Follow this steps if you see a kid collapse after getting hit in the chest:
1. Rush to the child and see if he's breathing
2. Order the closest parent or coach to call 911
3. Start CPR -- adult CPR if he's hit puberty or child CPR if not
4. If you have an AED, order someone to get it immediately
(Source: Article by By Rod Brouhard, EMT-P)
What is Commotio Cordis?
Ventricular fibrillation and sudden death triggered by a blunt, non-penetrating, and often innocent appearing unintentional blow to the chest without damage to the ribs, sternum, or heart (and in the absence of underlying cardiovascular disease) constitute an event known as commotio cordis, which translates from the Latin as agitation of the heart. Maron, B. Estes, M.(2010).NEJM,362:10
*More than 224 cases have been reported to the US Commotio Cordis Registry since 1995, however its estimated that many more cases have not been reported.
*Based on the Registry cases of commotio cordis the survival rate was 24%. 95% of cases affected males.
*Commotio cordis most frequently occurs in those aged between 10 and 18 years, however cases have been documented between the age of 7 weeks to 51 years-old.
*50% of episodes occur during competitive sports, a further 25% occur during recreational sports, and the other 25% occurs during other activities that involve blunt force trauma to the chest wall, e.g. kick by a horse, violence act.
*Baseball has the highest incidence of commotio cordis, followed by softball, hockey, then the football codes.
Pam Hollrah-Asleson, RN
In addition to speaking engagements, Pam teaches CPR, AED, First Aid and babysitting classes in the SE MN region. She believes strongly that life safety is more than just about the body, it also includes taking care of your mind and spirit.