Random NFL Thoughts

[Boone]

I have taken care of patients who’ve experienced this. Looking at the replay it looked to me like he came down at full speed on the other players helmet and that may have been the cause (the hard helmet striking his chest with velocity). Other possibilities but just my guess. Basically causes asystole - no organized electrical activity and no contraction/pumping of the heart. It basically is immediate pulselessness. The AED is useless because it is ineffective when someone is in asystole. Quick CPR and IV drugs to stimulate cardiac conduction is all you can do. If you survive it, it’s all about how long you were down, how effective the CPR was, and letting the heart hopefully recover from cardiogenic shock while providing as much respiratory and cardiac support as possible.

 

[Chris]

What is the role of intubation? Provide oxygen more directly to the system?

 

[Boone]

Yes - optimize oxygenation, reduce load on the heart.

 

[Boone]

He may have gone into VFib which is a shockable rhythm. Haven’t heard if he was shocked or not. Will be at risk for more rhythm issues, tamponade (swelling/fluid in the sack that aurrounds the heart), and structural damage.

 

[Chris]

Thanks, John. Prayers up. 🙏

 

[Rhino-Rhino]

Thoughts and prayers for everyone who his involved in that young mans life.

 

[Primus Porcus]

Hamlin's toy drive had a goal of $2500... it was under $1000 when he went down last night....





and lets not forget the miracle workers in the medical field to even give this young man a shot at life

 

[Boone]

Just as an fyi, no new 'updates' doesn't mean a thing either way in terms of prognosis. Standard treatment is to keep the patient intubated, probably with an external pacemaker/defibrillator hooked up, sedated, and they are probably using hypothermia protocols (cooling his body) as that reduces the oxygen the heart, brain, and other organs require and also reduces the workload of his cardiovascular system. They will have devices in place that can measure everything cardiac-related, his cardiac output (how much volume of blood is being pumped with every contraction), his vascular resistance (how much pressure is his heart pumping against), etc... and he will be on IV drugs to optimize his cardiac function. And they are likely doing a lot of testing right now - echocardiograms, EKGs, cardiac enzyme tests, etc... to assess for any structural damage, cardiac tissue damage, and status of his rhythm patterns. They may also be doing some neuro testing since he was down a while. I know a lot of pundits are talking about how *quickly* he got medical treatment, but that is a little misleading. He probably had no pulse immediately after the hit. The moment that happens the clock is ticking. The brain can only go 3-4 minutes without damage to start occuring. It probably look several minutes once he went down for the crew to get out there and figure out that he was pulseless. Add a few more minutes to get the AED set up. CPR in progress helps, but it's sort of a 'better than nothing' action, it does provide some oxygen to the brain and organs, but it's not very efficient. So a lot of what happens from here is going to depend on what that time interval was between cardiac/respiratory arrest and return of an effective pulse and oxygenation.

 

[Boone]

Next steps would be starting to withdraw sedation, wean IV drugs, and extubate and get him off the vent once his cardiac function is stable. Could take days to a week for that to happen even if he is otherwise doing well.

 

[Chris]

I would personally like to thank both Scott Van Pelt and Ryan Clark for the humanity they displayed last night under very difficult and unexpected circumstances.

 

[Boone]

In pretty sharp contrast to that hollow shell of a human Adam Schefter last night, and saddens me to say Suzy Kolber was almost as bad. For God's sake - just be a human. Best thing the NFL could've done last night was go to a black screen with an announcement that "More info about tonight's game will be provided when available'. Listening to those 2 fumble and bumble was awful.

 

[Chris]

Schefter just strikes me as greasy.

Jason Whitlock has unleashed a host of negative tweets about what happened last night including shitting on Ryan Clark‘s emotional response.

Skip Bayless is now trying to put on an Emmy winning performance today following his very not well received tweet last night.

All that is missing now is Wilbon intimating that what happened to Hamlin was somehow his fault.

 

[Boone]

I listened to NFL Network Radio on the way to a Dr's appointment today and I would say 90% of it was spewing their talking points of the day, that it 'was always about concern for the player' and 'of course nothing else was in anyone's mind'. Mmmmhmm.

 

[Primus Porcus]

Hamlin's toy drive had a goal of $2500... it was under $1000 when he went down last night....

 

[Boone]

I gotta say, that's cool, but it would've been a lot more meaningful had it been for him and his family not some charity. If he survives, he may never play again and those funds would no doubt help.

 

[Primus Porcus]

 

[Primus Porcus]

I gotta say, that's cool, but it would've been a lot more meaningful had it been for him and his family not some charity. If he survives, he may never play again and those funds would no doubt help.

Chances are he's going to get the entirety of his contract paid out as 'waived with injury designation'

I would also hope that he's insured on some level that would create a payout due to loss of wages... almost like a workers compensation. Then again... we're talking about the NFL.

 

[Chris]

Chances are he's going to get the entirety of his contract paid out as 'waived with injury designation'

I would also hope that he's insured on some level that would create a payout due to loss of wages... almost like a workers compensation. Then again... we're talking about the NFL.

Does a player get the entire active contract money if injured or only the guaranteed portion?

 

[Primus Porcus]

Does a player get the entire active contract money if injured or only the guaranteed portion?

Well it's misleading because on that table it appears he would only get $160K but he's already recieved is salary for 2021 so he's exceeeded that amount.

From what i understand, if there's an waive with injury designation the terms of that designation are negotiable. It 'could' be the entirety of the contract (and imagine given the circumstances, probably will be). I would imagine he'll be on the team for AT LEAST 2023 s ohe can continue to get his salary, as well as healthcare. The NFL would get destoryed if they cut ties with him. That said, because the injury happened on the field... i'm not 100% sure exactly what benefits he's entitled to.

I will say, the unfortunate thing is that Hamlin has not reached the requirments to be considered 'vested' therefore he does not qualify for pension through the NFL. That is why I'm 'hoping' that there is some sort of 'workers comp' type coverage because he sustained the injury ON FIELD.

 

[Chris]

Well it's misleading because on that table it appears he would only get $160K but he's already recieved is salary for 2021 so he's exceeeded that amount.

From what i understand, if there's an waive with injury designation the terms of that designation are negotiable. It 'could' be the entirety of the contract (and imagine given the circumstances, probably will be). I would imagine he'll be on the team for AT LEAST 2023 s ohe can continue to get his salary, as well as healthcare. The NFL would get destoryed if they cut ties with him. That said, because the injury happened on the field... i'm not 100% sure exactly what benefits he's entitled to.

I will say, the unfortunate thing is that Hamlin has not reached the requirments to be considered 'vested' therefore he does not qualify for pension through the NFL. That is why I'm 'hoping' that there is some sort of 'workers comp' type coverage because he sustained the injury ON FIELD.

Yeah. To me it looks like the only guaranteed money is the signing bonus that was equally spread across 4 years.

I fully believe though that the Bills organization will do everything possible to make it right if worse comes to worse and he is unable to return to his job.