01-03-2023, 01:17 AM
(01-03-2023, 12:58 AM)Fan_in_Kettering Wrote: I’ve had this being anesthetized/breathing tube thing done; it’s scary but I’m here posting tonight.I am glad you are here and I am sorry you experienced that. I imagine it was probably the scariest thing you've experienced, or at least top three.
Keep praying for Damar.
I am a nurse with nearly a quarter century of care under my belt and this blew my mind tonight. Hearing everyone say "it's gotta be Commotio Cordis" really got on my nerves because it doesn't quite fit. Not saying that isn't what happened but it usually takes a harder impact, like a baseball to the chest or hockey puck iirc. Something traveling fast and that is solid. It also happens to kids/younger athletes and is quite rare as it has to happen at exactly the right time in the exact spot in the exact way.
To put it simply, it takes a few things to align for commotio cordis to occur and iirc, NFL players wear pads that also cover their sternum and ribs, correct?
Anyways, what I was saying before, in order to ventilate someone successfully, you must paralyze them. In order to not make it the most horrifying experience of their life, and in the process causing them even more harm, medications, likely propofol, tare used to put them asleep prior to paralyzing them for intubatiion. It is a very quick process. I only say propofol because it is commonly used, is able to be titrated up and down and wears off quickly. But it could also be fentanyl and versed...So many other drugs depending on what they think is going on.
With his vital signs being stable, I'd be kind of surprised if this was cardiac related, but he is young and in top physical health, so it could be...Idk.
If he is not breathing on his own though, it could be a few things but it makes me think of brain or high spinal cord/brain stem injury. Also, in ACLS we're taught repeatedly to think about the H's and T's...
Him standing up after the play, for several seconds. I don't know if he would be able to do that if he was in a lethal rhythm at that moment. We know they started CPR but I have not heard if they actually used the defibrillator or not. They would only use the defibrillator if a shock was advised, for example ventricular tachycardia without a pulse (aka pulseless V tach) or ventricular fibrillation.
Pulseless electrical activity aka PEA and aystole aka no electrical activity and no rhythm at all, require CPR. Electrical issues, aka lethal arrhythmias are normally corrected with electricity (defib) and then medications to keep that rhythm from returning.
I am not going to speculate at all. I am going to pray for this young man, his teammates, our Bengals and everyone who was watching that game tonight. I am sad to hear that Cincinnati was not being as classy as I thought they were. But some people handle trauma and emotional events better than others. That is all.
