Damar Hamlin is headed home to Buffalo!

DJnVa

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So the decision WILL be from Goodell after talking to the teams...
 

Catcher Block

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They resumed play when Danish soccer player Christian Eriksen collapsed and received CPR and an AED on the field a couple years ago just before halftime. They didn't know he was stable until after the match ended.

I don't have much faith in the NFL being better in these circumstances.

Edit: Corrected below. They suspended and resumed same day, after Eriksen's had improved and was stable.
 

dixielandbandana

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With the use of the AED, this was an arrythmia (heart out of rhythm) as opposed to asystole (flatline). That does have a much better outcome, and the good news is he got high-quality CPR immediately, which would keep him somewhat oxygenated, and got the AED quickly, which (presumedly) restored his rhythm. Hopefully he gets safely to the ER where they can look for causes and get him admitted. First thoughts would be commotio cordis, or hyperteophic cardiomyopathy leading to an arrythmia, though players should be screened for that I think.
 

troparra

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A blow to the chest can cause sudden, cardiac death. It’s called commotio cordis. Essentially, the trauma causes a brief electrical spike. If it happens during a particular point of the cardiac cycle, it can stop the heart immediately. It is much much more common in young children due to the increased compliance of the chest wall. Most cases that I’ve ever heard of occur with a strike to the sternum, usually a punch or a ball – like in baseball or lacrosse.
It’s extremely rare. Only about 10 to 20 cases a year are reported. I don’t think I’ve ever heard of a case in anyone over the age of 20 years of age. Every case I’ve heard of, or attended to, involved baseball. I would think shoulder pads would prevent the anterior chest from this type of injury. Resuscitation was historically, dismal, but that is improved with better recognition. There is some speculation that certain individuals are more predisposed given a possible long QT syndrome. The variables that are necessary for this to occur, include the velocity and timing of the incident. Without going into the specifics of the cardiac electrical cycle and repolarization, the most common underlying dysrhythmias include long QT syndrome, and a condition called Brugada syndrome.

A blow to the chest does transmit electrical activity through the chest wall into the heart. Whenever I’m at the bedside and a patient’s heart stops the quickest way I have to get it restarted is a thump, essentially a punch into the chest of the patient. It is thought that a normal punch to the chest confers, approximately 2-5 J of energy.
My son plays lacrosse, and last year they upgraded the chest protection requirements to better protect the heart from commotio cordis.
A couple years ago, my son’s coach had all the players read a book about a Cornell lacrosse player named George Boiardi who died of this after taking a ball to the chest during a game.
 

swiftaw

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They resumed play when Danish soccer player Christian Eriksen collapsed and received CPR and an AED on the field a couple years ago just before halftime. They didn't know he was stable until after the match ended.

I don't have much faith in the NFL being better in these circumstances.
I thought they suspended the game and resumed it the next day.
edit: I stand corrected. They resumed hours later after they confirmed he would be okay.
 

scott bankheadcase

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I hate that I’m speculating. But if he was responsive, we would have gotten that report by now.

I remember the Eriksen situation well, and by this much time elapsed we were at least getting some very small positive reports.
 

Bongorific

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A blow to the chest can cause sudden, cardiac death. It’s called commotio cordis. Essentially, the trauma causes a brief electrical spike. If it happens during a particular point of the cardiac cycle, it can stop the heart immediately. It is much much more common in young children due to the increased compliance of the chest wall. Most cases that I’ve ever heard of occur with a strike to the sternum, usually a punch or a ball – like in baseball or lacrosse.
It’s extremely rare. Only about 10 to 20 cases a year are reported. I don’t think I’ve ever heard of a case in anyone over the age of 20 years of age. Every case I’ve heard of, or attended to, involved baseball. I would think shoulder pads would prevent the anterior chest from this type of injury. Resuscitation was historically, dismal, but that is improved with better recognition. There is some speculation that certain individuals are more predisposed given a possible long QT syndrome. The variables that are necessary for this to occur, include the velocity and timing of the incident. Without going into the specifics of the cardiac electrical cycle and repolarization, the most common underlying dysrhythmias include long QT syndrome, and a condition called Brugada syndrome.

A blow to the chest does transmit electrical activity through the chest wall into the heart. Whenever I’m at the bedside and a patient’s heart stops the quickest way I have to get it restarted is a thump, essentially a punch into the chest of the patient. It is thought that a normal punch to the chest confers, approximately 2-5 J of energy.
Appreciate the insight. Also thankful there are people like you who have been through the trenches and developed the quickest way to restart a heart.
 

Ed Hillel

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Is what was described before essentially a coma? Pulse, not breathing on own.
 

mauf

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Agree, particularly in regards to Twitter.
The signal-to-noise is obviously terrible, but without Twitter most of us wouldn’t have access to what appears to be the only real source of information out there — a guy from the local Fox affiliate in Cincinnati who I can only assume took the time to get to know a bunch of working stiffs around the stadium, and therefore had information that we obviously weren’t meant to have. Which of course might be less than the full picture, but it’s something.
 

mauf

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The owners. Goodell is still just their employee. Bills and Bengals owners should be calling this off ASAP. Waiting to see if the guy lives to make the call is gross.
Why does the decision need to be made quickly?

It seems unlikely at this point, but if we got word an hour from now that Hamlin is going to be ok, I wouldn’t be surprised if both teams wanted to play.
 

PedroKsBambino

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You have to cancel and figure it out later on playoffs, etc.

I would hope both owners have said as much to league by now, but you never know with NFL owners.
 

NortheasternPJ

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Even if they decided to play, they going to start at 10:30pm and have players cold after 90 min off and get more people hurt?
 

singaporesoxfan

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They resumed play when Danish soccer player Christian Eriksen collapsed and received CPR and an AED on the field a couple years ago just before halftime. They didn't know he was stable until after the match ended.

I don't have much faith in the NFL being better in these circumstances.
That's wrong: Eriksen collapsed at 5:43pm; the Danish FA published the news that Eriksen was alive, in hospital and stabilised at 6:32pm; the game resumed at 7:30pm (timeline here). Even then the Danes thought it was a bad decision, but they did know their teammate was stable.
 

DJnVa

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Even if they decided to play, they going to start at 10:30pm and have players cold after 90 min off and get more people hurt?
Yeah. I would imagine that *if* the players wanted to play tomorrow, since they were only 5 minutes or so in, that is likely possible.
 

BaseballJones

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Why does the decision need to be made quickly?

It seems unlikely at this point, but if we got word an hour from now that Hamlin is going to be ok, I wouldn’t be surprised if both teams wanted to play.
I agree with this. If it turns out he's going to be fine, I can see the players managing to shake this off and continue.

But it sure feels like that's about a 1% likelihood.
 

Harry Hooper

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Even if they decided to play, they going to start at 10:30pm and have players cold after 90 min off and get more people hurt?
Given the on-the-fly stuff done during Covid, maybe they resume the game on Wednesday, even early like 11 AM.
 

mauf

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The only thing I know for sure is that whoever thought it was a good idea to try and restart the game after five minutes is a fucking moron.
That was probably the refs, it’s probably league protocol
From the TV coverage, it looked like Zac Taylor was the voice of reason — he called two officials over to him, then they went over and spoke to McDermott, then both teams left the field.
 

Pablo's TB Lover

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I mean on the one hand, they should not cancel the game immediately. As this could have impaired the ambulance and mother apparently, getting out in time before the crowds depart. But as the seriousness becomes more apparent and assuming he isn't shocked into being alert and conscious, it is time to postpone the game.
 

sonofgodcf

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Jul 17, 2005
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The toilet.
Not familiar with Mike Brown I see
He's an NFL owner, so I think I have him fairly pegged.
Why does the decision need to be made quickly?

It seems unlikely at this point, but if we got word an hour from now that Hamlin is going to be ok, I wouldn’t be surprised if both teams wanted to play.
Why? Because it's the right thing to do, isn't that obvious? These players are shaken to their core, they aren't going to be in the right mindset to go out and play after waiting an hour to find out if a teammate is alive.

Call it now, let people regroup and make a plan tomorrow to either call it a tie, cancel it or reschedule.
 

shepard50

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Unless Damar is awake and stable by now they are not going to play the game, and the sooner they call it the better. They can pick it up tomorrow or the next day.