Robert D. Glatter, MD; Paul E. Pepe, MD, MPH; and Michael 'Mick' Molloy, MB, MSc, MCh, discuss the emergency team's response to Damar Hamlin's cardiac arrest and possible causes.
I wanted to briefly talk about screening of the athletes at the high school/college level, but also at the professional level. Obviously, there are issues, including the risk for false-positives in terms of low incidence, but there are also false negatives, as the case with
Also, athletes, by nature of what they're doing, are operating at 99% of efficiency on a frequent basis. They are at the peak of their physiologic fitness, and it does make them a little bit more prone to picking up viral illnesses from time to time. They may get a small viral myopericarditis, which causes a new arrhythmia that nobody knew about. They had the screening 2 or 3 years ago, and they now developed a new problem because of what they do, which just may not show up.
, and so on. I have to reiterate what Dr Malloy just said in that it may have its downsides as well. If you can pick up real obvious cases, I think that may be of value.I want to conclude and get some pearls and takeaways from each of you regarding the events that transpired and what our audience can really hold onto.Look at Formula One in the past 50 years. In Formula One, in the beginning it was a 2-minute job to change a tire.
That's the thing: You need to practice these things. The players don't go out on the weekend and do a move for the very first time without practicing it hundreds of times. We need to look at it the same way as the medical team who are looking after that group of players and the crowd because we also look after the crowd.
The final point is that on a day-to-day basis, most cardiac arrests do occur in the home. Granted, 80% of them are nonshockable cases, but the people who are more apt to survive are going to be the ones who have an electrical event. In fact, when we looked at our data years ago, we found that, of the cases of people with ventricular fibrillation that we resuscitated, half didn't even have heart damage. Their enzymes were normal.
With AEDs, know where it is — that's why we should have it in standardized places. Go get it, turn it on, and then follow the instructions. Also, the most important thing is making sure you're doing quality compressions; andAbsolutely. The public still has the misconception that you need to do mouth-to-mouth resuscitation. The message has not permeated through society that you don't need to do mouth-to-mouth. Hands-only CPR is the gold standard now.
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