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Protect the airway and use smelling salts
0%
3/626
Protect the airway, move to the shade, and place in reverse Trendelenburg
2%
11/626
Protect the airway and protect from seizure activity
1%
8/626
Protect the airway, start CPR, and prepare to cardiovert
93%
585/626
Protect the airway, and move patient slowly to a spine board
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Sudden death in athletes without structural cardiac damage is referred to as commotio cordis. This is an emergency. The immediate priorities are protection of the airway, starting CPR, and early cardioversion as this patient has an arrhythmia. It is hypothesized to occur from apnea, vasovagal reflex, or ventricular arrhythemia as reported by Maron and associates from the direct impact of the baseball during a vulnerable part of the cardiac rhythm. Janda and associates reported that soft-core baseballs may not differ from standard baseballs with regard to the risk of fatal chest-impact injury while playing baseball. High survival rates are associated with rapid treatment.
4.8
(5)
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