I've heard "induce hypothermia" a few times in reading about it (including here
) . To be clear, this was in context to what could occur and/or may have occurred in similar cases. It's not clear that this happened here, but hypothermia occurs when your body temp falls below 95 degrees.
‘The show must go on’ is a deeply held tenet within the entertainment business, professional sports industry included. I was happy to see that principle challenged last night.
I’m not a doctor but my understanding is the AED device is the shock to restart a heart and CPR is the chest compressions used to pump blood while the heart is stopped.
They are distinct tools/processes. The TLDR is that CPR is administered immediately to keep the body oxygenated, most importantly the brain. It also pushes blood into the heart, which creates a more favorable condition for AED. CPR almost never "brings someone back from dead". The AED shoots electricity into the body and can actually restart a heart. If you are somewhere where you suspect someone has had a heart attack then immediately alert 911 and begin to administer CPR to keep the blood flowing. Instruct another person nearby to locate an AED. Many modern AEDs (like ours) will actually be fairly idiot-proof and shoot directions at you, however, if this happens to you then by this time you should be on with 911 and get direction from them. However, 911 always isn't available, so it's important to get an AED that matches the skill sets of the people who would theoretically administer it.
Yes, they did use an AED in addition to CPR.
Yes it was. It's been reported by multiple outlets that they used the AED/CPR to get his hear back into rhythm. Both components work hand in hand.
I get CPR training every year with my job as I work closely with athletes. It's so important. You never know what could happen and unfortunately we found out last night.
I do too and you're 100% right. I hope to God I never have to use it in real life.
As a side note, many years ago when my then workplace invested in a portable AED we were also instructed to remove any metal necklaces and the kit was actually equipped with scissors that would cut through bras with under wiring so not to burn the person that aid was being administered to. I believe that particular unit was also hard wired so that as soon as it was removed from it's station a call was sent to 911.
The ATC's are trained to cut right down the middle of the pads and unscrew the face mask to administer CPR and AED. Everyone that has kids involved in youth sports needs to be aware of where or if there is an AED on the premises and also be familiar with any athletic training staff that works with your children. They are the unsung heroes.
Yep agreed. And that makes sense regarding the pads. Like I said, my sport, it's much easier. Not that I ever want to have to deal with this.
You are right - you can't do effective compressions with pads in place. However, these pads are easily removable in trauma in order to access the chest AND maintain spine, C-spine precautions (i.e. patient is flat, in a c-collar and on a spine board). They come apart in a few seconds.
Yes. I'm not intimately familiar with it for adults (Pediatrician) but it's a standard protocol for newborns after a delivery goes poorly and there was inadequate perfusion to the brain.
Yeah it's really crazy that this happened given that he was wearing these pads. It's one thing for a little leaguer to take a line drive off his chest with no padding whatsoever. But these guys wear this protection. Has to be like a one in a billion kind of event for football.
I'd like to add to the chorus on this. Took the opportunity when it was offered in work in 2013 and 2015. Last time that I had it was the early 1980s as a boy scout. It has changed a little but not that much.
Having seen them in action, the first responders can cut and unscrew in the blink of an eye.
In Hughes' case, it happened w/a minute to go in a close game and, believe it or not, they actually finished the game. Probably only another play or two, but I remember thinking at the time it was pretty crass to finish the ballgame.
Thanks for this reminder. I was trained in the 80s as a young lad, but long past time for a refresher course. I needed a New Years resolution, anyway, and this seems like a good one.
I think that if I was watching a dude kinda sorta dying in front of me that changing clothes would not be a huge priority at that moment.
It might be worth noting that pads have been shrinking on wide receivers and defensive backs for years. Smaller pads mean more speed and mobility. The NFL had to crack down on thigh pads a few years ago as a number of receivers had started removing them from their pants.
I wonder if this event will make the NFL require bigger pads, even at the sacrifice of speed and mobility.
Definitely not a replacement for in-person but this is the training that we require any adult volunteer to complete. Sudden Cardiac Arrest Course (nfhslearn.com)
FWIW, all pads have been shrinking for years. Check out clips of what linemen looked like 30 years ago—their pads were huge. Not only has technology improved, but linemen want less surface area so there is less to grab onto.
Yes! Hard and fast is the rule. 1 1/2 to 2 minutes or so and you should need to swap out. That’s how strenuous the effort should be. My constant refrain during a resuscitation is “those compressions need to be harder and faster”.
If this is true, do they move the Patriots to Monday? I think we have seen Monday's game moved to Tuesday before, and then they play again on Sunday. And of course the Sunday to Thursday turnaround is common. 4 days rest seems to be the minimum (is it in the CBA?). Wednesday to Sunday, after an event like this seems crazy.
I'm not going to pretend to know the ins and outs of the contracts, but they may have an all out non compete on that day. NCAA and it's billions in ads and sponsors wants to be the only game in town on Monday.
Pro wrestling is a business run by psychotic carnival barkers though. Ostensibly, "real" sports should be above this kind of disgraceful shit.
Which is fine, at that point the NFL's concern is just getting back on schedule. Play with no broadcast if that's what it takes.
This a 1000 times. I had to use CPR on a neighbor who collapsed at the park one day. He didn't make it, but the number of people who couldn't/didn't know what to do was staggering. It's heartbreaking to be with a guy trying to save him while his family watches.
On the surface agreeing to a tie seems simple, but it could possibly affect the playoff seedings.
As a layman in all things medical, I'm wondering how in the world the research went that led to determining induced coma and cooling helped in a situation like this.
Off the top of my head (in clinic so can't chase it down now) I believe it might have been initially based on recoveries of drowning victims, especially cold water, who occasionally have been resuscitated after REALLY long delays and had much less brain damage than would be expected.
