Thumping of the Precordium in Ventricular Standstill

Scherf, David; Bornemann, Carl

doi:10.1097/00132586-196106010-00025

Cited by 7 publications

(7 citation statements)

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“…Much transatlantic speculation and anecdotal banter continues to effect the performance, if at all, of a precordial thump in a witnessed cardiac arrest prior to initiation of CPR when a defibrillator is not immediately available 52–54. Maron3 describe a case of a 14-year-old with SCA after a forceful collision with a teammate who was initially administered ‘a forceful chest thump’ by a physician bystander followed by standard CPR.…”

Section: Immediate Precordial Thumpmentioning

confidence: 99%

Review of the management of sudden cardiac arrest on the football field: Figure 1

2010

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Football is the most popular sport on earth. When a young, fit popular player suddenly collapses and dies during play, the tragic event is frequently screened and publicised worldwide. The reported incidence of sudden cardiac arrest (SCA) varies from 1:65 000 to 1:200 000 athletes. A broad spectrum of cardiac and non-cardiac causes have been implicated, and regular precompetition medical assessments are recommended as a preventive measure. Immediate cardiopulmonary resuscitation and early defibrillation is the treatment for SCA. High success rates can be achieved if this is initiated promptly, preferably within seconds of the arrest. Trained medical responders must be allowed to respond, ideally with a defibrillator (manual or automated) in hand, to a player who suddenly and unexpectedly collapses and remains unresponsive on the field. Immediate defibrillation of a pulseless ventricular tachycardia or ventricular fibrillation, within 1 to 2 min of onset, has a successful cardioversion rate exceeding 90%. Medical responders should be well trained and rehearsed in the recognition of SCA, including distractors such as seizures, myoclonic jerks and agonal (gasping) breathing. Prompt initiation of chest compressions on the field, together with early defibrillation, will result in many athletes' lives being saved by immediate implementation of these simple recommendations.

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Section: Immediate Precordial Thumpmentioning

confidence: 99%

Review of the management of sudden cardiac arrest on the football field: Figure 1

2010

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“…Pacing may play a valuable part in patients with extreme bradyarrhythmias, but its value in asystole is questionable, except in cases of trifascicular block where P waves are seen. In patients in whom pacing is to be performed but a delay occurs before it can be achieved, external cardiac percussion (known as “fist” or “thump” pacing) may generate QRS complexes with an effective cardiac output, particularly when myocardial contractility is not critically compromised 106 107 108. External cardiac percussion is performed with blows at a rate of 100/minute, given with less force than a precordial thump and delivered over the heart, not the sternum.…”

Section: Using the Universal Algorithmmentioning

confidence: 99%

The 1998 European Resuscitation Council guidelines for adult advanced life support

Robertson¹,

Steen²,

Adgey³

et al. 1998

BMJ

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“…In patients in whom pacing is to be performed but a delay occurs before it can be achieved, external cardiac percussion (known as "fist" or "thump" pacing) may generate QRS complexes with an effective cardiac output, particularly when myocardial contractility is not critically compromised. [106][107][108] External cardiac percussion is performed with blows at a rate of 100/minute, given with less force than a precordial thump and delivered over the heart, not the sternum. Conventional cardiopulmonary resuscitation should be substituted immediately if QRS complexes with a discernible output are not being achieved.…”

Section: Non-vf/vt Rhythmsmentioning

confidence: 99%

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1998

BMJ

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Thumping of the Precordium in Ventricular Standstill

Cited by 7 publications

References 0 publications

Review of the management of sudden cardiac arrest on the football field: Figure 1

Review of the management of sudden cardiac arrest on the football field: Figure 1

The 1998 European Resuscitation Council guidelines for adult advanced life support

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