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FizFashizzle
Mar 30, 2005







LeeMajors posted:

Every hospital ICU is chock full of geriatric ROSC patients with no Avenue to good neuro outcomes. We absolutely know nothing other than his heart is still beating.

Honest question, are you required any sort of large body trauma life support credentialing as a PA? ITLS/PHTLS all goes into this but athletic trainers (or any medical specialist near specialized clothing or equipment think fire dept, bomb squad etc) have explicit training to quickly remove pads/helmets etc for resus.

Nah, by the time they would get to me they’d have already been stabilized in the field.

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Joey Freshwater
Jun 20, 2004

Always playing with my meat
Grimey Drawer

Impossibly Perfect Sphere posted:

Maybe I'm cynical, but I suspect the only long-term thing that will come out of this (for the NFL) will be better training and making sure the right equipment is available in every stadium.

In a situation like this, what else could have been done though? The amount of times a situation like this has happened you can count on one hand across several sports. NFL and other sports absolutely need to increase player safety protocols especially in view of what’s happened to Tua and others but this was such a freak accident I don’t know what could be done to have prevented it or to have made the reaction any better.

JAMOOOL
Oct 18, 2004

:qq: I LOVE TWO AND HALF MEN!! YOU 20 SOMETHINGS ARE JUST TOO CYNICAL TO UNDERSTAND IT!!:qq:

Bottom Liner posted:

Major league (and probably all forms of) football will not and should not exist within 20 years. There really is just no way to safely play the sport where every single play has impact and trauma by design, and all the safety gear in the world only makes that worse because they'll never stop g-forces and players feeling more protected which counterintuitively makes them destroy their bodies more.

tbf if it is commotio cordis then it's something that could happen in any sport - I think this happens in youth baseball every now and then. but football is unique in that the goal really is to hurt people, so even if this is a 'fluke injury' it's also part of the game. it's not like a fastball rocketing off the bat into a pitcher's chest. idk Ryan Clark was really good last night talking about this stuff, even if it is a freak injury it's happening in a sport where players routinely say they're willing to "give it all" and it kinda turns out human beings aren't really equipped to do that and that maybe you're loving these people up like you do in the military

Spaced God
Feb 8, 2014

All torment, trouble, wonder and amazement
Inhabits here: some heavenly power guide us
Out of this fearful country!



His GoFundMe is at $3.5M, Jesus Christ

abelwingnut
Dec 23, 2002


yea, i don't think it's possible to fault the nfl's health preparation and readiness here. something like this could happen in any sport, even flag football or whatever alternatives people were dreaming up last night.

it's just an unfortunate situation. life isn't fair. etc.

Joey Freshwater
Jun 20, 2004

Always playing with my meat
Grimey Drawer

Spaced God posted:

His GoFundMe is at $3.5M, Jesus Christ

That’s amazing. It was at like $2500 before last night


e: the toys for kids one, idk if there’s another one that’s been set up for him

Vando
Oct 26, 2007

stoats about

JAMOOOL posted:

tbf if it is commotio cordis then it's something that could happen in any sport - I think this happens in youth baseball every now and then. but football is unique in that the goal really is to hurt people, so even if this is a 'fluke injury' it's also part of the game. it's not like a fastball rocketing off the bat into a pitcher's chest. idk Ryan Clark was really good last night talking about this stuff, even if it is a freak injury it's happening in a sport where players routinely say they're willing to "give it all" and it kinda turns out human beings aren't really equipped to do that and that maybe you're loving these people up like you do in the military

If it's that, I would honestly expect them to continue as normal unless they are able to identify anything specific regarding equipment or expertise that should have been in place that wasn't. With Phil Hughes, the ultimate conclusion was that sometimes poo poo just happens even if you're doing something hundreds of people do all the time without it happening before, and there's nothing more you can reasonably do. Even the new helmet neck guards they mandated afterwards would likely not have helped him, by all accounts.

A Buffer Gay Dude
Oct 25, 2020
People want to poo poo on the nfl, and I get it because they deserve it

But everything related to this incident has been handled appropriately so far and it really comes across weird when people are high horse posting

There’s nothing anyone can do except be worried for Hamlin and his family and we’re all powerless in that regard, so it just really is the time for good posting with the mates tbqh

Apples McGrind
Oct 13, 2013

In terms of the actual incident itself, i don't think there's anything else the NFL could do to mitigate something like that happening other than just dissolving the league and making football illegal.

On the subject of suspending the game on the other hand, that's a different matter.

cheeeeesecake
Aug 16, 2003

LeeMajors posted:


Honest question, are you required any sort of large body trauma life support credentialing as a PA? ITLS/PHTLS all goes into this but athletic trainers (or any medical specialist near specialized clothing or equipment think fire dept, bomb squad etc) have explicit training to quickly remove pads/helmets etc for resus.

I’ve got some training on it but pads are designed to remove quickly or with few tools and training staff would know how to knock it out immediately. Typically I think you can cut ties over the chest and immediately have full access iirc

I'll answer your first question. PAs are required to do an ACLS course as part of school. (Note that this is advanced cardiac life support, not really anything to do with trauma) However, whether or not you keep it up to date is based on the job you do moving forward. Any ICU/hospitalist based job will require you to keep current, but in general it is not a requirement, especially for specialist positions.

Professor Funk
Aug 4, 2008

WE ALL KNOW WHAT NEEDS TO HAPPEN

Apples McGrind posted:

On the subject of suspending the game on the other hand, that's a different matter.

They suspended the game in an hour. I actually think they moved pretty quickly, all things considered. Do you guys think suspending a game is just a matter of Goodell pressing a big red button in his office or something?

Spaced God
Feb 8, 2014

All torment, trouble, wonder and amazement
Inhabits here: some heavenly power guide us
Out of this fearful country!



Professor Funk posted:

They suspended the game in an hour. I actually think they moved pretty quickly, all things considered. Do you guys think suspending a game is just a matter of Goodell pressing a big red button in his office or something?

I think they more mean the whole "5 Minutes to get back to football thing" which I'm still not a hundred percent sure is real or just Joe Buck trying to fill the dead air

A Buffer Gay Dude
Oct 25, 2020

Apples McGrind posted:

In terms of the actual incident itself, i don't think there's anything else the NFL could do to mitigate something like that happening other than just dissolving the league and making football illegal.

On the subject of suspending the game on the other hand, that's a different matter.

We had many people in here last night screeching about the 5 minutes and temporary suspension stuff being Roger Goodell like Dr. claw with his hand on a lever, meanwhile it’s exactly as I predicted - the refs or someone said “normally it’s a 5 minute warmup”, everyone agreed that wasn’t appropriated and to temporarily suspend to get some clarity, and the game was then fully postponed due to the gravity of the situation while they try and figure out what to do.

Hard to think of any way it could have been handled better and boy do I want the NFL to take a huge black eye whenever possible.

JAMOOOL
Oct 18, 2004

:qq: I LOVE TWO AND HALF MEN!! YOU 20 SOMETHINGS ARE JUST TOO CYNICAL TO UNDERSTAND IT!!:qq:
yea I agree this looks like a fluke thing that could've happened in any sport so it's not like the Tua situation where a team is just flagrantly ignoring a player's safety and long term health. still though injuries are such a baked-in part of football culture in a way that you don't see in other sports (other than hockey I suppose) and it did occur on a routine play that happens 100 times every game which I am guessing will leave a lot of players shook up. so it doesn't really feel like the Dale Earnhardt situation.

Impossibly Perfect Sphere
Nov 6, 2002

They wasted Luanne on Lucky!

She could of have been so much more but the writers just didn't care!
The biggest crime last night was ESPN forcing us to listen to Schefter.

Professor Funk
Aug 4, 2008

WE ALL KNOW WHAT NEEDS TO HAPPEN

Spaced God posted:

I think they more mean the whole "5 Minutes to get back to football thing" which I'm still not a hundred percent sure is real or just Joe Buck trying to fill the dead air

I don't think there's any evidence that the NFL was saying "get back out and play." What it seems like is the officials fell back on the normal policy for serious on-field injuries (and I think some tweets posted in this thread confirmed that), and in the meantime the two coaches (admirably) spoke and decided they weren't going back out there. But I don't think there's anything to substantiate this narrative that the NFL office in New York was trying to force the teams to restart the game.

JAMOOOL
Oct 18, 2004

:qq: I LOVE TWO AND HALF MEN!! YOU 20 SOMETHINGS ARE JUST TOO CYNICAL TO UNDERSTAND IT!!:qq:
and yeah the whole "you have 5 minutes" thing looks terrible and heartless but you know in situations like this bad info gets passed around very quickly, seems likely some ref said that to the coaches because that's what the standard rule is and the NFL just doesn't have a contingency in case of a player suffering a cardiac event on the field

A Buffer Gay Dude
Oct 25, 2020
Both Tua incidents are 100% worse in terms of the NFL’s systemic failure to protect player health and cultural culpability generally than this insanely freak accident.

The Chris Pronger NHL incident is looking more and more like the proper comparable here :/

Apples McGrind
Oct 13, 2013

JAMOOOL posted:

and yeah the whole "you have 5 minutes" thing looks terrible and heartless but you know in situations like this bad info gets passed around very quickly, seems likely some ref said that to the coaches because that's what the standard rule is and the NFL just doesn't have a contingency in case of a player suffering a cardiac event on the field

i mean maybe it's worth it for the NFL to have the contingency in place going forward?

wyoak
Feb 14, 2005

a glass case of emotion

Fallen Rib

Apples McGrind posted:

i mean maybe it's worth it for the NFL to have the contingency in place going forward?
I think the contingency played out last night

Like idk what else you really wanted to happen. It sucks and everyone feels helpless but I’m really not sure how else it could have been handled

A Buffer Gay Dude
Oct 25, 2020

JAMOOOL posted:

and yeah the whole "you have 5 minutes" thing looks terrible and heartless but you know in situations like this bad info gets passed around very quickly, seems likely some ref said that to the coaches because that's what the standard rule is and the NFL just doesn't have a contingency in case of a player suffering a cardiac event on the field

I posted it last night but anyone with any sort of experience in high stress crisis management (think high alpine rescue) could guess pretty solidly that they were going through the “what’s normal->what’s different here->what do we need to loving do to do right” cycle.

Cthulu Carl
Apr 16, 2006

Impossibly Perfect Sphere posted:

Maybe I'm cynical, but I suspect the only long-term thing that will come out of this (for the NFL) will be better training and making sure the right equipment is available in every stadium.

I mean, if it's an underlying issue what got missed or was the result of an impact at just the right moment in just the right place, is there anything they can do? Maybe have EMTs on the sideline, roughly at the line of scrimmage instead of at the ambulance?

Ches Neckbeard
Dec 3, 2005

You're all garbage, back up the truck BACK IT UP!

Apples McGrind posted:

i mean maybe it's worth it for the NFL to have the contingency in place going forward?

It played out last night

2 doctors and a neurologist are at every game
Ambulance and crew are present on standby
AEDs are all over the place these days

He has the best possible chance

Vando
Oct 26, 2007

stoats about

A Buffer Gay Dude posted:

I posted it last night but anyone with any sort of experience in high stress crisis management (think high alpine rescue) could guess pretty solidly that they were going through the “what’s normal->what’s different here->what do we need to loving do to do right” cycle.

Yeah I also think everyone forgets this wasn't a normal day at the office for the officials either, they would clearly have been affected by the incident too

LeeMajors
Jan 20, 2005

I've gotta stop fantasizing about Lee Majors...
Ah, one more!


Cthulu Carl posted:

I mean, if it's an underlying issue what got missed or was the result of an impact at just the right moment in just the right place, is there anything they can do? Maybe have EMTs on the sideline, roughly at the line of scrimmage instead of at the ambulance?

Let’s just implant defibrillators in every NFL player the day after the draft.

A Buffer Gay Dude
Oct 25, 2020

wyoak posted:

I think the contingency played out last night

Exactly this. Decision-makers were empowered to and given space make the right call and cultural / moral principles guided the mutual discussion.

Honestly, and again I hate to under any circumstances “hand it to them”, but the league and teams will probably come off looking good here with respect to crisis management.

Spaced God
Feb 8, 2014

All torment, trouble, wonder and amazement
Inhabits here: some heavenly power guide us
Out of this fearful country!



I hope y'all are doing okay today

wilderthanmild
Jun 21, 2010

Posting shit




Grimey Drawer
Yeah, if it turns out to be commotio cordis the only thing I could imagine the NFL changing here is if something like his gear interfered with them performing CPR or AED. For example if they had to spend 2 or 3 minutes figuring out how to tear off his shoulder pads that's might be something worth exploring if they can fix somehow.

FWIW I think covid speculation should be okay here, but if you're not someone who usually posts in TFF and usually posts in politics/covid megathreads you should post about it there, not here.

MJeff posted:

So wait, did the dude have covid six weeks ago or what? I've heard it mentioned twice but couldn't find anything saying it on google or twitter or anything, because, well, searching "Hamlin covid" gets you exactly what you'd think it would right now.

I tried going back to October 2022 and excluding anything past Jan 1 2022 in Reddit, Google news Search, and Twitter and I can't find any reference to him having covid prior to last night. Maybe I'm searching wrong, but so far I found noting.

Anime Store Adventure
May 6, 2009


Yeah I wanted to be mad at the NFL as a kneejerk but I think the whole immediate "What the gently caress is going on and what do we do" was actually pretty reasonable and pretty quickly decisive for the better.

Apples McGrind
Oct 13, 2013

wyoak posted:

I think the contingency played out last night

Like idk what else you really wanted to happen. It sucks and everyone feels helpless but I’m really not sure how else it could have been handled

alright yeah, i suppose that's fair.

I guess my instinct is just to look for solutions to make sure things like this don't happen again, but i guess when someone goes down with a heart attack on the field, there's gonna be some sort of chaos in the moment regardless of the systems of communication you have in place.

Eifert Posting
Apr 1, 2007

Most of the time he catches it every time.
Grimey Drawer
I think the league was lucky that the personalities involved in the game were well suited to handle something like this. Imagine if the other team had a Schiano style coach. The NFL definitely has people at every level who could have made that much worse than it was.

davecrazy
Nov 25, 2004

I'm an insufferable shitposter who does not deserve to root for such a good team. Also, this is what Matt Harvey thinks of me and my garbage posting.

Cthulu Carl posted:

I mean, if it's an underlying issue what got missed or was the result of an impact at just the right moment in just the right place, is there anything they can do? Maybe have EMTs on the sideline, roughly at the line of scrimmage instead of at the ambulance?

At Metlife, at least, the East Rutherford rescue squad guys assigned to the field hang out just inside the home team tunnel during the game.

Spaced God
Feb 8, 2014

All torment, trouble, wonder and amazement
Inhabits here: some heavenly power guide us
Out of this fearful country!



Eifert Posting posted:

I think the league was lucky that the personalities involved in the game were well suited to handle something like this. Imagine if the other team had a Schiano style coach. The NFL definitely has people at every level who could have made that much worse than it was.

I just had the horrifying thought of how urban meyer would handle this

Darth Brooks
Jan 15, 2005

I do not wear this mask to protect me. I wear it to protect you from me.

It's entirely possible that Chuck Hughes saved Hamlin's life. After Hughes' heart issues caused his death while playing, severe heart trauma was a possibility the medical staff had to be ready for.

LeeMajors
Jan 20, 2005

I've gotta stop fantasizing about Lee Majors...
Ah, one more!


Apples McGrind posted:

alright yeah, i suppose that's fair.

I guess my instinct is just to look for solutions to make sure things like this don't happen again, but i guess when someone goes down with a heart attack on the field, there's gonna be some sort of chaos in the moment regardless of the systems of communication you have in place.

All the medical staff is constantly re-evaluating every protocol for safety and emergency response and I guarantee they’ve put hundreds or thousands more hours into it than any of us.

Short of banning football of course (probably the only actual solution).

Those pads are designed to come off quickly and completely when needed.

Impossibly Perfect Sphere
Nov 6, 2002

They wasted Luanne on Lucky!

She could of have been so much more but the writers just didn't care!

Spaced God posted:

I just had the horrifying thought of how urban meyer would handle this

Can you perform CPR by kicking?

Apples McGrind
Oct 13, 2013

LeeMajors posted:

All the medical staff is constantly re-evaluating every protocol for safety and emergency response and I guarantee they’ve put hundreds or thousands more hours into it than any of us.

Short of banning football of course (probably the only actual solution).

Those pads are designed to come off quickly and completely when needed.

my concerns were more about the NFL handling the aftermath and canceling the game. I know the medical personnel basically did everything they could and probably handled it in the best possible way.

BigBallChunkyTime
Nov 25, 2011

Kyle Schwarber: World Series hero, Beefy Lad, better than you.

Illegal Hen

A Buffer Gay Dude posted:

Both Tua incidents are 100% worse in terms of the NFL’s systemic failure to protect player health and cultural culpability generally than this insanely freak accident.

The Chris Pronger NHL incident is looking more and more like the proper comparable here :/

Let's hope so. Pronger made a full recovery and made the Hall of Fame.

BigBallChunkyTime
Nov 25, 2011

Kyle Schwarber: World Series hero, Beefy Lad, better than you.

Illegal Hen

Apples McGrind posted:

my concerns were more about the NFL handling the aftermath and canceling the game. I know the medical personnel basically did everything they could and probably handled it in the best possible way.

Yeah the NFL sucks rear end, but I can't find a single thing to criticize in how they've handled the situation

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mcmagic
Jul 1, 2004

If you see this avatar while scrolling the succ zone, you have been visited by the mcmagic of shitty lib takes! Good luck and prosperity will come to you, but only if you reply "shut the fuck up mcmagic" to this post!

Eifert Posting posted:

I think the league was lucky that the personalities involved in the game were well suited to handle something like this. Imagine if the other team had a Schiano style coach. The NFL definitely has people at every level who could have made that much worse than it was.

Schiano is much less of a piece of poo poo than you're implying here. He really handled the Eric LeGrand situation very well.

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