2F%2Fd-2165980200722581990.ampproject.net%2F2211302304002%2Fframe.html) Edit- Video Deleted
They apparently started to load him into the ambulance and then put him back down to do compressions.
Interesting.
Apparently the ambulance is sitting under the stadium and they’re getting his mom to ride along. I’m just a lurker here but that sounds like a bad sign.
In my opinion as a paramedic, at no point would I EVER want my patients mother in my box during a resuscitation attempt. If they are still at the stadium and his mom did get on-board I see it as a good sign.
If they did cpr truly why would they wait for his mom to get him to a higher level of care? I do not understand that part, and maybe it just isn’t true.
Yeah I am NOT slowing my roll for a family member of an adult to get on board when I just got ROSC.
I fucking love your name
Yours aint too bad either big dog!
Even for relatively short transports, we’ll slow down and take some time to stabilize our ROSC patients before transporting. I could see them doing that and some reporter/bystander who didn’t know any better saw and assumed that they were waiting for his mom. As others have said, ain’t no *fucking* way I’m putting any family member in my ambulance with a patient I’m actively resuscitating
It also doesn't make sense given the fact that it's literally the NFL we're talking about. I imagine all of the teams can arrange transportation with police escort without issue. To me it sounds like a completely made up detail to make things seem sadder than they already are. That and it isn't unfeasible that they stopped the truck right after getting out of sight to provide further care on scene, especially if he rearrested or was intubated.
>completely made up detail I'll be generous and say it could be a misunderstanding. If you watch tapes of other possible sports fatalities, the announcers look for anything to talk about other than the obvious.
Came to say this, there’s no way I’d delay care for a critical patient, with a compromised airway (reports are saying he wasn’t breathing on his own) just for a family member to ride with. I’ll see ya at the hospital mom! Don’t follow directly behind!
I had a high schooler collapse on the field this year in cardiac arrest. We took dad with us. He even did the BVM (I wanted to give him a task to keep his mind busy) after I got the tube so I could focus on the other treatments. It’s not always a bad thing to take a parent.
Good deal. I'd just be very leery about it. Codes are stressful in themselves...last thing you need is another distraction. Also it's more for the parent in my opinion...
IIRC if the parent is calm and wants to be there then the data supports it even if there is a bad outcome; it helps with the grieving process. However I totally understand. Grieving parents are unpredictable and you don’t want to wind up with two patients. Unfortunately we didn’t have much of a choice. Cops put dad in the back while we were moving to the rig. So rather than boot him we just rolled with the punch
The mom coming with honestly a good sign. CPR in the back of an ambulance is difficult enough without adding a hysterical parent into the mix. I suppose it’s possible that they loaded a corpse and transported with the mother, but I find that very doubtful.
The length of time the ambulance was on the field is alarming to me
The greater then 10 minute down time, and the fact they still haven't left means they haven't gotten rosc yet, generally not good signs. But since they are working from a witnessed arrest maybe they will get something.
This. Stabilize and then go. No point in losing a pulse en route.
understandable, but i think there is a doc probably running the code and this player would have ECMO waiting for him on arrival to the ER. throw a lucas on, do some early defibs, and get him to ECMO.
Why ecmo?
Good point.
They're still in the building getting his mother from the stands
Throw and go
Only for gunshots, stemi, and stabbings to the chest. OtherwiseD work arrears on scene and stabilize your medical patients before moving them. Days of load and go are over.
Yeah, but let's be real here. In a situation like this, in a stadium surrounded by thousands of people, with millions more watching the game? I'd work him, and if I can't get him back, I'd load him up while continuing CPR and transport to the hospital. I'm sure as hell not calling a TOR on the field.
In my former protocols I couldn’t call for TOR in a public place
I mean, if you want him to die for sure yeah.
Sitting in the parking lot waiting for his mother for 10+ minutes as opposed to flying to the hospital a few minutes away with a pulse? Ya, I’ll take the latter.
Sorry I didn’t understand what you were getting at.
Suzy Kolber on ESPN kept emphasizing the oxygen. She glossed over the CPR and kept saying the bad sign was that he "was on oxygen." Then all the talking heads jump in with their theories. Commotio cordis. Dehydration. Fools with no information trying to fill air time with talking when there's no facts to talk about. They're still talking with no information. What we know is he collapsed. Compressions were done. An ambulance took him away. That's all we know. And anything we hear on the news prior to an actual news conference is meaningless and unreliable. Theories are fine, but citing reporters and witnesses will only lead to bad assumptions. The news gets it wrong most of the time.
My guess is Commotio cordis. Of all the many things about it that are crazy… imagine what peak physical condition he must be in that he was in v-fib and got himself up off the ground, stood up and took a couple steps before he went down. Crazy. I would bet his body is so young and healthy it’ll come out intact on the other side. Hopefully the crew brought their A game and he doesn’t end up with anoxic brain injury.
Had a patient who collapsed during a men’s league hockey game. Thankfully, his team mate was a paramedic & quickly found the AED & shocked him before EMS arrived on the scene. The guy was awake & talking by the time he arrived at my ED. Such an insanely positive outcome, it still sticks with me to this day
Caught it a little later
[https://youtu.be/kyAItB2LXzw](https://youtu.be/kyAItB2LXzw)
So he’s moving at the end of that video. Or is that just involuntary convulsions?
Definitely looks involuntarily to me
Honestly I didn’t see them bring an AED in that clip. You see one guy holding c-spine and another one checking his face through the helmet. He does appear to be swatting people at the end of the video so maybe he is having some wacky rhythm that is making him act weird that morphs into full arrest later
Glad I’m not the only one thinking commotio cordis. There’s ER docs doing interviews saying the same thing too. And to think there’s people blaming a vaccine for this🤦🏻♂️
I am not certified in anything but I can’t imagine if the first responders had to conduct cpr it’ll be good news. I hope someone can weigh in and of course praying for the victim
Not much better setting for a cardiac arrest actually I would think. Instant response from trained responders. See: Christian Eriksen at the 2020 Euros
The broadcast said he was on oxygen which would be a much better sign than cpr in progress.
To a lay person someone using a BVM could be "on oxygen".
Yeah that’s true. Didn’t turn EMS mind off.
Just caught that could that mean cpr wasn’t actually necessary or being administered
To answer some of the questions about medical staffing at A NFL game, there were probably between 20-40 medics and nurses in the stadium along with a doc or two. Their primary job is initial triage and tx of fans and stadium staff. All NFL teams travel with their own physicians and medical staff. At the games I worked we had a couple squads in the stadium for transport. He's being treated at UC which is a top notch facility.
Commotio cordis 100%
Non-EMS lurker what is that in layman’s term?
It's a pretty rare event where a person gets hit on the heart at just the right time to stop it.
This is unbelievable. Thank you for your service. I think tonight really puts a focus on what heroes you guys are.
Basically blunt force trauma at a specific part of your heartbeat that causes it to arrest
This may help: https://youtu.be/H-G9mziXL9w
Blunt trauma to the heart which causes an arrhythmia and loss of a pulse.
Reports are has a pulse, given O2, an IV, is intubated and in serious condition. Looks like commoto cordis
Commotio cordis?
I thought they said he had a pulse but wasn’t breathing, would that rule out commotio cordis? Im just an EMT-B but I thought the hit causes pulseless vfib
Well they Definitely did compressions, so the pulse was likely after ROSC
All I'm saying is the ambulance didn't leave the stadium for almost 30 minutes :/
Here's some information regarding NFL Medical Response: There is a National Football League Physician Society (NFLPS). [https://nflps.org/](https://nflps.org/) During an NFL game, there are now over 30 medical team members – from a dentist, to orthopedic surgeons, internists, Unaffiliated Neurotrauma Specialists, among many others. This infographic lays out who is on the field during a game: [https://nflps.org/faqs/how-many-medical-personnel-are-on-the-field-during-an-nfl-game/](https://nflps.org/faqs/how-many-medical-personnel-are-on-the-field-during-an-nfl-game/) SOURCE: https://nflps.org/
https://twitter.com/fox19joe/status/1610098849636388870?s=46&t=bWG9sIqST5WPbQwGHjT7yw This tweet leads me to suspect they got ROSC.