Bills Bengals - ambulance on the field

[Copper]

This is getting spooky

[LuFins Dad]

[George K]

@LuFins-Dad said in Bills Bengals - ambulance on the field:

Collapsed lung? That was a huge hit to the chest.

If I had to guess, it was some kind of arrhythmia induced by the chest trauma.

Collapsed lung wouldn't be so sudden. This was like his heart just stopped (effectively) beating.

EDIT:

We cross-posted. AED use suggests V-tach or, more likely, V-fib.

[LuFins Dad]

@George-K said in Bills Bengals - ambulance on the field:

@LuFins-Dad said in Bills Bengals - ambulance on the field:

Collapsed lung? That was a huge hit to the chest.

If I had to guess, it was some kind of arrhythmia induced by the chest trauma.

Collapsed lung wouldn't be so sudden. This was like his heart just stopped (effectively) beating.

EDIT:

We cross-posted. AED use suggests V-tach or, more likely, V-fib.

[Horace]

I've heard of that happening in hockey when someone takes a puck to the heart.

[Jolly]

The game is no longer important. Kudos to the coaches for pulling their teams off of the field.

If the young man is not okay, Goodell would be a soulless monster to make the teams finish the game.

[Mik]

He would do well to remember the reaction when Marge Schott wanted the game to continue after the umpire dropped dead on the field. It wasn’t pleasant.

[LuFins Dad]

@George-K said in Bills Bengals - ambulance on the field:

@LuFins-Dad said in Bills Bengals - ambulance on the field:

Collapsed lung? That was a huge hit to the chest.

If I had to guess, it was some kind of arrhythmia induced by the chest trauma.

Collapsed lung wouldn't be so sudden. This was like his heart just stopped (effectively) beating.

EDIT:

We cross-posted. AED use suggests V-tach or, more likely, V-fib.

But mechanical ventilation would indicate respiratory distress. Would V-tach or fib have respiratory consequences?

[George K]

commotio cordis

I've never heard that term, though I'm familiar with the physiology, and that's why I suggested it. It's an interesting phenomenon. There is a portion of the cardiac cycle, which is usually pretty robust, where an ill-timed beat can set off a cycle of arrhythmia - VT or VF. This ill-timed beat can occur without trauma - it can be "just one of those things" where a muscle fiber gets excited and decides to fire. While the rest of the heart is in the early stages of recovering its electrical cycle, this stimulus comes in at exactly the wrong tom and sets off a vicious cycle.

This "R on T" phenomenon (referring to the waves of an EKG) is something that should be treated with anti-arrhythmic drugs to prevent it from degenerating into something lethal.

An external stimulus, such as this, can cause such a premature beat, and the rest is history.

https://en.wikipedia.org/wiki/Commotio_cordis

The interesting thing is that this can occur more frequently with heart rates that are rapid (like with exercise).

[George K]

@LuFins-Dad said in Bills Bengals - ambulance on the field:

But mechanical ventilation would indicate respiratory distress. Would V-tach or fib have respiratory consequences?

No, no immediate consequence, but if you have a period without adequate circulation, your brainstem isn't getting blood, and that's where the respiratory centers live.

They probably intubated him on the field (or in the ambulance) and used bag ventilation until transportation.

[Mik]

I believe they did intubate him.

[Mik]

Concerned how Tee Higgins feels. He was the receiver Hamlin was tackling.

[Jolly]

@George-K said in Bills Bengals - ambulance on the field:

@LuFins-Dad said in Bills Bengals - ambulance on the field:

But mechanical ventilation would indicate respiratory distress. Would V-tach or fib have respiratory consequences?

No, no immediate consequence, but if you have a period without adequate circulation, your brainstem isn't getting blood, and that's where the respiratory centers live.

They probably intubated him on the field (or in the ambulance) and used bag ventilation until transportation.

NFL teams have docs in the stadium. This is interesting...

[Copper]

@Mik said in Bills Bengals - ambulance on the field:

Concerned how Tee Higgins feels. He was the receiver Hamlin was tackling.

The play looked ok to me, I didn't see anything like a dirty hit.

[Jolly]

They're picking up equipment...

[Mik]

The league just needs to cancel the damn game.

[Jolly]

They have postponed the game for tonight.

[Jolly]

NFL says he is at UC Medical in critical condition.

[Copper]

At this point I assume they are working through playoff scenarios with or without a result in this game.

And how to deal with ticket holders

And the bookies are scratching their heads.

There won't be any more football tonight

[George K]

The question is how long he was without adequate CPR. That’ll play a huge role in prognosis.