Sudden death of a young hockey player: case report of commotio cordis

Deady, Brian; Innes, Grant

doi:10.1016/s0736-4679(99)00006-2

Cited by 22 publications

(5 citation statements)

References 41 publications

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“…5,6 The most common situations leading to myocardial contusion is traffic accidents. 7,8 Traumatic circumstances may involve sport activities, accidents or aggressions. 5 Cardiac contusions are usually due to acute heart elastic compression between the sternum and the spine secondary to an increased intrathoracic pressure.…”

Section: Discussionmentioning

confidence: 99%

“…7 Children and adolescents are at a greater risk than adults due to increased chest wall compliance, which facilitates energy transmission to the myocardium. Some authors postulate that adolescents also may be more vulnerable because neuromuscular immaturity, combined with a false sense of security afforded by protective gear, leaves them less able to avoid injury.…”

Section: Discussionmentioning

confidence: 99%

“…Some authors postulate that adolescents also may be more vulnerable because neuromuscular immaturity, combined with a false sense of security afforded by protective gear, leaves them less able to avoid injury. 7 Lethal cardiac contusions are very rare. In most cases not only a single blunt chest trauma, but also multiple injures such as major fractures or ruptured viscera are reported and the fatal outcome is generally caused by these latter injuries.…”

Section: Discussionmentioning

confidence: 99%

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Death of a 23-year-old man from cardiac conduction system injury through a blunt chest impact after a car accident

Zerbo

Maresi

Portelli

et al. 2014

Egyptian Journal of Forensic Sciences

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Cardiac contusion, usually caused by blunt chest trauma, has been recognized with increased frequency over the past decades. Traffic accidents are the most frequent causes of cardiac contusion resulting from a direct blow to the chest. Myocardial contusion is difficult to diagnose; the clinical presentation varies greatly, ranging from a lack of symptoms to cardiogenic shock and arrhythmia. Although death is rare, cardiac contusion can be fatal. The authors report a case of death due to a cardiac conduction system injury from a blunt chest impact following a car accident. The autopsy showed no external signs of thoracic trauma, no evident rib or sternum fractures. A small sub-endocardial hemorrhage was found in the region of the atrioventricular node. Histological examination revealed an injury of the atrioventricular node and His' bundle. The cause of the death was attributed to the arrhythmia induced by contusion of the cardiac conduction system. ª 2014 Hosting by Elsevier B.V. on behalf of The International Association of Law and Forensic Sciences (IALFS).

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Death of a 23-year-old man from cardiac conduction system injury through a blunt chest impact after a car accident

Zerbo

Maresi

Portelli

et al. 2014

Egyptian Journal of Forensic Sciences

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“…Большой риск представляет и попадание в область проекции сердца на передней поверхности грудной клетки быстро движущегося спортивного снаряда. Описаны случаи смерти в результате полученного ушиба сердца профессиональных футболистов и футболистов-аматоров [15,16], хоккеистов [17], игроков в лакросс [18]. Безусловно, риск повреждения сердца тем выше, чем больше скорость спортивного снаряда.…”

Section: результатыunclassified

Травма Сердца: Классификация, Механизмы И проблемы Диагностики У пострадавших С Травмой Грудной Клетки (Литературный Обзор С Результатами Собственных Наблюдений)

et al. 2021

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Травма сердца: классификация, механизмы и проблемы диагностики у пострадавших с травмой грудной клетки (литературный обзор с результатами собственных наблюдений) Резюме. В литературном обзоре изложены современные представления об основных причинах и механизмах формирования миокардиальной контузии у пострадавших с травмой, классификация тяжести травматических миокардиальных повреждений и основные способы их диагностики, сопоставления с рекомендациями Восточной ассоциации хирургов-травматологов. В настоящее время наиболее доступными и информативными тестами при диагностике миокардиальной контузии у пострадавших с травмой являются электрокардиографический мониторинг в сочетании с определением в крови концентрации сердечных тропонинов. На основании анализа результатов наиболее авторитетных современных исследований и собственного клинического опыта показано, что при подозрении на миокардиальную контузию в отечественных лечебных учреждениях должны использоваться все доступные диагностические мероприятия. Во всех сомнительных ситуациях дальнейшая диагностическая и лечебная тактика должна осуществляться только в пользу пациента. Ключевые слова: травма грудной клетки; травма сердца; миокардиальная контузия; электрокардиографический мониторинг; эхокардиография; сердечные тропонины; обзор

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“…Previous studies have explored emergency management of sports injuries in youth athletes. Majority of these studies focused primarily on the prevention and treatment of concussions, heat-related illness, hydration, and sudden cardiac death 9,10 . Following the characterization of groups with the highest incidence of hockey-related craniofacial injuries, we seek to put forth guidelines for the acute management of hockey-related craniofacial injuries in an amateur setting.…”

mentioning

confidence: 99%

Skating on Thin Ice: Craniofacial Injuries in Amateur Ice Hockey

Pierrot

Weber²,

Wolfe³

et al. 2021

Journal of Craniofacial Surgery

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bleeding profusely and probably contaminated, we recommend contacting emergency services. If a laceration is not suspected, the layperson should next move on to determining whether the injury is a concussion or contusion. If only bruising is seen, and the player exhibits no significant accompanying symptoms, then the player and layperson may decide together whether to continue playing. If there are more severe symptoms such as confusion, headache, lack of coordination, or blurry vision, concussion should be suspected. If a male player experiences 1 to 2 of these symptoms, they should be instructed to sit out for the remainder of the game. If they experience 3 or more symptoms, the layperson should consider seeking immediate medical help. This algorithm is largely the same for females, albeit with one important distinction: because females tend to suffer from more concussions than males, and because concussions in females are associated with worse prognoses, we suggest a more cautious approach to female players with suspected concussion. If one sign concerning for concussion is present, the player should be instructed to sit out, while 2 or more symptoms should prompt recruitment of emergency medical services. Prior studies have suggested that many players are aware of the symptoms of concussions, but often elect to continue playing after exhibiting these signs. 13 Proper application of this algorithm would prevent injuries from further progression during play, and would indicate proper care for a demographic at especially high risk of morbidity.This study carries several limitations which are primarily a consequence of usage of the NEISS database. Although NEISS provides a significant amount of information regarding injury mechanism and location, it cannot possibly encompass all of the factors that contribute to the injuries actually incurred. It would be impossible to realistically determine all of the underlying attributes that result in lacrosse-related injuries, and consequently, NEISS elects to view these through the lens of a select few. Furthermore, because the database does not provide results when estimates are below a certain value, it is possible that some results were close to but still underthe cutoff, prohibiting us from examining the corresponding data. Future studies should seek to characterize the injuries through other perspectives, and potentially use these to inform ways for the layperson to effectively intervene. Acquiring a thorough understanding of the events that promote trauma incurred from playing lacrosse would be among the most optimal ways to ensure safety for the players, and to avert injuries before they have a chance to occur.

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Sudden death of a young hockey player: case report of commotio cordis

Cited by 22 publications

References 41 publications

Death of a 23-year-old man from cardiac conduction system injury through a blunt chest impact after a car accident

Death of a 23-year-old man from cardiac conduction system injury through a blunt chest impact after a car accident

Травма Сердца: Классификация, Механизмы И проблемы Диагностики У пострадавших С Травмой Грудной Клетки (Литературный Обзор С Результатами Собственных Наблюдений)

Skating on Thin Ice: Craniofacial Injuries in Amateur Ice Hockey

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