1. Exercise Associated Collapse (EAC) & Sudden Cardiac Death
© 2018 Cogent Steps, LLC

2. Collapsed Athlete Exercise Associated Collapse (EAC) Musculoskeletal
Concussion / Head
Medical
Cardiac
© 2018 Cogent Steps, LLC

3. EAC Postural hypotension Lightheaded, dizzy, syncope
Primary Assessment
Drop in systolic BP > 20 mmHg supine to stand
Elevate legs
Oral fluids
Progressive postural elevation
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4. Musculoskeletal Severe injury Hamstring tear Blow to solar plexus
Primary & Secondary assessments
Head-to-Toe
Treat
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5. Concussion / Head Primary Assessment Concussion
Initial assessment; SCAT
No RTP
Check for Head, Skull, Spine
Primary & Secondary assessment
Head-to-Toe
Treat
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6. Medical Hypoglycemia Heat Stroke Hyponatremia Hypothermia Stroke
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7. Cardiac Sudden Cardiac Arrest Commotio Cordis Survival Rates
Hypertrophic Cardiac Myopathy (HCM)
Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC)
Commotio Cordis
Survival Rates
EAP
Call for advanced care
Bystander CPR
Arrest time to defibrillation time
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8. EAP & Cardiac Pearls Collapsed but responsive athletes less concerning
Collapse before finish line more concerning
Controversy over pre-participation screening
History of fainting may be a positive indicator
Training in CPR saves lives
AED’s are crucial
© 2018 Cogent Steps, LLC