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Wednesday, September 28, 2011

SCA Hits Perry Hall High JV Field Hockey Team

Trauma Strikes the Field Hockey Teams Wednesday, September 28, 2011 By Ethan Muller From Perry Hall High's online newspaper

In life, situations can go from happy and exciting to gloomy and traumatic in a matter of seconds. Last night, September 27, 2011 the JV and Varsity Field Hockey teams experienced one of these moments. Shortly after scoring the winning goal, her second of the afternoon, a freshman on the JV team collapsed on the field at Catonsville High School. The coaches and athletic director rushed to provide medical assistance. The staff administered CPR immediately, which saved the young athlete's life.

While CPR was being administered, another person present at the game called 911 for an ambulance. Upon the arrival of paramedics, she was breathing but remained unconscious. The Varsity game, which was scheduled to directly follow the JV match, was postponed.

After being taken to St. Agnes and confirmed stable, she was moved to the pediatric unit at University of Maryland. The doctors have yet to find a cause of her collapse and tests are still being done. Perry Hall wishes nothing less than a speedy recovery for the student and our thoughts go out to her family and teammates.

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A few points about this story that are interesting...

First, with no mention of AED use by the staff, we either have to assume that it happened but was not reported, or we have to assume that the victim enjoyed a return of spontaneous circulation ("ROSC") on chest compressions alone. I've only seen that happen in one of the forty-nine cardiac arrest events in which i've been involved.

Second, with ROSC and being in a coma (CPC score of 4), this person was an ideal candidate for therapeutic hypothermia ("TH"). We can't tell from the article whether or not TH was applied.

Third, the CPC score of 4 makes me wonder how long the time between the arrest and the initiation of CPR was. If the time was 5 minutes - and you'd be amazed at how fast five minutes can add up - I can understand the CPC 4 score. If the CPR were, indeed, more immediate, there might well be something else going on.