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From: medatrain
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  • The name is commotio cordis dickfaces i am a physician

  • gay i just realized I wrote the exact same thing as someone else........

  • This is an occurrence, also called an R on T interval. Physical energy (fist) turning into electrical energy, delivered during the relative refractory period of the T wave in the cardiac conduction cycle (just after the QRS). The person will then immediately go into ventricular fibrillation.

  • i saw no visual or sound assesment of his breathing then. ear to mouth for 10 seconds whilst looking along the body at the chest. i ask everyone no matter who you are to do even a Basic First aid course. it does save lives!

  • Arrrrgggghhhh start chest compressions for fucks sake...

  • What do so long to start CPR?

  • they could have started CPR immediately and attached a AED, then charge, stop CPR, shock, back into CPR, instead of 3 people checking the pulse for more than 20 seconds, 10 seconds, check the pulse and breathing. nothing start CPR

  • From the point of the fatal punch that stopped his heart to when he lost consciousness, 5 to 6 seconds.

  • @Diamonddavej

    There was no "fatal punch".

  • Death punches are illegal in tournaments

  • Hmm i dunno he could have had SVT also know as supraventricular tachycardia causing the heart rate to increase dramatically. People are born with this and don't usually know they have it until an attack. Coughing or bearing down helps to decrease the heart rate. Anyways maybe if these dudes started compressions he could still be alive. I would be willing to bet he had SVT.

  • @socalfrijolito My 6-year-old has SVT. The first time she had an episode, they had to stop her heart and shock her back...never been so scared in my life. But SVT is not fatal like this; they had to restart my daughter to get her to a healthy rhythm, but she had a rhythm...BrockDoe (above) has it right. I know of a child who was literally scared to death because the shock to his system when his mom yelled "Boo" happened during that impossibly tiny window in the cardiac cycle.

  • @socalfrijolito its commotio cordis also known as the r on t phenomenon. it however is not svt and people are not born with svt. svt is a comorbidity to a underlying heart condition. this man is experiencing ventricular fibrillation he needs defibrillation not a valsalva maneuver. nice try tho

  • why is this video so short?

  • @jad3948 I'm guessing because the kid died =/

  • Right after checking the pulse should come the shock in this case. In this situation there is something called commotion cortis more specifically R on T phenomenon. If they are shocked using an Aed within 2-3 min of this happening then there is a high survival rate. However any longer he mortality rate goes down drastically. it is all about early recognition.

  • Isn't this the same phenomena that occurs when people practice cardiac compressions on a healthy individual? I heard of a nursing student that died this way

  • @bels10 well if what your referring to is a precordial thump, which has the same effect yes. but it could not be produced by doing cpr compressions. a fractured rib is much more likely (if your doing it right.) leading up to pneumothorax or hemothorax. compression's do not have the quick focal force to cause this.

  • This condition (Commotio Cordis) is incredibly rare, but is almost always fatal, which it shouldn't be as the cardiac arrest is always witnessed. The problem is people don't act quickly enough. Coaches and trainers for sports where a direct blow to the chest is a risk (martial arts, baseball, lacrosse, etc) should be taught about this condition so they can (A) recognise its onset and call for medical help and (B) commence early CPR to keep the patient alive until that help arrives.

  • PERICARDIAL THUMP!!! ( said in the voice of goku)

  • Was no one doing chest compressions?

  • Classic Commotio Cordis

  • In an ideal situation the arrest should have been handled differently. In an adult chest compressions should come before rescue breaths are given. Evidence has shown perfusion pressure from chest compressions is the most important first response. These medics seemed a little pre-occupied with trying to administer rescue breaths which won't help. In children it is the opposite, 2 rescue breaths should be given first as the most common cause of cardiac arrest in children is hypoxia. This being sa

  • @IreFireAndFury interesting. i was taught to start with compressions in adults, children, and infants.

  • @SouliaBoy The reason for the guidelines is because children generally have healthy hearts, they're likely to have secondary cardiac arrest, due to a lack of oxygen (drowning, asphyxia, etc) so it's essential to get some oxygen in. In adults it's more likely they go into primary cardiac arrest, due to a fault in the heart itself, so the blood is well oxygenated, it's just not moving, so it's important to start compressions to get it moving. Commotio cordis is a primary cardiac arrest at any age.

  • @SouliaBoy if you witnessed the arrest difibrillate first. if not get the blood moving first then shock.

  • sadly he died for nothing

  • No one tries to restart his heart they loosen his belt.....why doesn't everyone take classes in case someone on the street goes down next to them?

  • @OogleManiac They have to assess the ABC's first. (Airway, breathing, circulation) I'm sure lots of fighters lose consciousness during fights (look at MMA) so they weren't sure what they had on their plate at that moment.

    I'm sure if the video went on a little longer, you'd see manual ventilation with chest compressions. Every minute the heart stops, the chance of survival decreases ~10%. It hadn't even been a minute since he had gone down.

  • Why he have this attack? a punch ???

  • why do people always kneel down when they have cardiac arrests?

  • @gammaray850 im not sure, but some people ebecome very faint for a second, therefore they cant keep themselves upright

  • the other guy murdered him

  • Thats not right. c mon, die out of no where. thats just sad to see someone die like that, R.I.P

  • i have Paramedic :P i can help him just Call me :> like tube + breathing + suction hehehe i save 2 people in my life ... same came cardiac arrest :D

  • It's Commotio Cordis. The disruption of the hearts cycle due to blunt force to the area surrounding the heart. Of the 1000 milliseconds in the average cadiac cycle there is a small window (10-30 millisecond ) where blunt force will cause this to occur. It basically puts them into Ventricular Tachycardia or Ventricular Fibbrilation. Both deadly heart rhythms.

  • @BrockDoe NANO SECONDS ARE SMALLER THAN MILLISECONDS

  • @maury734 1000 milliseconds is a bit easier to understand as aposed to 1000000000 nanoseconds...

  • @BrockDoe an aed would have brought him out of vtac or vfib. sad

  • @BrockDoe u lost me :/

  • @BrockDoe It's a very rare event, but happens most commonly in sporting events amongst young, otherwise healthy people. The normal heart cycle has a predictible pattern, but if interrupted in a very narrow part of the QRS complex by a blunt traumatic insult, it will result in diminished or absent blood output from the heart.

  • @m2inla More likely to occur during the T wave as the hearts relaxing. Similar to the R on T phenomenom where a stimulus causes premature depolarization of cells that have not completely repolarized. Have witnessed a patient who experienced the RonT, we were lucky to recored it during a cardiac stress echo, good thing he had an inplantable defibrillator.

  • IN CASE OF EMERGENCY OFFERS AED/CPR/FIRST AID TRAINING, AED'S AND RELATED PRODUCTS. VISIT US AT ICEEMS. CHECK OUT OUR NEW SCHOOL PROGRAM. HELP US RAISE AWARENESS FOR SUDDEN CARDIAC ARREST.

  • Kick the medic for his slow reaction! Why didn't he ran to the victim? Cut his paycheck for the nonprofessional attitude.

  • @Raggamuffin78

    Hi, the medic 'walks' to give him time to assess any danger/risk because running into an incident can be hazardous for the medic. Look, you'll know what I mean if you did a first aid course and actually had to help someone, they'll teach you all about DRABC = Danger, Response, Airway, Breathing, Circulation/CPR to ensure survival and safety of ALL involved. You'll be of no use to anyone if you got hurt as well, anything could have happened to the fighter.

  • @AnotherP45

    That i didn't know. Good to hear it from another point of view.

  • @AnotherP45 I am a paramedic, and if the fact is, the "medics" have to adapt their skills to every case. Obviously there are not going to be any dangers in this situation, check response, his airway is clear, he was breathing 5 seconds before hand, so before the end of this video they DEFINITELY should have discovered his pulse was absent, they SHOULD have begun CPR and an AED should have been on its way. They were too slow!

  • @jazzam2007 I'm an EMT and these were my exact thoughts.

  • .......CPR might have helped

  • Five Pointed Palm Exploding Heart Technique!

  • this video made me cry i knowing that he didnt kno he was going to lose his life during something fun r.i.p as for the boy who punched him should be charged

  • .. God bless.

  • Walk it off mate, walk it off.

  • @NTBushPilot Walk it off? you'll be dead immediatly.

  • @captainamazingg hes already dead. that shit pretty much kills him instantly even tho hes still alive. hes dead on the inside.

  • Kind of surprising that this doesn't happen more and that some form of padding isn't used (even minimal) for the chest. Roller hockey jerseys, for example, have chest protection yet do not inhibit movement at all.

  • just sub unconscious....you can see his hands still moving

  • no CPR for him? lets give him fresh air, lets take his clothes off, let him be confortable. LOL

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  • He died instantly after the other oppenent socked him in the chest.

  • So it seems that a single-punch-death-blow isn’t all that far fetched after all.

  • Commotio cordis involves direct impact over the precordium (area of the chest just in front of the heart) The person must be hit when their heart is in the T-wave phase. The heart must be in the ascending phase of the T-wave which is a specific 10-30ms in the cardiac cycle. During this phase, the ventricles of the heart undergo repolarization. During this the heart is vulnerable for ventricular excitability and a hit can cause ventricular fibrillation resulting in cardiac arrest.

  • @dagda16 ... it sounds like you know everything about heart, if you dont mind can you send me info/trivia about heart that i can use during my CPR class....

    thanks

    hpbendol@yahoo.com

  • the punch ruptured his aorta.

  • I think the punch to the chest did him in. 

  • @DjMediaNoche001 Thats sad, imagine how the other person must have felt :(

  • I saw this in my hypertrophic cardiomyopathy lecture. It's a genetic condition that lots of people don't realise they have. People who do know get a pace maker to keep the heart working and take medication.

  • WPW would be something you'd consider, but this could easily be an example of the R/T phenomenon

  • did he died?

  • commotio cordis...

  • Cardiac arrest can be caused by intense physical activity.. That might be the cause.

  • @fannypakluv intensive physical activity isnt a cause of cardiac arrest... there should be an underliying defect in order for cardiac arrest to occur...

  • @fannypakluv It did look like he was overdoing it. Makes you wonder if maybe he was faking it so he wouldnt have to fight. One good thing was that he didnt look like he was an American!

  • @groundhog2008 So the good out of this for you is that he wasn't American. Who cares what nationality he is he died in an unfortunate sporting event and our condolences should go out to him regardless of race or birth country.

  • @riprider03 Well, I am not glad that he died, but since he wasnt an American, it doesnt matter to me so much. I figger most people feel this way, not to mention that he is white.

  • @groundhog2008 are you fucking serious? What does that have to do with some kid losing his life? Are all americans saints? No..stop talking out your asshole. So if he was what, a black american you'd feel more for the guy? Pathetic - also it's "figure" not figger.

  • @groundhog2008 what has being american got to do with anything you troll. this happens to people all over the world, especially america with their high obesity levels

  • oh thats fucked up he socked him on the chest

  • everyone who practices karate ( and everyone who has a good working brain ) knows you absolutely CAN'T punch in that area.

  • @camiecarnivore that is BS! If you can take your opponent down by hitting in the chest, then that is what he should do! If he didnt want to get hit in the chest he should have moved away from the punch. The man was weak and slow, so he lost the match for it!!

  • @groundhog2008 you don't win a match by killing your opponent. there's a reason why karate is a martial ART. karate is not about winning or losing, but it's about improving the karakter. it's a rule : you shall not hit your opponent so that he could be severely injured or die.

  • @camiecarnivore This is so true! Well said mate!!

  • at 11 seconds he got hit in the heart thats probably the reason for the cardiac arrest

  • so weird:O 

  • his heart stoped!!

  • did he died?

  • Do you think the punch to the chest caused it?

  • actually. a defibulator wouldn't work on a patent suffering from cardiac arrest. becuse sometimes people drop like that and their heart hasn't stoped, you just don't get a pulse they may be tachacardic

  • @eric3315 are you really saying a defibrillator wouldn't work on a patient in cardiac arrest?? The most common rhythms seen are V-Fib and pulseless V-Tach. Those are the rhythms that can be shocked. Those are seen in......CARDIAC ARREST. Thanks for playing

  • @trevorvw defiblirators are only there to stabilize a heart that is beating erratically, like in a heart attack, but it can't jump start the heart like a car.

  • @MANofINACTION contrary to the general populations belief, defibrillators are actually used to STOP the heart. There is no stabilizing or starting, the purpose is to stop the heart entirely and hope that a normal rhythm returns. trevorw is right about vfib and pulseless vtac, those are the most common rhythms in a cardiac arrest and are the only two rhythms that will be defibrillated. Getting hit in the chest like that can cause what is known as R on T phenomenon which causes the cardiac arrest.

  • @weeezz i dont know what the fuck you said!

  • did he really die? fuk that is horrible, fuk you all who disprespect this man

    rip brother

  • 39. And made him (the human) in two sexes, male and female.

    40. Is not He (Allah Who does that), Able to give life to the dead? (Yes! He is Able to do all things).

    This was last part of Surat Al Qiyamah in the Noble Quran.

  • Comment removed

  • 37. Was he not a Nutfah (mixed male and female discharge of semen) poured forth?

    38. Then he became an 'Alaqa (a clot); then (Allah) shaped and fashioned (him) in due proportion.

  • 35. Again, woe to you [O man (disbeliever)]! And then (again) woe to you!

    36. Does man think that he will be left Suda [neglected without being punished or rewarded for the obligatory duties enjoined by his Lord (Allah) on him]?

  • 33. Then he walked in full pride to his family admiring himself!

    34. Woe to you [O man (disbeliever)]! And then (again) woe to you!

  • 31. So he (the disbeliever) neither believed (in this Qur'an, in the Message of Muhammad ) nor prayed!

    32. But on the contrary, he belied (this Qur'an and the Message of Muhammad ) and turned away!

  • 30. The drive will be, on that Day, to your Lord (AllAh)

    Same Surah

  • 28. And he (the dying person) will conclude that it was (the time) of departing (death);

    29. And leg will be joined with another leg (shrouded)

    Same Surah (chapter).

  • 26. Nay, when (the soul) reaches to the collar bone (i.e. up to the throat in its exit),

    27. And it will be said: "Who can cure him and save him from death?"

    Noble Quran , Surah (chapter) Al-Qiyamah (The Resurrection)

    

  • five finger death punch, and I'm not joking R.I.P

  • sooo cardiac arrest is just falling out?

  • did he poop himself while he died?

  • fucking bastards didnt ever bother to try save him... cunts

  • @U91H3D im sorry, but unless these people all have EKG machines built into their eyes, how the hell would they know how to save him?

    as far as they know he just passed out,

    idiot.

    you cant look at a person and say, OH HEY CARDIC ARREST.

    think before you speak.

  • @eric3315 funnily enough thats exactly how you diagnose cardiac arrest, the patient isnt breathing and has no pulse then by definition its cardiac arrest who needs any machines?? and by the way its an ECG wish americans would learn to spell hehe

  • @hightower1984 No, EKG is a correct term, genius. And who needs machines? How about when you want to know what rhythm the patient is in so you can know what drugs you can and cannot give to the patient? How about so you know whether or not you can shock the patient or not? How about so if you get a pulse back but the patient is bradycardic you can pace them? Yeah, those machines are SO useless.

  • @eric3315 You ever hear of checking a pulse, it doesn't matter what rhythm your in if you don't have a pulse your in cardiac arrest. Maybe you should think before you speak.

  • @chuckpoarch45 It actually does, because depending on what rhythm you're in, you can receive certain drugs and certain types of electrical therapy that could save your life.

  • @U91H3D The fuck are you talking about? They're right there!

  • How to differ HERE whether its' a harmless faint or a cardiac arrest? *shrug*

  • @Sterndi1 Uhhhh, obviously you wont have a pulse and you wont be breathing if your heart stops...

  • @canadianboy40: Oh, didn't know I posed a complicated question. ;-) I refer to the clip thats why I wrote "HERE". It just shows someone breaks down - no proof the guy died. Watching this I really cannot attest he died at last. ;-)

  • Damn, dude got jabbed too hard to the chest and down he went. Yowzas!!

  • Cardiac arrest is when the heart stops, a-fib is when the atria are fibrulating, v-fib is in the ventricles. There has to be some electrical activity within the heart to defibrilate a pt. Asystole is when the heart flat lines, you can not shock a person in asystole. V-fib and a-fib the heart is quivering more or less and pumping no blood out but is not completely stopped.

  • Comment removed

  • me heart goes out to him! its so hard to watch when you realize this is his last moments of life.

  • Comment removed

  • @JASONMOORE87 Who ever said he died?...the glass is half full?

  • The boy in this video died. As several others suggested it was commotio cordis, his heart stopping from being punched in the chest during a very precise, small period of time during the normal heart rhythm. AED was suggested, but this happened in 1998, and I don't know if AED were commonplace yet. The saddest part of this, other than his death, is that the young man who threw the punch was his friend and teammate.

  • @sportzelot Keep in mind a defibrillator is useless for a stopped heart, contrary to hollywood movies. The standard way to resuscitate someone from a cardiac arrest is CPR and epinephrine.

  • just had a gnarly one today... all the epi and atropine and chest thumping in the world wasnt doing a thing

  • defib is useless for asystole.. but a "stopped heart" includes PEAs, V-Fib, and V-Tach. You can't shock asystole or PEAs, but you can the other two. You'll need Epi, but that has to be followed by Atropine

  • @pabs04 v-fib and v-tach are abnormal heart beats - not cardiac arrest. The heart doesn't stop pumping in either, although it may flutter or have other abnormal activity. You can "Shock" an irregular rhythm to normalcy, but you cannot shock an arrested heart. In fact, doing so will also surely kill the patient.

  • I agree with what you said, I was just writing in regards to using an AED. Your last statement was funny saying that shocking a person in cardiac arrest will "kill" the patient. Well, they're already technically deal. You can damage the heart though.

  • Yeah...can someone say CPR?

  • The guy that shouted medic after the woman it sounden like bill from left 4 dead.

  • Viggom8n: as a Critical care paramedic/AHA instructor and TKD instructor. the correct word for what happend is(sudden cardiac arrest. It's not that uncommon in sports.part of CPR is to evaluate the patiente and the use of the AED

    And no he is to young for a stroke. The majority of patients don't pass out when they have a stroke. You should look it up on the web, there pretty interesting subjects.

  • The kid had a Cardiac arrest because of the punch to the chest. His heart went straight to VF. They should have started CPR at once.

  • You can't start CPR before you're sure it is a cardiac arrest.. It could also have been a cerebral haemorrhage.. But they should have tjekked if he was breaving or not faster, they're moving too slow. I don't think the punch to the chest was what gave him the stroke, though.. But I cannot say for sure.

  • CPR NOW! There should always be an AED at these events, lots of abdominal blows.

  • did he have cardiac arrest due to the punch in the chest...

  • yeah i just saw that brittany murfuy just died about that to

  • DrMaccers.. i noticed the punch in the chest too ! that other kid hit him hard,,,,u could hear the THUD!!

  • I have had two cardiac arrests within four months. I have an ICD in my chest. Anyway, to answer aq previous question, cardiac arrests are grouped with heart attacks due to lack of education on CSA. A heart attack is most commoly caused by a blockage, a SCA is when the heart quivers uncontrolably.

  • Ventricular Fibrilation(V-Fib) is when a heart quivers and fires off random pulses

    Ventricular Tachycardia(V-Tach) is when the heart beets at a rapid pace, too rapid for blood to exit the heart and flow thorugh the body

    Asystole (flat Line *beeeeep) is when the heart has stopped and the brain is or is soon to be deprived of blood/oxygen.

    Sinus Tachycardia (Sinus-Tach) is the normal heart rhythm

    The first two can be stopped by defibrilation, asystole cannot be reverted however.

  • A Sinus rhythm is a normal rhythm (60-100bpm) sinus tach is 100-170, then over 170 can be SVT. Sinus brad is 40-60bpm

  • @cory640 umm wrong info.

    Sinus Tachycardia is not "normal" heart rhythm but Sinus rhythm.

    Tachycardia refers to fast electrical impulses and a consequently a faster heart rate.

  • I've had one implanted about 7 yrs now....fun isn't it :o(~ Had a SCA from what they think was the medicine amiodirone. ironically enough, used to stop irregular heartbeats (A-Fib)

  • @wchambe641

    Im glad to hear you've had successful treatment, however this is whats called the R on T phenomenon caused by getting hit at the chest at the right place at the wrong time.

  • I am a MI survivor. and several months later a SCA survivor. believe me there seperate things. one is plumbing problem the other is electrical. I have a implanted defib now. going on 2 yrs now.

  • Commotio cordis? Has that been suggested? Seems to take a punch to the chest not too long before he collapses.

  • Oh wait they have!

  • wow this is a really sad vid.... gave me the chills

  • every second counts lol

  • fuck u!!my grandma is in the hospital rite now because of a cardiac arrest.and might die. this is NOT A FUNNY MATTER!

  • Crikey! How long does it take to find a bloody pulse! They should have been doing CPR and getting a defib asap!

    As for MI more likely to cause heart failure than SCA I'd have to disagree. I've witnessed many a SCA and have revived patients rapidly with defib then thrombolytic therapy in the ambulance. None were displaying any signs of ACPO/LVF/CHF (heart failure). It may be a presenting feature in elderly patients but certainly not that common in the younger ones.

    I do like the Dim Mak theory

  • It is true that their approach seems slow (and sure, it could certainly be more efficient). but consider a few things:

    - you never run 'to the rescue'

    - you don't know what's happening

    - you're not sitting in a comfortable chair in front of your computer

    - the whole video is 47s 'long' showing 20s before collaps

    However it is true that the outcome of patients in cardiac arrest is positively influenced by early defribrillation due tue an AED on site.

  • Heart Attack occurs when arteries to the heart become partially blocked cutting off good blood flow. The heart starves for oxygen. Death is rarely instant and there is usually time to react and get medical attention. Cardiac Arrest is ELECTRICAL in nature. The normal electric circuits within the heart's ventricles become "shorted" causing the ventricles to quiver chaotically instead of contracting normally. Blood flow stops instantly, unconsciousness comes in seconds and death within minutes.

  • mi more likely to cause heart failure than sudden cardiac arrest... Sudden Arrest (if you can start it of course) can cause an MI... Stroke... etc...

    Good explanation...

  • How do you prevent cardiac arrest, and why do people group both under the heart attack label?

  • Cardiac arrest is NOT the same as a heart attack (which you said in your intro to the movie). A heart attack is a blockage in an artery which does not allow blood to flow through. Cardiac arrest is when your heart spasms very fast, then stops beating. In cardiac arrest, if you don't have CPR keeping some blood flowing, if you make it you will have brain damage if you're not revived after 3 minutes. Takes not much longer to die. They are two different things with different causes.

  • That wasn't a heart attack, that was the Dim Mak touch.

  • they sure rushed to their aid...

  • that's so scary

  • very worrying

  • COMMODIO CORDIS

  • He died?

    Punch in the chest exactly in the moment of ventricular repolarization, extremely bad luck!

  • Its a pretty big difference between a heart attack and a cardiac arrest...

  • whats the difference? tell me , is because before, i think it was the same....

  • oh crap

  • Commotio cordis.

  • omg

  • we all gotta go someday anyway this may look painful but i doubt it is if you experience it yourself cause everything goes fast i rather die from  cardiac arrest than cancer when i check out of the planet you know what i mean

  • you swallow your tongue....

  • To think that happend to Micheal Jackson makes me feel soo....oh goodness im crying again.........................­............sigh.

    Michael. You didnt deserve it, you realy realy didnt.

  • get over yourself

    P-P-POOOORR POOORRRR PEDOPHILE

    BOOO HOOOOO

    fuck you

  • Shut up. All life is equal.

  • @GeneStarwind09 couldn't agree more

  • where is the rest of the video?

  • I was lucky and happened to be in the emergency room when a cardiac episode like this happened. Thank GOD they were able to bring me back. Please if you have a history of heart arrythmia get evaluated for a heart difiballator implant !

  • what did it fell like