Exercise Associated Collapse (EAC) & Sudden Cardiac Death

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Presentation transcript:

Exercise Associated Collapse (EAC) & Sudden Cardiac Death © 2018 Cogent Steps, LLC

Collapsed Athlete Exercise Associated Collapse (EAC) Musculoskeletal Concussion / Head Medical Cardiac © 2018 Cogent Steps, LLC

EAC Postural hypotension Lightheaded, dizzy, syncope Primary Assessment Drop in systolic BP > 20 mmHg supine to stand Elevate legs Oral fluids Progressive postural elevation © 2018 Cogent Steps, LLC

Musculoskeletal Severe injury Hamstring tear Blow to solar plexus Primary & Secondary assessments Head-to-Toe Treat © 2018 Cogent Steps, LLC

Concussion / Head Primary Assessment Concussion Initial assessment; SCAT No RTP Check for Head, Skull, Spine Primary & Secondary assessment Head-to-Toe Treat © 2018 Cogent Steps, LLC

Medical Hypoglycemia Heat Stroke Hyponatremia Hypothermia Stroke © 2018 Cogent Steps, LLC

Cardiac Sudden Cardiac Arrest Commotio Cordis Survival Rates Hypertrophic Cardiac Myopathy (HCM) Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) Commotio Cordis Survival Rates EAP Call for advanced care Bystander CPR Arrest time to defibrillation time © 2018 Cogent Steps, LLC

EAP & Cardiac Pearls Collapsed but responsive athletes less concerning Collapse before finish line more concerning Controversy over pre-participation screening History of fainting may be a positive indicator Training in CPR saves lives AED’s are crucial © 2018 Cogent Steps, LLC