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commotio cordis
Posted on 1/2/23 at 8:52 pm
Posted on 1/2/23 at 8:52 pm
I don’t know what happened like everybody else, but I suspect comodo cordis. It is a condition where sudden impact at a very specific millisecond in the cardiac conduction cycle can cause your heart to go into Vtach or vfib, which will likely be fatal without rapid defibrillation. I am a long time paramedic who also programmed pacemakers and defibrillators for a decade. This has happened to teens playing baseball when hit in the chest, but extremely rare.
In the field if we witness a heart arrhythmia a quick strike to the chest with your hand can sometimes reverse it.
In the field if we witness a heart arrhythmia a quick strike to the chest with your hand can sometimes reverse it.
This post was edited on 1/2/23 at 8:58 pm
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Posted on 1/2/23 at 8:54 pm to Mfdtiger
That's interesting. I've been watching football on TV for a long arse time and can't ever remember a situation like this.
Posted on 1/2/23 at 8:58 pm to Sgt Tuffnuts
I’ve heard of it and was taught it, but I’ve never witnessed it either.
Posted on 1/2/23 at 8:59 pm to Mfdtiger
quote:
quick strike to the chest with your hand
Precordial thump.
It works. I've done it.
Posted on 1/2/23 at 9:03 pm to Gideon Swashbuckler
Same
Posted on 1/2/23 at 9:07 pm to Mfdtiger
Scary shite
Posted on 1/2/23 at 9:10 pm to Mfdtiger
BFLANC and I were discussing in the Burrow thread. That was the first thing I thought of also, because he did not hit his head initially and took all the force to his chest.
Posted on 1/2/23 at 9:13 pm to Mfdtiger
Would he have a pulse but have no spontaneous respiration?
I ask because that is being reported on Twitter.
I ask because that is being reported on Twitter.
Posted on 1/2/23 at 9:15 pm to ABearsFanNMS
quote:
Would he have a pulse but have no spontaneous respiration?
It’s possible, it can just throw off cardiac rhythm. You could still detect an erratic pulse. But this is all guesswork, obviously.
Posted on 1/2/23 at 9:15 pm to Mfdtiger
Question from someone with little/no medical knowledge:
If he has a heartbeat but is not breathing on his own, does that mean the damage is in his brain? That seems obvious, but I genuinely don’t know.
If he has a heartbeat but is not breathing on his own, does that mean the damage is in his brain? That seems obvious, but I genuinely don’t know.
Posted on 1/2/23 at 9:17 pm to Mulkey Man
He also could have a primary issue and a secondary issue when he fell.
They can also break ribs and possibly sternum with both the hit and the CPR and cause lung damage which can take up to 24 hours to really show full extentand so they might be keeping him intubated and on vent on purpose.
They can also break ribs and possibly sternum with both the hit and the CPR and cause lung damage which can take up to 24 hours to really show full extentand so they might be keeping him intubated and on vent on purpose.
This post was edited on 1/2/23 at 9:22 pm
Posted on 1/2/23 at 9:18 pm to Mfdtiger
Medical explanation of commotio cordis (YouTube) that says it's probably what happened to Hamlin.
This post was edited on 1/2/23 at 10:10 pm
Posted on 1/2/23 at 9:18 pm to BranchDawg
quote:
Question from someone with little/no medical knowledge: If he has a heartbeat but is not breathing on his own, does that mean the damage is in his brain? That seems obvious, but I genuinely don’t know.
No, it’s respiratory arrest, I presume from the blow to the chest.
Posted on 1/2/23 at 9:18 pm to BranchDawg
quote:
If he has a heartbeat but is not breathing on his own, does that mean the damage is in his brain? That seems obvious, but I genuinely don’t know.
All determined by how long the brain lacks o2
Posted on 1/2/23 at 9:19 pm to Mfdtiger
I hope this is the case and not Aortic rupture like has been postulated.
Posted on 1/2/23 at 9:19 pm to Mfdtiger
I saw a rumor that his mother is with him in the ems. Which people took to be a good sign. Hopefully it is
Posted on 1/2/23 at 9:20 pm to athenslife101
quote:
I saw a rumor that his mother is with him in the ems. Which people took to be a good sign. Hopefully it is
That could be a good or bad sign, let’s hope for the best.
Posted on 1/2/23 at 9:27 pm to Mfdtiger
This is what I was thinking or somehow threw a PE. He took a helmet to the chest. I’m a nurse not a doctor so I was completely speculating.
Posted on 1/2/23 at 9:28 pm to Mulkey Man
quote:
I hope this is the case and not Aortic rupture like has been postulated.
If his aorta had ruptured then he wouldn't have a pulse and would have been beyond help in a few minutes.
Looks like some kind of dysrhythmia, or as mentioned by others commotio cordis.
Posted on 1/2/23 at 9:31 pm to Mfdtiger
quote:
In the field if we witness a heart arrhythmia a quick strike to the chest with your hand can sometimes reverse it
Watched an ED physician do this on a V-fib patient a few years ago. That being said, current literature does not support this technique as there’s debate on if there’s any real benefit from it.
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