Key result
Immediate bystander cardiopulmonary resuscitation and early defibrillation successfully restored spontaneous circulation and led to full neurological recovery in a 21-year-old athlete with blunt cardiac injury.
Case Report (n=1)
This case report highlights the critical importance of early bystander CPR and rapid defibrillation in managing out-of-hospital cardiac arrest due to blunt cardiac injury in young athletes.
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Immediate CPR and defibrillation may enable full recovery after athletic blunt cardiac injury; leaves open prospective validation in larger cohorts.
Early bystander cardiopulmonary resuscitation and rapid defibrillation are the most important factors for favourable outcomes after out of hospital cardiac arrest (OHCA)-as the new American Heart Association/European Resuscitation Council (AHA/ERC) guidelines emphasise. The patient in our case was a healthy young man who had a witnessed cardiac arrest due to a chest collision with the goalkeeper during a football match. Basic life support was immediately provided by his teammates until an automated external defibrillator was brought to the scene. Blunt cardiac injury (BCI) may result in injured myocardium or arrhythmias. Ventricular fibrillation due to BCI in absence of structural cardiac disease is one of the main causes of OHCA in young healthy athletes with high mortality rates. We demonstrate important aspects of the recently released guidelines on cardiac arrest and the chain of survival by the leading societies.
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Klingberg et al. (2016) conducted a case report in Out of hospital cardiac arrest due to blunt cardiac injury (commotio cordis) (n=1). Bystander cardiopulmonary resuscitation and early defibrillation was evaluated on Return of spontaneous circulation and neurological recovery. Immediate bystander cardiopulmonary resuscitation and early defibrillation successfully restored spontaneous circulation and led to full neurological recovery in a 21-year-old athlete with blunt cardiac injury.
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