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Buffalo Safety-Damar Hamlin is awake and **Bills at Bengals** Game has been Canceled (2 Viewers)

More on Commotio Cordis (if this is what Hamlin experienced) from Wiki:

These factors influence the chance of commotio cordis:[7]

  • Direction of impact over the precordium (precise area, angle of impact)
  • Total applied energy (area of impact versus energy, i.e., the kinetic energy of the projectile {\displaystyle E_{\text{k}}={\tfrac {1}{2}}mv^{2}}
    E_{\text{k}}={\tfrac {1}{2}}mv^{2}
    )
  • Impact occurring within a specific 10- to 30-millisecond portion of the cardiac cycle. This period occurs in the ascending phase of the T wave, when the ventricular myocardium is repolarizing, moving from systole to diastole (relaxation).
The small window of vulnerability explains why it is a rare event. Considering that the total cardiac cycle has a duration of 1 second (for a base cardiac frequency of 60 beats per minute), the probability of a mechanical trauma within the window of vulnerability is 1 to 3 percent only. That also explains why the heart becomes more vulnerable when it is physically strained by sports activities:

  1. The increase in heart rate (exercise tachycardia) may double the probability above (e.g., with 120 beats per minute the cardiac cycle shortens to 500 milliseconds without fundamentally altering the window-of-vulnerability's size)
  2. Relative exercise-induced hypoxia and acceleration of the excitoconductive system of the heart make it more susceptible to stretch-induced ventricular fibrillation.[8]
 
Still can’t believe the NFL wanted to give them a five minute warmup and get back out there.
All I can say is that this is a crazy and unprecedented situation where nobody should know what to do. Suggesting a five minute break is awful in hindsight, but I’m inclined to give the NFL a pass should they carry on sensibly from here.
Nah. If somebody needs cpr and an aed on the field you send everybody to the locker room. That’s just very basic common sense. Nfl just wanted the show to go on, they deserve no mercy here. Goodell makes like 40M a year to make these decisions.
Christian Eriksen collapsed and had to undergo CPR on the field. Play resumed after he was removed from the stadium. This isn't just an NFL thing.

Well in that case the game wasn't resumed until Eriksen was confimred OK and actually spoke to his teammates telling them to go out and play.


Thank you. I don’t understand how anybody can defend this. Bills players were sobbing on the field.
We've all seen lots of injuries where the ambulance was on the field, players were sobbing, and the game continued. I can think of at least half a dozen such games off the top of my head. So can you. AFAIK, this is literally a first. Obviously this situation sucks. Nobody on the field did anything wrong, and unfortunately we encountered a one-in-a-million sports injury. Everybody should back up a little and give folks a little space, including the NFL front office.

We’ve seen a lot of situations where a guy got 9 minutes of cpr and an aed? Please enlighten me. This wasn’t a broken leg.
I know being a combative know-it-all is your thing, but maybe tone it the **** down tonight, given the circumstances, eh? Good grief.


I haven’t called anybody a name or cursed at them like you just did. Why are you so angry?
 
Aikman with the really good point that they were literally trying to save the Bills’ teammate right as they watched on.

These guys may need some serious grief counseling. The NFL is a ****ing monster if they have these guys play within the next 48 hours let alone tonight.
The nfl knew he needed cpr and an aed and still suggested a 5 minute warmup! It’s wild how evil they are.
Truly are just gladiators to them
I probably shouldn't even post this. But, a little bit excessive reactions ... "It's wild how evil they are"? I get it, it's a very serious situation. I never, ever, ever expected a postponement, even if a player died on the field. It's happened before. I know everyone on earth may hate me for saying it, but I just don't get how it's so extrmely obvious that no one can play football. Sometimes a player has a loved one pass away and still makes a rational decision whether to play the next day, or the same day, whatever it may be. Maybe it's different when they see the guy up close. I can 100% understand postponing the game. But I can't understand not understanding not postponing the game.

To be clear. I don't mind if the game is postponed, I'm not saying "how dare they take away my football game!" It just surprises me how unanimous and vehement the reations are.
Because there are actual human beings playing the game who may have just seen a teammate, friend, hell just another human being, potentially die on the field right in front of them
Good point. Which asks the question: if he is in critical condition or worse, heaven forbid, how do these two teams take the field anytime soon in the coming days?
I can’t stop thinking
With all due respect to everyone here, to me the NFL has handled this the best they could. And Espn as well. You do the best you can with the information you have.

And ESPN has not speculated and have handled this respectfully. This is an incredibly unique situation.
Only the “ok, go get an orange slice & come back in 5” part. That was a bad look in that moment.
Except none of us know what information was available at the time.
again, CPR is a tool for only one thing: lack of a heartbeat.
Stop.....talking....like you know anything.
That isn't even true
That’s how I learned it. Why else would anyone do CPR?
This is the last thing I am going to say to you, cause you are clueless and can't even be told you don't know something.
There are more reasons to do chest compressions than simply "the heart stopped". They can be done if the heart isn't beating strong or fast enough.
Also, when someone has a pulse but needs ventilation, this is also considered CPR.
Now shut up about anything medical, please.
I’m asking for clarity since you’re saying I’m wrong.

Thank you for the information, I appreciate it.

When I learned about “Good Samaritan” laws it was stated that someone can’t sue you for giving CPR (and say, breaking ribs) because the heart isn’t beating.

Apparently I’m wrong. Thank you, and apologies for upsetting you.
 
Still can’t believe the NFL wanted to give them a five minute warmup and get back out there.
I know we all cal the NFL out for their greed and insensitivity but, to be fair, this is unprecedented. They likely didn't know what to do in the moment.
I’m not willing to be fair at all. As awful and horrendous as this is, it 100% should have been a situation that was planned for.

If there wasn’t a plan, then it’s gross incompetence and negligence and worthy of contempt. Especially if their first reaction is to get the game going again rather than consulting with the organizations to make a decision together.

If it was planned for and that was their plan, then Goodell and a large number of people should be fired.

Journalists over the next several days should be demanding to know which it was.
Again, not arguing with anyone but 75% of American households don't have burial plans and life insurance contingencies for a worst case scenario in their own homes. I just don't think it's in the nature of people or businesses to have an outlined plan for something of this magnitude. But I get it: maybe they sure. I'm sure they have a plan in the event of a terrorist attack on a stadium, an earthquake, etc. But this is just something you cantanticipateto the detail of how it occured.
They’re a multi multi billion dollar organization. This isn’t Ed and Nancy barely scraping by with no money or resources to plan ahead.

In 2007, the Buffalo Bills had another player almost die on the field after breaking his neck, so it’s really not like it’s something that was totally unthinkable. There was zero excuse for proceeding the way they did.

Disagree here. This is off the contingency list.

Formula 1 may have a plan for this but not the NFL.
This has happened before in the NFL. it is NOT unprecedented. Very rare, yes, but it has happened before.
CPR on the field? I don't think so
 
Still can’t believe the NFL wanted to give them a five minute warmup and get back out there.
I know we all cal the NFL out for their greed and insensitivity but, to be fair, this is unprecedented. They likely didn't know what to do in the moment.
I’m not willing to be fair at all. As awful and horrendous as this is, it 100% should have been a situation that was planned for.

If there wasn’t a plan, then it’s gross incompetence and negligence and worthy of contempt. Especially if their first reaction is to get the game going again rather than consulting with the organizations to make a decision together.

If it was planned for and that was their plan, then Goodell and a large number of people should be fired.

Journalists over the next several days should be demanding to know which it was.
Again, not arguing with anyone but 75% of American households don't have burial plans and life insurance contingencies for a worst case scenario in their own homes. I just don't think it's in the nature of people or businesses to have an outlined plan for something of this magnitude. But I get it: maybe they sure. I'm sure they have a plan in the event of a terrorist attack on a stadium, an earthquake, etc. But this is just something you cantanticipateto the detail of how it occured.
They’re a multi multi billion dollar organization. This isn’t Ed and Nancy barely scraping by with no money or resources to plan ahead.

In 2007, the Buffalo Bills had another player almost die on the field after breaking his neck, so it’s really not like it’s something that was totally unthinkable. There was zero excuse for proceeding the way they did.

Disagree here. This is off the contingency list.

Formula 1 may have a plan for this but not the NFL.
With all due respect, if they don’t they’re unprepared to the point of incompetence.

This isn’t the World Darts Championship. It’s a game where the largest, strongest, fittest men in the world run directly into each other at full speed 60-80 times per game. The worst-case scenario isn’t out of the realm of comprehension of anyone with a sense of reality.

They can be prepared with medical staff and they can be prepared for the time after the medical staff does their job. It's the second I'm willing to allow for some grace here. Just to be clear.
 
Still can’t believe the NFL wanted to give them a five minute warmup and get back out there.
All I can say is that this is a crazy and unprecedented situation where nobody should know what to do. Suggesting a five minute break is awful in hindsight, but I’m inclined to give the NFL a pass should they carry on sensibly from here.
Nah. If somebody needs cpr and an aed on the field you send everybody to the locker room. That’s just very basic common sense. Nfl just wanted the show to go on, they deserve no mercy here. Goodell makes like 40M a year to make these decisions.
Christian Eriksen collapsed and had to undergo CPR on the field. Play resumed after he was removed from the stadium. This isn't just an NFL thing.

Well in that case the game wasn't resumed until Eriksen was confimred OK and actually spoke to his teammates telling them to go out and play.


Thank you. I don’t understand how anybody can defend this. Bills players were sobbing on the field.
We've all seen lots of injuries where the ambulance was on the field, players were sobbing, and the game continued. I can think of at least half a dozen such games off the top of my head. So can you. AFAIK, this is literally a first. Obviously this situation sucks. Nobody on the field did anything wrong, and unfortunately we encountered a one-in-a-million sports injury. Everybody should back up a little and give folks a little space, including the NFL front office.
this was clearly different. The NFL office seemingly wanted the show to go on before Zac Taylor and Sean McDermott stopped it
 
With all due respect to everyone here, to me the NFL has handled this the best they could. And Espn as well. You do the best you can with the information you have.

And ESPN has not speculated and have handled this respectfully. This is an incredibly unique situation.
Only the “ok, go get an orange slice & come back in 5” part. That was a bad look in that moment.
Was that the NFL's call, or just what the Ref's thought was the best course of action given the information they had?
Fair point - it could be the refs made a bad call in that moment.

My bad, I hadn’t considered that.
I’ll take a breath and make an allowance that maybe that’s what happened. I could see the refs being in shock and just proceeding as normal without really thinking. It would still be a failure of NFL leadership in not making sure that things were not resumed IMO, but more understandable if it was shocked refs going on autopilot.

Again, major props to Zac Taylor and the Bengals for getting together with McDermott and the Bills and agreeing to not resume.
 
when I said misinformation, I probably meant more "uninformed speculation"
"given oxygen" can mean many different things.
We apparently know now that he is intubated, I was more just responding to the armchair docs in the thread in real time
 
Aikman with the really good point that they were literally trying to save the Bills’ teammate right as they watched on.

These guys may need some serious grief counseling. The NFL is a ****ing monster if they have these guys play within the next 48 hours let alone tonight.
The nfl knew he needed cpr and an aed and still suggested a 5 minute warmup! It’s wild how evil they are.
Truly are just gladiators to them
I probably shouldn't even post this. But, a little bit excessive reactions ... "It's wild how evil they are"? I get it, it's a very serious situation. I never, ever, ever expected a postponement, even if a player died on the field. It's happened before. I know everyone on earth may hate me for saying it, but I just don't get how it's so extrmely obvious that no one can play football. Sometimes a player has a loved one pass away and still makes a rational decision whether to play the next day, or the same day, whatever it may be. Maybe it's different when they see the guy up close. I can 100% understand postponing the game. But I can't understand not understanding not postponing the game.

To be clear. I don't mind if the game is postponed, I'm not saying "how dare they take away my football game!" It just surprises me how unanimous and vehement the reations are.
Because there are actual human beings playing the game who may have just seen a teammate, friend, hell just another human being, potentially die on the field right in front of them
Good point. Which asks the question: if he is in critical condition or worse, heaven forbid, how do these two teams take the field anytime soon in the coming days?
I can’t stop thinking
With all due respect to everyone here, to me the NFL has handled this the best they could. And Espn as well. You do the best you can with the information you have.

And ESPN has not speculated and have handled this respectfully. This is an incredibly unique situation.
Only the “ok, go get an orange slice & come back in 5” part. That was a bad look in that moment.
Except none of us know what information was available at the time.
again, CPR is a tool for only one thing: lack of a heartbeat.
Stop.....talking....like you know anything.
That isn't even true
That’s how I learned it. Why else would anyone do CPR?
This is the last thing I am going to say to you, cause you are clueless and can't even be told you don't know something.
There are more reasons to do chest compressions than simply "the heart stopped". They can be done if the heart isn't beating strong or fast enough.
Also, when someone has a pulse but needs ventilation, this is also considered CPR.
Now shut up about anything medical, please.
No...it's called rescue breathing. CPR happens when you can't detect a pulse. I've given both literally hundreds of times, run a hundred code blues
 
Was it a hit to the chest? I wasn't recording but from my recollection, he hit Higgins leading with his helmet, which could mean a brain injury.
I haven't searched for replays online but the immediate replays on the broadcast it looked like Higgins hit Hamlin directly in the chest with his shoulder.
 
Look, formula 1 drivers know they might die. I don't think NFL players are signing up for this intrinsically.
 
Commotio Cordis
Was it a hit to the chest? I wasn't recording but from my recollection, he hit Higgins leading with his helmet, which could mean a brain injury.
Yeah. Higgins helmet hit him in the chest.
Im not a doctor but if he pulls through and it's Commotio Cordis, then a full recovery is more likely than I'd been assuming. I had assumed he hit his head so hard his body shut down. Commotio Cordis is just a heart shutting down because a sudden trauma knocking out it of sync. He avoided permanent brain damage from oxygen loss. So really if that is the correct diagnosis, it's just a matter of getting his heart back in sync. And his heart is beating on its own apparently, so lots of reason to be hopeful.
 
Yeah it feels like Commotio cordis.
saw another person posting this

Treatment​

Automated external defibrillators and prompt CPR have helped increase the survival rate in recent years to 58%. CPR and defibrillation must be started as soon as possible (within three minutes) for maximal benefit.[1] Commotio cordis is the leading cause of fatalities in youth baseball in the US, with two to three deaths per year.[14] It has been recommended that "communities and school districts reexamine the need for accessible automatic defibrillators and cardiopulmonary resuscitation-trained coaches at organized sporting events for children."[15]

58% survival rate does not sound good
 
There is a critical care MD on the sideline whose only role is to intubate and stabilize the player and then ride in ambulance to ER. There is no better place for this to have happened. Lots of misinformation in this thread. Source: I was a NFL UNC

What more can you tell us given the information and knowledge that you have?

There is a dedicated team on the field for just this scenario. Doc has a whole backpack with equipment and meds. I would speculate a cardiac arrhythmia either from the chest hit or just spontaneous. Just because an AED was "administered" doesn't mean a shock was delivered. We don't know if he was intubated or bagged on the field. A lot of unknowns
Really appreciate you and a few others here with knowledge keeping us better informed.
 
Local News reporter:
Commotio Cordis
Was it a hit to the chest? I wasn't recording but from my recollection, he hit Higgins leading with his helmet, which could mean a brain injury.
He got up immediately, so his brain was functioning for a couple of seconds, until he fell, probably a syncopal response to a sudden drop in blood pressure.
You see that with severe concussions a lot, the player pops up and then either drunk walks for a few or just falls back down.
 
i can't imagine forcing either team to play a game again in the near future, let alone other NFL players who have seen the hit. Will be a bit of a challenge for the NFL to determine how the season and playoffs proceed depending the outcome here
 
Aikman with the really good point that they were literally trying to save the Bills’ teammate right as they watched on.

These guys may need some serious grief counseling. The NFL is a ****ing monster if they have these guys play within the next 48 hours let alone tonight.
The nfl knew he needed cpr and an aed and still suggested a 5 minute warmup! It’s wild how evil they are.
Truly are just gladiators to them
I probably shouldn't even post this. But, a little bit excessive reactions ... "It's wild how evil they are"? I get it, it's a very serious situation. I never, ever, ever expected a postponement, even if a player died on the field. It's happened before. I know everyone on earth may hate me for saying it, but I just don't get how it's so extrmely obvious that no one can play football. Sometimes a player has a loved one pass away and still makes a rational decision whether to play the next day, or the same day, whatever it may be. Maybe it's different when they see the guy up close. I can 100% understand postponing the game. But I can't understand not understanding not postponing the game.

To be clear. I don't mind if the game is postponed, I'm not saying "how dare they take away my football game!" It just surprises me how unanimous and vehement the reations are.
Because there are actual human beings playing the game who may have just seen a teammate, friend, hell just another human being, potentially die on the field right in front of them
Good point. Which asks the question: if he is in critical condition or worse, heaven forbid, how do these two teams take the field anytime soon in the coming days?
I can’t stop thinking
With all due respect to everyone here, to me the NFL has handled this the best they could. And Espn as well. You do the best you can with the information you have.

And ESPN has not speculated and have handled this respectfully. This is an incredibly unique situation.
Only the “ok, go get an orange slice & come back in 5” part. That was a bad look in that moment.
Except none of us know what information was available at the time.
again, CPR is a tool for only one thing: lack of a heartbeat.
Stop.....talking....like you know anything.
That isn't even true
That’s how I learned it. Why else would anyone do CPR?
This is the last thing I am going to say to you, cause you are clueless and can't even be told you don't know something.
There are more reasons to do chest compressions than simply "the heart stopped". They can be done if the heart isn't beating strong or fast enough.
Also, when someone has a pulse but needs ventilation, this is also considered CPR.
Now shut up about anything medical, please.
No...it's called rescue breathing. CPR happens when you can't detect a pulse. I've given both literally hundreds of times, run a hundred code blues
Read up on cpr again then. A low heart rate will cause cpr to be initiated.
Rescue breathing is done without compressions.
 
when I said misinformation, I probably meant more "uninformed speculation"
"given oxygen" can mean many different things.
We apparently know now that he is intubated, I was more just responding to the armchair docs in the thread in real time
intubating is a normal event during any cardiac arrest (IE; giving CPR by qualified individuals with proper equipment available). It would be far more surprising if he WASN'T intubated
 
I've never seen this many people in a thread at the same time before. Obviously it is a very unique and serious situation.

Let's use that gathering of people in a positive way and all come together and simply pray for him tonight. Everyone. All of us. Send your prayers and well wishes.
 
Also, when someone has a pulse but needs ventilation, this is also considered CPR.
No...it's called rescue breathing. CPR happens when you can't detect a pulse. I've given both literally hundreds of times, run a hundred code blues
Read up on cpr again then. A low heart rate will cause cpr to be initiated.
Rescue breathing is done without compressions.
give me a break....I'm an ICU charge RN. nobody uses the term CPR without doing compressions. Read your own statement above (I took out the other junk). A SLOW heartbeat may necessitate external pacing or other interventions..NOT COMPRESSIONS.

The one and ONLY time to do compressions is a lack of a pulse....lack of bloodflow PERIOD
 
Was it a hit to the chest? I wasn't recording but from my recollection, he hit Higgins leading with his helmet, which could mean a brain injury.
I haven't searched for replays online but the immediate replays on the broadcast it looked like Higgins hit Hamlin directly in the chest with his shoulder.
That’s what I saw.

I can’t imagine what Higgins is going through. My god.
In little league, a kid tried to tag me as I slid into 3rd base and broke his hand when my feet met his mitt. I threw up all night out of guilt, even though I'd done nothing wrong. It's not a good place to be for Tee right now IMO.
 
It's tough to move on from this tonight. We are all worried. Pray if you feel that will help or is within your faith to do so. The family deserves privacy at this time and we do not deserve any further updates. We can only be hopeful that we receive one soon. The sooner the better.

I am a volunteer firefighter and my Fire Chief went into sudden cardiac arrest on a scene about 14 months ago. Luckily, we have AED's in our trucks and normal rhythm was restored in about 5-7 minutes. He has fully recovered, but hasn't lived the same life as before and was forced to retire as he would not be cleared by his cardiologist.

Most of us firefighers were never the same either. Most of his teammates will need time. Some may never want to play again.

Damar Hamlin may never play football again, but that's the least of the worry right now. Thoughts are with him and his family.
 
They said he had a pulse so that has to be somewhat good right?
He might have slipped into a coma of some type, I'm not a medical expert and I really don't want my own fears to upset others in here.
I just want to hear he's going to be OK even if he never plays another down of football

It feels like we are not going to get the ending we desire tonight

Just using the term "critical" at this point means the situation is dire. CPR on the field means his heart had stopped.

Chuck Hughes of the Lions died on the field in the 60s but it was from a non-contact massive heart attack.

This seemed to be from a hard blow to the chest that disrupted his heart or possibly tore something related to his heart.
 
SVP is losing me with talk about the sacrifices they make to be in the arena, come on man.
I’m watching it too. I think he’s doing the best he can. Tough situation in all respects, and these guys still have to do their jobs. For me right now, I’m not going to dissect everyones words tonight.

Just my opinion though…not picking on you.
I agree he’s doing the best he can, I just feel that with a chance there was the worst possible outcome you don’t go there. Just my opinion.
 
Also, when someone has a pulse but needs ventilation, this is also considered CPR.
No...it's called rescue breathing. CPR happens when you can't detect a pulse. I've given both literally hundreds of times, run a hundred code blues
Read up on cpr again then. A low heart rate will cause cpr to be initiated.
Rescue breathing is done without compressions.
give me a break....I'm an ICU charge RN. nobody uses the term CPR without doing compressions. Read your own statement above (I took out the other junk)
8 years as a lifeguard and 3 as a combat life saver in my unit.

CPR and rescue breathing are different things entirely. I agree RN, CPR has chest compressions.
 
SVP is losing me with talk about the sacrifices they make to be in the arena, come on man.
I’m watching it too. I think he’s doing the best he can. Tough situation in all respects, and these guys still have to do their jobs. For me right now, I’m not going to dissect everyones words tonight.

Just my opinion though…not picking on you.
I agree he’s doing the best he can, I just feel that with a chance there was the worst possible outcome you don’t go there. Just my opinion.
Yeah, I can see that.
 
Was it a hit to the chest? I wasn't recording but from my recollection, he hit Higgins leading with his helmet, which could mean a brain injury.
I haven't searched for replays online but the immediate replays on the broadcast it looked like Higgins hit Hamlin directly in the chest with his shoulder.
That’s what I saw.

I can’t imagine what Higgins is going through. My god.
Hopefully somebody is there keeping him level and assuring him as much as possible this isn’t his fault.
 
Also, when someone has a pulse but needs ventilation, this is also considered CPR.
No...it's called rescue breathing. CPR happens when you can't detect a pulse. I've given both literally hundreds of times, run a hundred code blues
Read up on cpr again then. A low heart rate will cause cpr to be initiated.
Rescue breathing is done without compressions.
give me a break....I'm an ICU charge RN. nobody uses the term CPR without doing compressions. Read your own statement above (I took out the other junk)
Too much in the thread and I'm combining posts. I agree with you. Rescue breathing is not cpr.
 
when I said misinformation, I probably meant more "uninformed speculation"
"given oxygen" can mean many different things.
We apparently know now that he is intubated, I was more just responding to the armchair docs in the thread in real time
intubating is a normal event during any cardiac arrest (IE; giving CPR by qualified individuals with proper equipment available). It would be far more surprising if he WASN'T intubated

It is up to the airway doc whether to intubate on the field or in the tunnel or in the rig. pro and cons to each decision and depends on situation

also, for instance, a person is in v fib, AED delivers shock, and patient goes into perfusing rhythm, may not need to be intubated
 
Also, when someone has a pulse but needs ventilation, this is also considered CPR.
No...it's called rescue breathing. CPR happens when you can't detect a pulse. I've given both literally hundreds of times, run a hundred code blues
Read up on cpr again then. A low heart rate will cause cpr to be initiated.
Rescue breathing is done without compressions.
give me a break....I'm an ICU charge RN. nobody uses the term CPR without doing compressions. Read your own statement above (I took out the other junk)
8 years as a lifeguard and 3 as a combat life saver in my unit.

CPR and rescue breathing are different things entirely. I agree RN, CPR has chest compressions.
Yes, true. HSG and others had me flustered with stuff that was just random speculation with no experience in anything medical.
Rescue breathing is PART of CPR.
Also, straight from the training, compressions can also be done if a pulse is present depending on how weak/slow it is.
Anyway, moving on. This sucks
 

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