Commotio cordis: A case of ventricular fibrillation caused by a cricket ball strike to the chest

The Lancet (Impact Factor: 45.22). 04/2014; 383(9925):1358. DOI: 10.1016/S0140-6736(14)60486-4
Source: PubMed


A healthy 25-year-old man was attending cricket practice in March, 2012, when he was struck over the praecordium by a cricket ball while batting right-handed without a chest protector. He collapsed within 30 s of impact and was found unconscious by coaching staff trained in first aid. Cardiopulmonary resuscitation (CPR) was started and emergency services were called. Paramedics attended the scene 9 min after the injury. They found the patient to be in ventricular fibrillation (appendix) and immediately delivered a 200 J biphasic shock, resulting in return of spontaneous circulation and sinus rhythm.

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