Rich Peverley Collapses on Bench

[Drury18]

You are correct, the AED will not shock a patient in A-Fib or asystole, they are for V-Fib or V-Tach.

However the beauty of the machine is that it will recognize what pattern (or lack thereof) the patient is in and issue the shock only when appropriate. If the shock will not help or is not needed, the machine will not administer one even if you have the person all hooked up to it. You can be a complete idiot with no medical training whatsoever and can successfully use the machine to shock someone and potentially save a life without very little risk of hurting someone where the shock wouldn't be needed or it would not benefit them.

[Azure]

From the little I remember of AED training is that it won't start if it detects any kind of heart beat or pulse activity.

[T@T]

With the amount of stress these professional athletes put on their bodys maybe it should be manditory to have their tickers checked a couple times a year.

Peverley could have collapsed after the game in his car, same goes for Letang.

[Handsome B. Wonderful]

Originally Posted by T@T

With the amount of stress these professional athletes put on their bodys maybe it should be manditory to have their tickers checked a couple times a year.

Wait... do you seriously think that they don't?

[Drury18]

Originally Posted by T@T

With the amount of stress these professional athletes put on their bodys maybe it should be manditory to have their tickers checked a couple times a year.

Peverley could have collapsed after the game in his car, same goes for Letang.

They are actually, part of the opening day physicals is a routine EKG/ECG. I believe this is mandatory for all NHL teams as of this year, regardless of age.

It was actually the routine EKG that produced a "blip" on Peverley and caused him to be held out of the lineup and lead to the diagnosis of his condition.

[Wammer]

One of the most scary things I've watched happen in my short life. I have an irregular heartbeat, although it has never escalated to a point like this and for that I thank god every day. So glad to hear he's doing alright again, and I hope he takes the time he needs to seriously figure out what is best for him

[Flabbibulin]

From what I have read, he has had several episodes now and has even been electrically cardioverted before. His still being on the roster isn't negligence by the team doctors, but simply an indication that A Fib is generally a manageable condition. I am sure he underwent extensive testing, specifically an echocardiogram, after the irregularity was picked up on the EKG to make sure there were not any structural heart issues.

A Fib is typically treated with beta blockers or anti-arrhythmial drugs for those dealing with Lone A Fib, and anticoagulants for those that have chronic. Anticoagulants are usually not a great idea for those in rough sports, and beta blockers can limit athletic performance because of the way it limits resting and maximum heart rate. This is why ablation is a great option for pro athletes. Strange that he hasn't undergone this procedure already- its possible that he was not a suitable candidate. Essentially, electrophysiologists must be able to replicate the arrhythmia in order to zap the regions of the heart causing the problem. Perhaps his initial episodes were so mild that they didn't think they would be able to replicate them in an ablation procedure.

What is fairly rare is passing out from A Fib. While passing out from V Fib is a guarantee, I don't think it is terribly common to pass out while in A Fib- many patients experience no symptoms other than the irregular heartbeat.

A Fib is often brought on from electrolyte imbalance, specifically low potassium. This can occur from sweating heavily, which obviously happens for pro athletes.

edit- found a quote by Stars GM from September that mentioned that Peverley did have a procedure done in the summer to correct the issue. Doesn't say if that procedure was a cardioversion or an ablation. Either way, many A Fib patients require more than one ablation, and a cardioversion is really only a temporary fix.

[Drury18]

There are some reports trickling out that a second Dallas Star has been taken to hospital because of this event. Alex Chiasson was taken to hospital with panic/anxiety attacks. He is not on the team flight that has left for St. Louis for tomorrow nights game.

[CaptainCrunch]

Originally Posted by Wammer

One of the most scary things I've watched happen in my short life. I have an irregular heartbeat, although it has never escalated to a point like this and for that I thank god every day. So glad to hear he's doing alright again, and I hope he takes the time he needs to seriously figure out what is best for him

I threw an irregular heart beat, I thought I'd eaten something that didn't agree with me because I could hear my heart thundering in my head. All of a sudden my vision went to pin prick size, and I was told later that I turned blue, got up and stumbled out of the office.

Anyways, I got rushed to the hospital and they gave me the nitro tablet, which gave me a massive head ache, and strapped me up.

They gave me the tape recorder thing to record my heart vision, which by the way I could still hear in my head.

My doctor prescribed my Beta Blockers after asking my if I had Asthma at any time in my life to which I stated yes. A day later I threw my first Asthma attack since I was about 10 (I guess Beta Blockers do that)

My doctor apologized a lot and changed me to Calcium Channel Blockers, and in a few days I settled out.

But it was the scariest thing ever, I can't imagine what his team mates went through.

[19Yzerman19]

Ruff... "first thing he asked me was how much time is left in the first period". And with that, Raptor Jesus enters the pantheon of parody-level representations of hockey toughness, alongside such legends as Bobby Baun, Greg Campbell and Brendan Witt.

[foshizzle11]

Originally Posted by 19Yzerman19

Ruff... "first thing he asked me was how much time is left in the first period". And with that, Raptor Jesus enters the pantheon of parody-level representations of hockey toughness, alongside such legends as Bobby Baun, Greg Campbell and Brendan Witt.

Some call this stupid but I think it is amazing. The compete level of high performance athletes is truly special and something to admire. It isn't like they would have let him back into the game but the fact that he cares that much about his team and winning is inspirational.

[Weitz]

Originally Posted by Azure

From the little I remember of AED training is that it won't start if it detects any kind of heart beat or pulse activity.

Close, but it's actually the opposite. If it doesn't detect any pulse or heart beat it wont shock. It can only shock when there is an irregular pulse or heart beat. If there is none it can't do anything.

[Bill Bumface]

Originally Posted by Flabbibulin

Just a note, although a medical professional can correct me if I am wrong- An AED will not work on someone dealing with an episode of A Fib. I believe they only generate a shock on those in V Tach, V Fib, or Cardiac Arrest. I believe the AED will pick up on the type of arrhythmia present and will only shock if it is a ventricular arrhythmia or cardiac arrest.

Cardioversion (a milder shock that is given manually) is used to treat A Fib obviously, which it sounds like Peverley received at the hospital or in the ambulance.

This is my understanding, but I may be wrong. AEDs are obviously very important and necessary regardless.

edit- got some support info from Dr Love for what it is worth. http://www.justanswer.com/medical/6e...tion-vfib.html

You are 100% correct. Been through this fun twice myself. Because I'm so tall they didn't get the contacts positioned correctly on my torso and weren't getting the response they expected. To compensate they cranked up the power. Apparently I was jumping off the bed pretty good. I was burnt to a crisp after under the contacts.

[KootenayFlamesFan]

Jiri Fischer talks about the incident last night, as well as his:

"The two videos are similar, except I'm getting chest compressions while being unconscious on the bench and they carried Rich into the locker room," said Fischer, before adding about watching Monday's video: "Scary, goose bumps ..."

"That's what I offered to Jim this morning," said Fischer. "Now it's up to Rich. I know when something like this happens, I didn't want to talk to anybody at first. I wanted to shut down for a little bit.

"That first day is tough, lots of emotions going through you: 'How does this affect my life? Can I go back to playing?' It's a sheer panic. It's not easy to deal with."

There is raw emotion in Fisher's voice, even today. Peverley's scary incident Monday night clearly has rekindled some of that.

"I really hope that Rich is going to be OK and he's going to be OK to resume life without any medical consequences," said Fischer. "Hopefully, Rich will be OK and will be able to carry on with his life."

http://espn.go.com/nhl/story/_/id/10...s-jiri-fischer

[FlamesAddiction]

Jagr recalls a similar situation that unfortunately ended very badly.

http://www.nj.com/devils/index.ssf/2...omir_jagr.html

[jayswin]

Originally Posted by FlamesAddiction

Jagr recalls a similar situation that unfortunately ended very badly.

http://www.nj.com/devils/index.ssf/2...omir_jagr.html

Wow, I didn't know they had video of him dying. Not sure why I watched it, but that's pretty messed up how they literally carry him like a dead body out of the immediate area and then all the players turn back to the ice and they apparently just keep playing.

[Wood]

Originally Posted by flameswin

Wow, I didn't know they had video of him dying. Not sure why I watched it, but that's pretty messed up how they literally carry him like a dead body out of the immediate area and then all the players turn back to the ice and they apparently just keep playing.

Like Jagr said in the article, they all just thought he passed out and was unconscious, and that he'd be fine. The game was nearly over too

It's sad to think that if they had the defibrillators, or if the arenas ambulance hadn't left early, that Cherepanov could still be alive right now

[jayswin]

Originally Posted by Wood

Like Jagr said in the article, they all just thought he passed out and was unconscious, and that he'd be fine. The game was nearly over too

It's sad to think that if they had the defibrillators, or if the arenas ambulance hadn't left early, that Cherepanov could still be alive right now

Yeah, I read that and accepted it, until I watched the video where he is clearly in a "stop the game, one of your teammates is in serious medical distress" state.

[Shawnski]

Originally Posted by KootenayFlamesFan

Jiri Fischer talks about the incident last night, as well as his:
http://espn.go.com/nhl/story/_/id/10...s-jiri-fischer

Yeah, very similar situation for sure.

Also turned into one of CalgaryPuck's finer moments. For anyone who wasn't reading CP back in Nov 2005....

[kipperiggy]

Originally Posted by Shawnski

Yeah, very similar situation for sure.

Also turned into one of CalgaryPuck's finer moments. For anyone who wasn't reading CP back in Nov 2005....

"A few of us talking over MSN tonight". Classic!

But yes, 100% agree.