Clinical profile and spectrum of commotio cordis

Maron, B J; Gohman, Thomas E.; Kyle, S. B.

doi:10.1016/s1062-1458(02)00738-9

Cited by 61 publications

(138 citation statements)

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“…Despite a witnessed collapse, timely CPR, and prompt defibrillation in most cases, only 1 of 9 (11%) athletes in this cohort survived-an unexpected finding given the young age, otherwise good health and physical conditioning of the athletes, and early reported defibrillation. 46 Other groups 47,48 have also found the survival rate after SCA in young athletes to be lower than expected. Maron et al 47 analyzed 128 cases from the United States Commotio Cordis Registry and found an overall survival rate of 16%.…”

Section: Survival After Sudden Cardiac Arrestmentioning

confidence: 93%

“…46 Other groups 47,48 have also found the survival rate after SCA in young athletes to be lower than expected. Maron et al 47 analyzed 128 cases from the United States Commotio Cordis Registry and found an overall survival rate of 16%. Cardiopulmonary resuscitation was performed in 106 cases and defibrillation in 41 cases, with 19 of 41 (46%) of the individuals who received defibrillation surviving.…”

Section: Survival After Sudden Cardiac Arrestmentioning

confidence: 93%

“…Cardiopulmonary resuscitation was performed in 106 cases and defibrillation in 41 cases, with 19 of 41 (46%) of the individuals who received defibrillation surviving. 47 Successful resuscitations using AEDs have been reported in the public media and in case reports 49,50 and demonstrate the lifesaving potential of public access defibrillation on the athletic field. Overall, the available studies on SCA in young athletes raise concern regarding the low survival rate and highlight the need for improved and more uniform resuscitation strategies for SCA in young athletes.…”

Section: Survival After Sudden Cardiac Arrestmentioning

confidence: 98%

“…Commotio cordis occurs most commonly in young male adolescents (mean age ϭ 13.6 years) with compliant chest walls. 47 Approximately 80% of cases involve blunt chest impact by a firm projectile, such as a baseball, softball, hockey puck, or lacrosse ball, and 20% of cases are due to chest contact with another person. 47 To date, commercially available chest protectors have not been shown to prevent commotio cordis.…”

Section: Commotio Cordismentioning

confidence: 99%

“…47 Approximately 80% of cases involve blunt chest impact by a firm projectile, such as a baseball, softball, hockey puck, or lacrosse ball, and 20% of cases are due to chest contact with another person. 47 To date, commercially available chest protectors have not been shown to prevent commotio cordis. 82 Survival after commotio cordis closely depends on the time to defibrillation.…”

Section: Commotio Cordismentioning

confidence: 99%

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Inter Association Task Force Recommendations on Emergency Preparedness andManagement of Sudden Cardiac Arrest in High School andCollege Athletic Programs: A Consensus Statement

Drezner

Courson

Roberts

et al. 2007

Prehospital Emergency Care

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Objective: To assist high school and college athletic programs prepare for and respond to a sudden cardiac arrest (SCA). This consensus statement summarizes our current understanding of SCA in young athletes, defines the necessary elements for emergency preparedness, and establishes uniform treatment protocols for the management of SCA.Background: Sudden cardiac arrest is the leading cause of death in young athletes. The increasing presence of and timely access to automated external defibrillators (AEDs) at sporting events provides a means of early defibrillation and the potential for effective secondary prevention of sudden cardiac death. An Inter-Association Task Force was sponsored by the National Athletic Trainers' Association to develop consensus recommendations on emergency preparedness and management of SCA in athletes.Recommendations: Comprehensive emergency planning is needed for high school and college athletic programs to ensure an efficient and structured response to SCA. Essential elements of an emergency action plan include establishment of an effective communication system, training of anticipated responders in cardiopulmonary resuscitation and AED use, access to an AED for early defibrillation, acquisition of necessary emergency equipment, coordination and integration of on-site responder and AED programs with the local emergency medical services system, and practice and review of the response plan. Prompt recognition of SCA, early activation of the emergency medical services system, the presence of a trained rescuer to initiate cardiopulmonary resuscitation, and access to early defibrillation are critical in the management of SCA. In any collapsed and unresponsive athlete, SCA should be suspected and an AED applied as soon as possible for rhythm analysis and defibrillation if indicated.Key Words: sudden cardiac death, athletes, emergency action plan, automated external defibrillators S udden cardiac arrest (SCA) is the leading cause of death in young athletes. 1,2 Athletes are considered the healthiest members of our society, and their unexpected death during training or competition is a catastrophic event that stimulates debate regarding both preparticipation screening evaluations and appropriate emergency planning for athletic events. Despite preparticipation screening, healthy-appearing competitive athletes may harbor unsuspected cardiovascular diseases with the potential to cause sudden death. 3 With the increasing availability of automated external defibrillators (AEDs) at athletic events, there is potential for effective secondary prevention of sudden cardiac death (SCD). The presence and timely access of AEDs at sporting venues provide a means of early defibrillation not only for athletes but also for spectators, coaches, officials, event staff, and other attendees on campus in the case of an unexpected SCA.Many health-related organizations have guidelines for managing SCA during athletic practices and competitions. However, these guidelines have not directly linked emergency planning and...

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Section: Survival After Sudden Cardiac Arrestmentioning

confidence: 93%

Section: Survival After Sudden Cardiac Arrestmentioning

confidence: 93%

Section: Survival After Sudden Cardiac Arrestmentioning

confidence: 98%

Section: Commotio Cordismentioning

confidence: 99%

Section: Commotio Cordismentioning

confidence: 99%

See 3 more Smart Citations

Inter Association Task Force Recommendations on Emergency Preparedness andManagement of Sudden Cardiac Arrest in High School andCollege Athletic Programs: A Consensus Statement

Drezner

Courson

Roberts

et al. 2007

Prehospital Emergency Care

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Intrathorakale Verletzungen

Bölükbas¹,

Ghezel-Ahmadi²,

Heesen³

et al. 2012

Chirurg

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Severe intrathoracic injuries are uncommon but immediately life-threatening. These injuries are mostly associated with polytrauma. After stabilization of polytraumatized patients imaging is a prerequisite for treatment and operation planning. The assessment warrants an interdisciplinary approach primarily between the specialties of anesthesia, trauma surgery and thoracic surgery and further specialties should be involved depending on the injury pattern. This article gives an overview about the current management of the most important intrathoracic injuries.

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Commotio cordis?A report of three cases

2004

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Commotio cordis is a recognised cause of sudden death in which an apparently minor blow to the chest causes ventricular fibrillation and cardiac arrest. It is best known for causing death during games of youth baseball in the United States, but individual cases have been recorded as a result of a wide range of activities, principally sporting. The underlying biochemical and mechano-electric causes have been well documented. However, there are few reported cases where commotio cordis is implicated as the cause of death in homicide cases. We present three cases from the north-east of England where an assault caused death by this mechanism.

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Clinical profile and spectrum of commotio cordis

Cited by 61 publications

References 0 publications

Inter Association Task Force Recommendations on Emergency Preparedness andManagement of Sudden Cardiac Arrest in High School andCollege Athletic Programs: A Consensus Statement

Inter Association Task Force Recommendations on Emergency Preparedness andManagement of Sudden Cardiac Arrest in High School andCollege Athletic Programs: A Consensus Statement

Intrathorakale Verletzungen

Commotio cordis?A report of three cases

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