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| MEDICAL RESEARCH |
Blow to chest can be fatal in child athletes, study finds
Children who play hockey, football, lacrosse or baseball risk sudden death from a hard blow to the chest even if they are clad in protective gear, researchers said Monday.
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Prescreening Young Athletes: Medical Experts Recommend Ensuring Children are Healthy Enough to Play Sports
Dr. Russell Schiff is among physicians who believe not enough is being done in the screening of young athletes. Winthrop is developing a pediatric program that will provide cardiopulmonary stress tests with treadmills and bicycles as well as other testing. The intent is to prevent cardiac deaths and to determine to what level children with known cardiac abnormalities can safely participate in sports.
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Preventing Sudden Cardiac Arrest in Young Athletes:
Are Current Preparticipation Screening Guidelines Appropriate?
The public perceives young competitive athletes as robust invulnerable members of our society. Their unexpected death often incites heated debate among the public and, more specifically, the medical community on the prevention of sudden cardiac death and the appropriateness of the existing screening guidelines.
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Getting to the Heart of Athletes' Silent Killer:
Medicine Tries to Get a Grasp on Athletes' Heart Problems
Are athletes engaged in intense training or competitive sports at risk of suddenly dropping dead from heart problems? Highly publicized cases over the years -- the latest involving Detroit Red Wings defenseman Jiri Fischer, 25, whose promising career might have ended after he collapsed on the bench with heart problems during a November game -- have triggered parental and public concern.
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Sudden Cardiac Death by Innocent Chest Wall Blows
Commotio cordis is ventricular fibrillation induced by relatvely innocent chest wall blows in the absence of structural cardiac damage.
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Sudden Death Caused by Chest Wall Trauma (Commotio Cordis)
Although sudden deaths of athletes are rare, it has become apparent that a significant percentage of deaths on the athletic field are caused by chest wall blows with a projectile or body part (commotio cordis). This phenomenon has been most frequently observed in young athletes (4 to 18 years old) and may be significantly under-reported. Cardiac workups and autopsies are notable for the lack of any significant cardiac or thoracic abnormalities. Victims are most often found in ventricular fibrillation; resuscitation is possible with early defibrillation..
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Clinic Profile and Spectrum of Commotio Cordis
Sudden and unexpected deathes of young individuals are highly visible and emotionally charged events. These deathes are frequently the consequence of unsuspected congenital cardiovascular diseases in trained athletes. However, organized sports are subject to another risk for sudden death (ie, blunt, non-penetrating, and usually innocent-appearing chest blows, commotio cordis).
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Clinical Research of Chest Wall Protectors, March 7, 2006
Failure of commercially available chest wall protectors to prevent suddent cardiac death induced by chest wall blows in an experimental model of commotio cordis.
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Experts Establish National Information Clearinghouse on Sudden Cardiac Arrest
The Sudden Cardiac Arrest (SCA) Network, a new national nonprofit organization, has been established to reduce death and disability from SCA, the leading cause of death in the United States. Spearheaded by experts in emergency medicine, cardiology, public health, public policy, adult education and distance learning, the Network aims to increase
awareness and influence attitudes and behaviors in the public, as well as the medical and emergency response communities about SCA.
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Rare, fatal injury baffles science, sport
A rising fastball. a slap shot to the chest. A wayward elbow as players battle for a rebound. In the athletic arena, where physical selflessness is an integral part of the culture, injuries are inevitable, and pain has an almost honored standing. But no one is supposed to die.
PAD: The Public Access Defibrillation Trial
Several conclusions to the study are: Trained laypersons can use AEDs safely to provide early defibrillation.........Survival rate almost doubles when AEDs are added to CPR-trained, volunteer, OOH-CA response systems in public facilities. (American Heart Association Scientific Sessions 2003)
Mechanically induced sudden death in chest wall impact (commotio cordis)
Sudden death due to nonpenetrating chest wall impact in the absence of injury to the ribs, sternum and heart is known as commotio cordis. Although once thought rare, an increasing number of these events have been reported.... Successful resuscitation is attainable with early defibrillation. (Progress in Biophysics and Molecular Biology 2003)
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Latest Safety Statement for AEDs and Children
Automated external defibrillators (AEDs) – devices that shock the heart to restore a normal heartbeat after a life-threatening irregular rhythm – are safe for children as young as age 1, according to an American Heart Association scientific statement published today in Circulation: Journal of the American Heart Association.
»American Heart Association Press Release (June 30, 2003)
»American Heart Association Safety Statement (June 17, 2003)
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