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The terrifying moment occurred after Hamlin, 24, apparently slammed his chest into the shoulder of Cincinnati Bengals wide receiver Tee Higgins. Hamlin stood up briefly after the tackle before collapsing on the field.
his heart had stopped. Medical staff quickly performed chest compressions and used an AED to shock the heart. Hamlin’s heartbeat recovered on the field, according to a Bills statement. He was taken to hospital by ambulance, where he is in critical condition.
Details about Hamlin’s medical condition have not yet been released. The most likely explanation is that he suffered from cordis, a very rare but serious condition after blunt trauma to the chest. If it occurs in an instant, it can send the heart into an irregular and disrupted rhythm called ventricular fibrillation.
Ventricular fibrillation is fatal if not treated immediately. When the heart stops pumping blood, oxygen no longer reaches vital organs. CPR can buy time by manually compressing the heart to pump blood, but all it takes is to shock the heart to return to its normal rhythm.
The sooner you get the shock, the more likely you are to get a good result. In one analysis of a Cordis patient, resuscitation delivered within 3 minutes resulted in a 25 percent survival rate, which dropped to 3 percent when resuscitation was delayed for her by more than 3 minutes. Studies using animal models have found time to defibrillation to be an important determinant. Most animals given an electric shock within 2 minutes after cardiac arrest survived, but survival dropped by more than half when the electric shock was delayed for more than 4 minutes.
In Hamlin’s case, the medical team arrived on the field within seconds of his collapse. He received his CPR immediately, and an AED and trained personnel were able to deliver electric shocks. His prognosis is not yet known, but his prompt intervention gave him the best chance of survival and recovery.
Hamlin’s situation is unusual. Commocio cordis is extremely rare in football. Of the 69 well-documented sports-related cases compiled by the National Commocio Cordis Registry, only three of them occurred in football. 46 occurred in youth baseball or softball. 7 are from ice hockey. A blow to the chest from a projectile such as a ball or puck was involved in 75% of cases.
In addition, most cases occur in young people. His NCCR analysis of his one of his 188 Cordis deaths in athletes found the average age to be her 14.7 years. One explanation is that the chest wall muscles are less developed in young recreational players than in professional athletes. I may explain why.
Given these facts, it is imperative that youth sports officials take precautionary measures. The National Athletic Trainers’ Association encourages youth baseball and ice hockey organizations to use softer baseballs and pucks. Chest protectors also help reduce projectile force.
In addition, AEDs must be installed in all exercise facilities, including gymnasiums. Importantly, it must be accessible within 1 minute of cardiac arrest. All athletic facilities, including school training facilities, should have an emergency action plan. NFL games have dozens of trained medical staff. While this is not feasible in youth sports, schools and youth leagues require all coaches and officials to be up to date on his CPR certification.
Widespread availability of AEDs and rapid resuscitation of bystanders could help avert tragedies for non-young athletes. More than 18,000 Americans suffer public cardiac arrest each year, and immediate defibrillation can help. We can all help by learning CPR and knowing how to use an AED.
Focusing on AEDs is not meant to avoid the many dangers associated with football. Just three months ago, Miami his Dolphins quarterback Tua his Tagovailoa was taken out of the game due to repeated concussions. That episode highlighted the very real risk of chronic brain injury in football and the reforms needed to reduce it, especially in youth sports.
Hamlin’s experience is a similar call to action, and once again we need to focus on where most of these tragedies occur. Not professional sports stadiums, but local high school gymnasiums, baseball diamonds, hockey rinks, and youth playgrounds across the country. .
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