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Reply to "Damar Hamlin "
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][twitter]https://twitter.com/mikegarafolo/status/1610447307656372224?s=46&t=EGbeBy_WmjTpMEczwNAzHg[/twitter][/quote] This is such good news. Obviously a long way to go but, with the initial updates, I was really worried that things might get worse instead of better.[/quote] His uncle was so composed and calm despite his sleep deprivation and taxing ordeal. But there was really nothing in his words that made me feel better about the outcome. In fact, the lack of quick progress is not a good sign. It was reported that he was ventilated in a prone position which is concerning for acute lung injury, which is always a worrisome sign. Ugh. The lung injury could be secondary to cpr, but in any case, it means that this is more complicated that I was hoping. [/quote] Actually several medical professionals have come out and said the prone position is not unusual, it takes some of the pressure off the lungs, so they aren’t working against gravity. Part of the healing process. They seemed more concerned about the the need to resuscitate a second time at the hospital. [/quote] I’m a physician and the proning is concerning. It means there is lung damage that the team is trying to reverse. Hopefully it is from primarily from cpr or resuscitation efforts (trauma from cpr, massive fluid boluses) and not cardiac dysfunction. Proning is done for patients with ards, acute respiratory distress syndrome, and in general, it’s a poor prognostic indicator, though his youth and general health is definitely on his side. His team would feel much better if he didn’t have ards. Second cardioversion is also concerning - if this was commotio cordis, the heart muscle is not damaged in the initial insult, so the second bout of what I assume was an arrhythmia means there was something else that caused it. Everyone is saying it’s likely commotio cordis, but his team will make sure there is nothing else going on. It could be that he has a genetic predisposition to arrhythmia, a structural defect, long qt, etc. I’m not sure how much the nfl screens players. In Italy, a player died on the soccer field from a cardiac arrest and they now have super stringent screening for professional soccer players. [/quote] They are now saying the uncle misspoke and he was not resucitated a second time at the hospital.[/quote]
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