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Everything posted by Beck Water
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I've never heard of that either, and I spent several years working in the ER of a major trauma center and have two nurse relatives who spent decades working at nursing homes and in hospice. If the patient/family want CPR, you do it and do your best. You don't make a judgement about "who won't survive" and decided to "fake it" and go through the motions. Good grief.
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What Bengals & Chiefs fans are saying about the situation:
Beck Water replied to BigDingus's topic in The Stadium Wall
Thought it was moderated, and the moderators were part of the problem? Anyway we had a decent Chiefs fan drop by at one point and explained where the decent Chiefs boards were. Apparently even Chiefs fans regard Chiefs Planet as a Sinkhole. -
Hamlin had trainers running over to him right away and getting on their radios, likely to call for the emergency physicians and the code equipment So I think it's a very good assumption it was started right away. The only delay would have been to get his face mask unscrewed and enough of his pads removed to perform CPR. I would think that could be done PDQ.
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People process things differently. Football players are definitely creatures of routine. Getting home so late - plane landed around 3 am, probably players not home before 3:30 or 4 am, this afternoon they will come in for evaluation and treatment of new or existing injuries, maybe a recovery workout. McDermott and/or team leaders may sound them out to see if they want to get together for a prayer service today and share verbally whatever details they have of the injury and explain the treatment, to counter rumors floating around the Twitterverse (but you have to do it verbally because some moth-head will tweet or re-tweet anything that's messaged and that's for the family to control.) I would expect that is something most of the players would want. I would expect the Bills would reach out and offer mental health services to the players. After that, people cope with things differently but many find it comforting to stick to a routine. These are all guys who are used to vigorous physical activity. Hard physical effort can take your mind off things, and relieve stress and anxiety. If something tragic happens, a routine can always be stopped, but if there's a decision to play, neglected preparations can never be retroactively started.
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At the least, note the manufacturer and model and contact them regarding the recommended maintenance schedule. They do vary depending upon the age of the unit, the type of battery etc. Then follow it Yes, the battery should be checked, but periodically, according to the mfr recommendation, it should actually be inspected and calibrated to be sure that the programming is functional and the shock delivered is up to spec. This was 1x/yr where I used to work.
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The AEDs at my former place of employment were checked every year. That should be the case for AEDs in shopping malls, stadia, etc but Who Knows? Emergency medical equipment positioned for the use of medical professionals (paramedics or hospital) should be checked once a shift. I can't imagine the medical professionals on-call for an NFL game not checking the equipment before each game.
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I can try very briefly. We have far more knowledgeable people here who are likely busy treating patients but I have full confidence will nonetheless put me right if I'm wrong. -For certain emergency conditions, including neurological trauma AND cardiac arrest (heart stoppage), one protocol calls for chilling the patient's body for 24 hrs -The patient is then re-warmed over 12-20 hrs -To accomplish this, the patient is sedated and put on a ventilator, which breathes for them. -While they're sedated and ventilated, we get none, zero, no info about their ability to breathe on their own, their neurological function and so forth, because, we're not talking give them a little Valium - this is serious, OR-grade sedation So if this is the protocol being followed, doing the math, 24 + 12 or 20, we would expect no "good news" updates about Hamlin for at LEAST 36-44 hrs, until Weds morning or afternoon. If you are stressed out and unable to eat or sleep, Please, for your health, take a walk, go look at your favorite view, pat some grass, eat a ***** snack, and take a nap. By the way, the protocols I've found on this procedure (new since my decades-old time in the ER) all state that no alteration of care or decision based on the patient's neurological status should be made for 72 hrs after the cooling and re-warming protocols are completed - which is why that Twitter dudes "update" is to be disregarded and treated with the respect it deserves 💩
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I'm sorry you took it that way. I'm not trying to out-smart you, or anyone. My point is that medically, there are a number of key differences between Hamlin's situation, and your brother's situation. There are reports out there in Twitter, some of which have been copied here, about brain scans on Hamlin. We don't know that Damar suffered a spinal cord injury or a brain injury. We know nothing about the cause of Hamlin's cardiac arrest at this point, and medically, that matters a lot. We know that he suffered a cardiac arrest, and that apparently current SOP is to chill the patient, sedate and ventilate them, and wait. And again, I'm sorry for your loss.
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I am sorry for your loss, and clearly you went into a situation that is similar, where once the patient is in medical care, the family has no choice but to wait and pray for the best outcome while the hours tick by. Medically, and I think this is important to note, this is NOT the same situation as your brother experienced, in a number of critical aspects. I mean no disrespect, but this is a fraught time with everyone combing the interwebs for scraps of information, so I think it's important to point this out. My respect for Pat McAfee and his Pro Wrestler Persona just went up a notch
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I don't care if he knows the Face of God and is posting Eternal Truth (which I significantly doubt, for several reasons having to do with my place looking up at the Slope of Enlightenment on the D-K curve for Modern Emergency Medicine, past experience in the ER of a Level III trauma center, and recent experience with a relative who suffered a respiratory arrest that probably wasn't detected for about 15 minutes.) it's a total ***** move to be posting something like that. It screams "LAMP", and what if his "people" are wrong? Any person worth trusting as a source would think of that and STFU. Give the family medical privacy, let them share when and what they're ready to share, and for the Love of God folks, please Think before you propagate rumors here.
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Good fact-based article by our ESPN reporter Alaina Getzenberg https://www.espn.com/nfl/story/_/id/35368372/damar-hamlin-collapses-field-bills-bengals-temporarily-suspended Also some more info and detail in Joe B's paywalled Athletic article: https://theathletic.com/4053472/2023/01/03/bills-bengals-damar-hamlin/?source=twitterhq This may be one reason why Diggs seemed to go to extra effort to get whatever info he could on Hamlin, for his brother Dane Jackson.
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This actually seems to be a decent article. Has some good info explaining the difference between cardiac arrest and heart attack. https://www.cnn.com/us/live-news/damar-hamlin-collapse-bills-bengals-game-intl-hnk/index.html Seems to be being updated. Has a bit of an interview with Damar's friend Jordan Rooney Edit: I see Big Turk already posted it, but I'll leave it here due to comments on good info explaining cardiac arrest vs. heart attack or heart failure.
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Agree that Higgins play was clean. He lowered his shoulder and went right for Hamlin's chest. I thought it was odd when Mixon was quoted saying something about the Bills were "going to have to play them clean". Often when someone is public raising concern about an issue, it's because ..... it's something they do themselves.
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This is where the leadership of the coaches matter. In a lot of ways, it will be mentally healthy and mentally helpful for the team to keep their normal routine, with some obvious additions like a prayer session for Damar and the chance to speak to counselors and mental health professionals. I would hope that the Bills have a little bit more information than is available to the general public at this point. If the speculation about commotio cordis is true, it would be helpful to have physicians speak to the team and explain - it really is a very fluky rare thing. If there is a piece of protective equipment that can be added to the pads, that would help too. But it would probably help everyone to have as normal of a week as they can.
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Yeah, they don't. He was the youngest of 8 brothers, and I believe at this point 6 of them have died of heart disease, all at relatively young ages. There's the unfortunate intersection between a likely genetic condition and a familial lack of regular, good quality preventive medical care. For all the gaps and snafus we hear about, Modern Medicine Works, fellas. If you're in your 30s and haven't had a checkup, find a doctor and go. I'm pretty much there too. Just Live, Fellas.