Damar Hamlin

[Anonymous]

Family releases statement, safety ‘fighting’
https://www.cbssports.com/nfl/news/bills-damar-hamlin-suffers-cardiac-arrest-on-field-vs-bengals-family-releases-statement-safety-fighting/?fbclid=IwAR3mbIHT2Bxw_uPAn-s8G_kUaCSwq-XKBWsH4oLpONGhRsJN8uooPohsxNY&mibextid=Zxz2cZ

[Anonymous]

Anonymous wrote:Not sure if anyone has mentioned this already, but perhaps this was a case of commotio cordis.

As a pathologist, I’ve seen in healthy kids who get whacked in the chest by a ball when they are just playing around in the park. It’s tragic.

That seems to be the consensus of everything I've read.

I'm the parent of a baseball pitcher and a hockey/lacrosse goalie, so this is something I worry about. It isn't nearly as common in football, I thought. What a freak thing.

[Anonymous]

Anonymous wrote:Not sure if anyone has mentioned this already, but perhaps this was a case of commotio cordis.

As a pathologist, I’ve seen in healthy kids who get whacked in the chest by a ball when they are just playing around in the park. It’s tragic.

That’s the most common hypothesis among all the experts I’ve seen weigh in.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Is there any chance he is brain dead? Is it expected that vital signs are normal but a patient is still in critical condition?

Yes, I believe not having an update on his condition is because they are assessing his brain damage. They performed CPR for 10 minutes. That's a lot of time for the brain to not have oxygen or to have low oxygen. And he had the best medical response you could ever imagine when something like this happens.

Disagree. The chance of him being brain dead is very low. He may have some recovery to do from hypoxia, but it shouldn't be severe.

They don't have an update because there isn't one. His vitals are stable. They will let him rest in heavy sedation while they do tests. They probably won't even try to lower his sedation until 48 hours of brain rest. So we are looking at Wednesday morning.

He was down for a long time. He will be lucky to survive and if he does, he will be lucky if he experienced only mild hypoxia. It only takes a few minutes before the brain starts to react to loss of oxygen.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Is there any chance he is brain dead? Is it expected that vital signs are normal but a patient is still in critical condition?

Yes, I believe not having an update on his condition is because they are assessing his brain damage. They performed CPR for 10 minutes. That's a lot of time for the brain to not have oxygen or to have low oxygen. And he had the best medical response you could ever imagine when something like this happens.

Disagree. The chance of him being brain dead is very low. He may have some recovery to do from hypoxia, but it shouldn't be severe.

They don't have an update because there isn't one. His vitals are stable. They will let him rest in heavy sedation while they do tests. They probably won't even try to lower his sedation until 48 hours of brain rest. So we are looking at Wednesday morning.

He was down for a long time. He will be lucky to survive and if he does, he will be lucky if he experienced only mild hypoxia. It only takes a few minutes before the brain starts to react to loss of oxygen.

Thanks Doctor internet.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Is there any chance he is brain dead? Is it expected that vital signs are normal but a patient is still in critical condition?

Yes, I believe not having an update on his condition is because they are assessing his brain damage. They performed CPR for 10 minutes. That's a lot of time for the brain to not have oxygen or to have low oxygen. And he had the best medical response you could ever imagine when something like this happens.

Disagree. The chance of him being brain dead is very low. He may have some recovery to do from hypoxia, but it shouldn't be severe.

They don't have an update because there isn't one. His vitals are stable. They will let him rest in heavy sedation while they do tests. They probably won't even try to lower his sedation until 48 hours of brain rest. So we are looking at Wednesday morning.

He was down for a long time. He will be lucky to survive and if he does, he will be lucky if he experienced only mild hypoxia. It only takes a few minutes before the brain starts to react to loss of oxygen.

They started CPR, oxygen and got the AED to him very quickly considering the circumstances. I am not a doctor, but I'm hoping the medical team's quick work allows him to make a full recovery.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Not sure if anyone has mentioned this already, but perhaps this was a case of commotio cordis.

As a pathologist, I’ve seen in healthy kids who get whacked in the chest by a ball when they are just playing around in the park. It’s tragic.

That’s the most common hypothesis among all the experts I’ve seen weigh in.

DP but the Post had a good article and a few cardiologists weighing in. It sounds like there are different kinds of arrhythmia-related disruptions, commotio cordis being the worst. Scary, indeed, and it’s making me reconsider letting my youngest son play baseball, even though those kinds of injuries are incredibly rare.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Is there any chance he is brain dead? Is it expected that vital signs are normal but a patient is still in critical condition?

Yes, I believe not having an update on his condition is because they are assessing his brain damage. They performed CPR for 10 minutes. That's a lot of time for the brain to not have oxygen or to have low oxygen. And he had the best medical response you could ever imagine when something like this happens.

Hopefully, they defibrillated him within a few minutes since apparently the nfl has a protocol for medical emergencies. The outcomes are much better for a young healthy person who is given cpr right away and then shocked back to a life sustaining rhythm. It’s true that cpr has poor outcomes, I think it’s like less than 10%, but with quick cardioversion, survival is much higher. It also depends on which heart rhythm he had - maybe he was in ventricular tachycardia, which is bad, but not as bad as ventricular fibrillation, which is basically quivering heart muscle. Many things are possible.

I don’t think they are assessing his brain function aside from basic neuro checks since he is sedated. They will first try to find out what happened. There are always other things that could have happened - arrhythmia due to a structural defect, problems with arteries that supply blood to the head or even the aorta, so they will have to be systematic and look at everything. Once he stable from a cardiopulmonary status, they will lighten his sedation and prepare to wake him up and give him a full assessment. I’m really hoping for the best. The fact that they said he had normal vitals is very good. I read it as he has normal vitals on minimal medication, but they didn’t say exactly.

Christian Erickson had something similar, though they never figured out what happened. He hadn’t been struck by a ball or anyone, I believe. He now has a icd, which is like a mini aed that will shock him if it happens again. And Sergio aguero had to retire due to an arrhythmia.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Is there any chance he is brain dead? Is it expected that vital signs are normal but a patient is still in critical condition?

Yes, I believe not having an update on his condition is because they are assessing his brain damage. They performed CPR for 10 minutes. That's a lot of time for the brain to not have oxygen or to have low oxygen. And he had the best medical response you could ever imagine when something like this happens.

Hopefully, they defibrillated him within a few minutes since apparently the nfl has a protocol for medical emergencies. The outcomes are much better for a young healthy person who is given cpr right away and then shocked back to a life sustaining rhythm. It’s true that cpr has poor outcomes, I think it’s like less than 10%, but with quick cardioversion, survival is much higher. It also depends on which heart rhythm he had - maybe he was in ventricular tachycardia, which is bad, but not as bad as ventricular fibrillation, which is basically quivering heart muscle. Many things are possible.

I don’t think they are assessing his brain function aside from basic neuro checks since he is sedated. They will first try to find out what happened. There are always other things that could have happened - arrhythmia due to a structural defect, problems with arteries that supply blood to the head or even the aorta, so they will have to be systematic and look at everything. Once he stable from a cardiopulmonary status, they will lighten his sedation and prepare to wake him up and give him a full assessment. I’m really hoping for the best. The fact that they said he had normal vitals is very good. I read it as he has normal vitals on minimal medication, but they didn’t say exactly.

Christian Erickson had something similar, though they never figured out what happened. He hadn’t been struck by a ball or anyone, I believe. He now has a icd, which is like a mini aed that will shock him if it happens again. And Sergio aguero had to retire due to an arrhythmia.

Thank you for this info, it is helpful for those of us trying to make sense of this.

I really hope the speed with which he received medical care results in a good outcome here. As terrible as this whole thing is, the fact that there was medical staff and equipment right there to treat him with the AED and CPR within moment of the cardiac event will hopefully help. 24 is so young and he has so much life left to live, I am really pulling for him and his whole family. It was so shocking to see last night and I haven't been able to stop thinking about it since it happened.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Is there any chance he is brain dead? Is it expected that vital signs are normal but a patient is still in critical condition?

Yes, I believe not having an update on his condition is because they are assessing his brain damage. They performed CPR for 10 minutes. That's a lot of time for the brain to not have oxygen or to have low oxygen. And he had the best medical response you could ever imagine when something like this happens.

Hopefully, they defibrillated him within a few minutes since apparently the nfl has a protocol for medical emergencies. The outcomes are much better for a young healthy person who is given cpr right away and then shocked back to a life sustaining rhythm. It’s true that cpr has poor outcomes, I think it’s like less than 10%, but with quick cardioversion, survival is much higher. It also depends on which heart rhythm he had - maybe he was in ventricular tachycardia, which is bad, but not as bad as ventricular fibrillation, which is basically quivering heart muscle. Many things are possible.

I don’t think they are assessing his brain function aside from basic neuro checks since he is sedated. They will first try to find out what happened. There are always other things that could have happened - arrhythmia due to a structural defect, problems with arteries that supply blood to the head or even the aorta, so they will have to be systematic and look at everything. Once he stable from a cardiopulmonary status, they will lighten his sedation and prepare to wake him up and give him a full assessment. I’m really hoping for the best. The fact that they said he had normal vitals is very good. I read it as he has normal vitals on minimal medication, but they didn’t say exactly.

Christian Erickson had something similar, though they never figured out what happened. He hadn’t been struck by a ball or anyone, I believe. He now has a icd, which is like a mini aed that will shock him if it happens again. And Sergio aguero had to retire due to an arrhythmia.

Agreed they won’t assess brain function yet. Though they may do a portable CT scan in the icu room to see what’s going on in the brain and look for a cause that way or an injury from him falling/being hit. My mom died of sudden cardiac arrest, but initially the ambulance was able to get the heart started so she was in the icu for several days before being taken off the vent. They do look for the cause right away, and the first thing is they usually send them to the cath lab to look at their heart and arteries to see if they can determine an obvious reason for the CA and address it. Otherwise, they keep the body cool for 47 hours to reduce damage to the brain. After that, the mostly watch and wait. Look to see if there are any signs of purposeful movements or response to command. Also check up see if they can lower vent settings etc. After 48 hours is when for my mom it was apparent she likely sufferered an irreversible anoxic bran injury, and then they did an mri of her brain.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I have a few friends (fellow sports moms) who were posting that their kids are tough and would have kept playing after that.

Yikes. People are messed up.

It's kind of hard to resume play after having been clinically dead for several minutes. jeez. what is wrong with people

They said if their kids were in Josh Allen's shoes, they would have gone back out because they raised their kids to be fighters and winners.

[Anonymous]

I don't know if it has already been mentioned, but the ESPN team did a remarkable job under challenging circumstances. Joe Buck, partnered with Troy Aikman, explained how their task shifted from calling the game to reporting on a news story. Lisa Salters did some emotional and compelling reporting about what it was like to be in the stadium. The studio crew of Suzy Kolber, Booger McFarland, and Adam Schefter had perhaps the toughest job trying to find the right words to make sense of what was happening without knowing any facts. After the game, Ryan Clark, working with Scott Van Pelt, was emotional, powerful, and insightful. I was in awe of all of them, but Clark in particular.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I have a few friends (fellow sports moms) who were posting that their kids are tough and would have kept playing after that.

Yikes. People are messed up.

It's kind of hard to resume play after having been clinically dead for several minutes. jeez. what is wrong with people

NP here.
I’m sure the poster meant the other players.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I have a few friends (fellow sports moms) who were posting that their kids are tough and would have kept playing after that.

Yikes. People are messed up.

It's kind of hard to resume play after having been clinically dead for several minutes. jeez. what is wrong with people

They said if their kids were in Josh Allen's shoes, they would have gone back out because they raised their kids to be fighters and winners.

Well good thing the parents of those 100 men raised them to be decent human beings.

[Anonymous]

Anonymous wrote:I don't know if it has already been mentioned, but the ESPN team did a remarkable job under challenging circumstances. Joe Buck, partnered with Troy Aikman, explained how their task shifted from calling the game to reporting on a news story. Lisa Salters did some emotional and compelling reporting about what it was like to be in the stadium. The studio crew of Suzy Kolber, Booger McFarland, and Adam Schefter had perhaps the toughest job trying to find the right words to make sense of what was happening without knowing any facts. After the game, Ryan Clark, working with Scott Van Pelt, was emotional, powerful, and insightful. I was in awe of all of them, but Clark in particular.

Watching them look like they might throw up at any moment really drove home how serious this was. It was very intense.