Damar Hamlin - Now (1/11/2023) discharged from Buf Gen & “recovering at home”

[Seventeen]

 

[RiotAct]

1 minute ago, Roy Hobbs said:

 

awesome sign.  As others have mentioned, the fact that he’s a young professional athlete likely makes his road to recovery a lot easier than, say, a 70 year old’s (notwithstanding playing pro sports is why he’s in this situation in the first place…)

[Beck Water]

 

5 hours ago, Herc11 said:

 

A couple corrections here: 

 

1) you don't ease a patient back into normal brain activity. As long as the patient is able to protect their airway, you extubate. The longer someone is intubated the more chance of complications/mortality.

 

You reduce sedation at least once per day and test the pt's ability to respond. This is called a Spontaneous Awakening Trial, SAT. Are they able to follow commands? Does the patient get agitated and try to pull the ET tube out or other lines? How are their vitals when sedation is reduced? Does HR go too high? Respiratory rate? Oxygenation? There are many things a nurse is watching for during the SAT. If they fail, you resedate them.

 

If they pass the SAT, then a Spontaneous Breathing Trial is done, SBT. For this, all sedation meds need to be off, except for precedex which helps with anxiety. We then get the RT to change the vent settings and attempt to let the patient breath on their own. Again, watch heart rate, resp. rate oxygenation. If this is passed we inform the doctor. At this time the doctor usually talks with the RT and RN and asks if they recommend extubation. 

 

2) you don't gradually rewarm the patient. There is no time period for this. Once the hypothermia protocol is discontinued, you turn off and remove the cooling blankets and let the patient return to normal temperature prior to attempting the trials in my first point. You obviously want to do this well enough ahead of attempting to awake them for their comfort. It doesn't take a significant amount of time for temp to return to normal levels.

 

3) the NFL has no say in what treatment these players are getting. This is on the doctors and the protocols of the hospital he is at and where Everett and Shazier went. Hospitals have protocols that they follow that are based on "best practies." 24-48 hrs is standard for hypothermia protocol in a post-cardiac arrest/post code patient. We use 48 hours in the ICU I work at in Fresno, California. 

 

Hi Herc,

I had that phrase in quotes because it was used in the post to which I was responding to.  I think the person in question was thinking of weaning off the vent, but unsure what exactly they meant and probably should have asked not quoted.

 

IF (and we don't know this) Damar Hamlin has been placed in a post-cardiac arrest hypothermia protocol, information on the interwebs from two major medical centers seems to differ from your corrections in terms of the protocol they use.

 

Johns Hopkins has a writeup explaining the treatment for patients and family:

https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/therapeutic-hypothermia-after-cardiac-arrest  (which someone cited upthread) says the following:

Quote

The medical team will slowly rewarm you over several hours. They may set cooling blankets at gradually higher temperatures. In some cases, they may use rewarming devices as well.

 

University of Pennsylvania has a protocol online:

https://www.med.upenn.edu/resuscitation/hypothermia/assets/user-content/documents/TherapeuticHypothermiaProtocolforCardiacArrest.pdf

Quote

Phase 3-Rewarm
 Slow controlled re-warming to avoid hemodynamic fluctuations
 Goal rate for re-warming will be 0.2-0.33C per hour until patient reaches 36.5-37.5C (This
should occur over a 17-20 hour period

 

This protocol also mentions that the patient is maintained on sedation while being cooled, maintained in hypothermia, and rewarmed (Phase 1 2 and 3).  They use the term "sedation vacation" as you use "spontaneous awakening trial":

Quote

Patients will not have a Sedation Vacation while in Phase 1-2 and 3. Sedation Vacation’s will resume in phase 4 (normothermia).

 

Last, a study in the New England Journal of Medicine comparing hypothermia to normothermia calls into question whether hypothermia has a benefit and there are several similar studies:

Quote

In conclusion, this individual patient data analysis found no benefit of hypothermia compared with normothermia with respect to mortality for patients with out-of-hospital cardiac arrest.

(possible benefit for out of hospital arrest with no bystander CPR, but this doesn't apply to Hamlin) and reiterates that the protocol is not used if the patient was conscious and responding to commands after pulse was restored (which in one interview, Hamlin's friend and marketing manager said he was at one point, prior to sedation and intubation). 

 

Again, the hypothermia protocol may not have been used, but if it was, the protocols and patient reference from two major medical centers appear to differ from your information/the protocol with which you're familiar, to say that gradual rewarming IS part of the protocol, and sedation vacations/spontaneous breathing trials are not used during hypothermia treatment.

Edited January 4, 2023 by Beck Water

[stlbills13]

I would assume the Bills players are getting at least some more frequent/detailed updates than the rest of the public. It may not be much different but I would think it's helping them cope a little better. 

[The Wiz]

 

[CorkScrewHill]

55 minutes ago, BillsFanNC said:

 

He is just one of those guys you expect will be back on the Bills on a veteran minimum contract to end his career

[Big Turk]

Wow...did not know that in terms of how things worked after you retire...

 

 

[TheFunPolice]

It's truly incredible to see the outpouring of love and support for Hamlin and his family. 

 

It's also great to hear tidbits of promising news. Waiting is the hardest thing, but there's been really nothing to say since Monday night.

[muppy]

12 hours ago, arcane said:

Amazing. But go home and get some rest, Tee. 

he feels guilty and/or just wants to be there to show Support. HE DID NOTHING  WRONG

 

I feel like we al know it likely wont be for another day or so at least .until they are READY to submit an update: I hope as a fanbase we receive the best news ASAP

 

Im just gonna say it.  I have issues with depression and anxiety. I fear that an episode like what we are experiencing is damaging too our own mental health. 

The waiting isn't easy.  But clearly also we are seriously invested in football which is why we are al here to start with. Hang On Brethren

 

To talk about football seems SO secondary CONCUR. But it would be impossible for me to not think of #3 and football or even ourselves during this situation

I

Im surprised I haven't read More Anger in the thread. Isnt it normal for something like this to have that reaction as well

 

I am just trying to deal with al of this the best I can.

 

 

PS: never, and I mean Never ever in my life have I heard people referencing The Lord, Jesus, God, PRAYER in my life as a believer in sports media and mainstream media . I can totally understand why this could cause upset on a secular football message. i dont wish to disrespect any person who that makes feel any sorta way.

 

But as I was recently reminded 'its not about us" CORRECTAMUNDO  It is about Damar Hamlin. And if our faith seeps out as we indeed pray for #3 Sorry Not sorry just sayin'. PEACE.

m

 

 

 

 

[Simon]

I've spent entirely too much time cleaning up entirely too much political and religious garbage from entirely too many people who ought to know better.

You've been asked to keep it out of here and you've ignored it.

SDS has asked you not to respond to garbage posts and you've ignored it.

 

I am ***** pissed off and you can take this is an advisory that going forward anybody who continues to ignore it is going right out the ***** door.

If you have so little respect for Damar Hamilin's situation that your personal grievances are more important, then stay the ***** out of this thread.

 

[Royale with Cheese]

I can't stop thinking about Damar's parents.  Please pull through Damar.  

[Mr. WEO]

9 minutes ago, Big Turk said:

Wow...did not know that in terms of how things worked after you retire...

 

 

Very few jobs  have the majority of full time employees retire as millionaires and still provide them with long term free healthcare/insurance. 

[Big Turk]

2 minutes ago, Mr. WEO said:

Very few jobs  have the majority of full time employees retire as millionaires and still provide them with long term free healthcare/insurance. 

 

Very few jobs take the type of physical toll football does on their body.  

Edited January 4, 2023 by Big Turk

[Beck Water]

2 hours ago, BrainwashedBillsFan said:

Right that sounds reasonable. They use the local trauma team at the hospital. I was under the impression that someone was implying the NFL had their own trauma team, paid for by the NFL who do not work on other trauma cases and that they just wait around just in case there is an injury to a player. 

 

So per information posted above, the NFL DOES have a trauma team standing by, not at the hospital but actually on the field.

 

It consists of a physician trained in Emergency care, an airway specialist, 2 paramedics, plus the physicians and trainers who travel with the visiting team and the physicians and trainers of the home team.

 

They all get together 90 minutes or an hour before the game, and discuss roles and responsibilities in different emergencies including cardiac arrest - who will maintain the airway, who will perform chest compressions, who will set up and operate the defib, presumably who will remove the facemask and pads, how the ambulance will be brought onto the field, what hospital will be used etc.

 

Links posted upthread.

 

 

 

Edited January 4, 2023 by Beck Water

[Joe Ferguson forever]

2 hours ago, Beast said:

Good question. 

as was mentioned earlier, animal and autopsy studies of commotio cordis show normal heart muscle.  It would appear the second instance of cardiac arrest is different.  Perhaps due to ARDS that it appears he has or to a preexisting underlying heart or vascular problem.  There r other possibilities: sepsis, electrolyte abnormalities, renal failure etc. Prone positioning and ventilator support are 2 treatments for ARDS.

Edited January 4, 2023 by redtail hawk

[dorquemada]

10 minutes ago, muppy said:

he feels guilty and/or just wants to be there to show Support. HE DID NOTHING  WRONG

 

 

 

That thought struck me as well.  He is, through no real fault of his own, going to bear the burden of this the rest of his life.   I work with a woman who ran over and killed a guy like 30 years ago.  She wasn't charged because it was a dark rainy night, the guy was wearing all black, and basically jumped in front of her car, but its still with her

 

[Einstein]

1 minute ago, redtail hawk said:

as was mentioned earlier, animal and autopsy studies of commotio cordis show normal heart muscle.  It would appear the second instance of cardiac arrest is different.  Perhaps due to ARDS that it appears he has or to a preexisting underlying heart or vascular problem. Prone positioning and ventilator support are 2 treatments for ARDS.

 

I read this morning that the 2nd instance of cardiac arrest at the hospital never happened. It was a misunderstanding by his uncle.

[34-78-83]

1 minute ago, redtail hawk said:

as was mentioned earlier, animal and autopsy studies of commotio cordis show normal heart muscle.  It would appear the second instance of cardiac arrest is different.  Perhaps due to ARDS that it appears he has or to a preexisting underlying heart or vascular problem. Prone positioning and ventilator support are 2 treatments for ARDS.

 

[CorkScrewHill]

4 minutes ago, redtail hawk said:

as was mentioned earlier, animal and autopsy studies of commotio cordis show normal heart muscle.  It would appear the second instance of cardiac arrest is different.  Perhaps due to ARDS that it appears he has or to a preexisting underlying heart or vascular problem. Prone positioning and ventilator support are 2 treatments for ARDS.

They corrected that statement. He only had the cardiac arrest on the field. The uncle misspoke when he said there was a second instance at the hospital 

[Ray Stonada]

Knowing the 2nd cardiac arrest didn't happen gives me a great feeling. 

 

I am hoping they will deintubate him after 48 hours, and he wakes up!

 

COME ON DAMAR. STAY WITH US!