Podcast 843: Commotio Cordis

Podcast 843: Commotio Cordis

Contributor: Jared Scott, MD

Educational Pearls:

  • Commotio cordis is sudden ventricular fibrillation precipitated by direct impact to the chest
  • A national registry, US Commotio Cordis Registry, reports an average of 10-20 cases annually
    • 95% of reported cases occur in males, indicating possible genetic component
    • Average age of patient in registry is 15
  • Most cases occur during sporting events (baseball in particular), in addition to physical altercations and industrial accidents
  • Treatment is high quality CPR and early defibrillation
    • Survival rate is improving but remains around 35%
  • In recent events, American football player Damar Hamlin survived a Commotio cordis event after being tackled on field and receiving CPR

References

Link MS. Commotio cordis: ventricular fibrillation triggered by chest impact-induced abnormalities in repolarization. Circ Arrhythm Electrophysiol. 2012;5(2):425-432. doi:10.1161/CIRCEP.111.962712

Maron BJ, Poliac LC, Kaplan JA, Mueller FO. Blunt impact to the chest leading to sudden death from cardiac arrest during sports activities. N Engl J Med. 1995;333(6):337-342. doi:10.1056/NEJM199508103330602

Summarized by Kirsten Hughes, MS4 | Edited by John Spartz, MD, & Erik Verzemnieks, MD

The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at https://emergencymedicalminute.org/cme-courses/ and create an account.



Avsnitt(1155)

Podcast 1003: Nasal Intubation

Podcast 1003: Nasal Intubation

Contributor: Alec Coston, MD Educational Pearls: What are nasal intubations and when do we use them? Nasal intubations function similarly to oral intubations with the end goal of passing an endotrac...

27 Apr 9min

Podcast 1002: Elder Agitation

Podcast 1002: Elder Agitation

Contributor: Aaron Lessen, MD Educational Pearls: What are the common causes of agitation in the elderly? Baseline dementia causing a behavioral disturbance Delirium precipitated by an acute medical ...

20 Apr 3min

Podcast 1001: Acute Intermediate Risk Pulmonary Embolism

Podcast 1001: Acute Intermediate Risk Pulmonary Embolism

Contributor: Aaron Lessen, MD Educational Pearls: Patients with pulmonary embolism (PE) are divided into three risk categories Low risk (non-massive PE): patients are stable Treatment: prescribe an...

13 Apr 3min

Celebrating 1000 Medical Minutes

Celebrating 1000 Medical Minutes

Hosts: Don Stader, Nate Novotny, Travis Barlock, and Jeffrey Olson In this episode, we reminice about the first 1000 medical minutes presented by EMM and what the next 1000 might hold. Below are all o...

3 Apr 1h 29min

Podcast 1000: Cool Water

Podcast 1000: Cool Water

Contributor: Aaron Lessen, MD Educational Pearls: Burns range in complexity from minor first-degree burns to more severe full-thickness burns. Initial basic burn management: Run the burn under cool ...

30 Mars 2min

Podcast 999: Right vs Left Internal Jugular Access

Podcast 999: Right vs Left Internal Jugular Access

Contributor: Travis Barlock, MD Educational Pearls: What is an internal jugular catheter (IJ) and when do we use it? IJs are catheters that can be placed in either the left or the right internal jugu...

23 Mars 2min

Podcast 998: Delayed Intubation After an Overdose

Podcast 998: Delayed Intubation After an Overdose

Contributor: Aaron Lessen, MD Educational Pearls: How long do we need to watch patients with a presumed overdose who were treated with naloxone in the field? A 2025 study in the Annals of Emergency M...

16 Mars 3min

Podcast 997: D-Dimer

Podcast 997: D-Dimer

Contributor: Travis Barlock, MD Educational Pearls: D-dimer: fibrin degradation product used to evaluate for clot formation and breakdown Threshold: Elevated D-dimer indicates recent or ongoing int...

9 Mars 2min

Populärt inom Vetenskap

dumma-manniskor
p3-dystopia
allt-du-velat-veta
kapitalet-en-podd-om-ekonomi
svd-nyhetsartiklar
rss-vetenskapsradion
det-morka-psyket
rss-spraket
rss-ufo-bortom-rimligt-tvivel-2
rss-vetenskapsradion-2
sexet
paranormalt-med-caroline-giertz
hacka-livet
rss-tidslinjen-podcast
medicinvetarna
dumforklarat
halsorevolutionen
vetenskap-och-halsa
har-vi-akt-till-mars-an
doden-hjarnan-kemisten