Commotio cordis overview: Difference between revisions
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==Epidemiology and Demographics== | ==Epidemiology and Demographics== | ||
==Risk Factors== | ==Risk Factors== | ||
Young athletes who are involved in sports such as baseball, soccer, ice hockey, polo, rugby, cricket, softball, pelota, fencing, lacrosse, boxing, karate, kung fu and other martial arts where there is a likelihood of sustaining blow to the chest. | Young athletes who are involved in sports such as baseball, soccer, ice hockey, polo, rugby, cricket, softball, pelota, fencing, lacrosse, boxing, karate, kung fu and other martial arts where there is a likelihood of sustaining blow to the chest. | ||
Revision as of 07:58, 29 August 2023
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Epidemiology and Demographics
Risk Factors
Young athletes who are involved in sports such as baseball, soccer, ice hockey, polo, rugby, cricket, softball, pelota, fencing, lacrosse, boxing, karate, kung fu and other martial arts where there is a likelihood of sustaining blow to the chest.
Natural History, Complications and Prognosis
Commotio cordis has a poor prognosis with only about a quarter of these victims surviving after immediate resuscitation.
Treatment
Medical Therapy
Fulminant death is the most common outcome, because cardiopulmonary resuscitation requires quick action by a specialized medical team, using a defibrillator and cardioactive drugs, and these are rarely on hand in sports arenas. Due to the significant danger to children (death by commotio cordis is the first cause of fatalities in youth baseball in the US, with 2 to 3 deaths per year[1], 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[2]."
References
- ↑ Abrunzo TJ. Commotio cordis. The single, most common cause of traumatic death in youth baseball. Am J Dis Child. 1991 Nov;145(11):1279-82. Review. PMID 1951221
- ↑ Salib EA, Cyran SE, Cilley RE, Maron BJ, Thomas NJ. Efficacy of bystander cardiopulmonary resuscitation and out-of-hospital automated external defibrillation as life-saving therapy in commotio cordis. J Pediatr. 2005 Dec;147(6):863-6. Review. PMID 16356450