關於 young sudden death ，我們在網路上蒐集到這些相關的討論、資訊與評價

#從足球員猝倒事件中能學到什麼

昨天深夜，歐洲國家盃Ｂ組丹麥對上芬蘭的比賽中，29歲的丹麥球員Christian Eriksen在比賽時在沒有碰撞、沒有前兆的狀況下突然倒地，畫面中可以看到他雙眼無神，身體毫無動靜，隊友對手發現不對勁，立刻招呼隊醫飛快地衝上場進行搶救，隊醫在事後的訪問時提到，他抵達Eriksen身邊時他還有脈搏與氣息，但情況突然轉變，也因此必須進行CPR，好在抬下場之前Eriksen在擔架上已恢復意識跟生命跡象，目前也正在接受進一步的檢查中。

這樣的事件發生後震驚了體壇
也讓我想到了過往在運動場急救的經驗
決定再把這樣的資訊整理並分享給大家
通常35歲以下的年輕運動員猝倒都是沒有徵兆的
也可能要特別檢查才會發現原因

歐洲國家盃是足球界重要的盛事之一
因此賽事中醫療人員的配置絕對少不了
所有急救配備與流程都是頂規
在台灣的許多賽事通常礙於經費與人力資源不足
能請一個防護員是基本
兩個以上是佛心來著
99%的比賽沒有配救護車與現場醫師護理師
現場連長背板跟頸圈都很稀有
更不要說訓練的時候
所以問問我們自己
真的準備好了嗎？
我如果要在運動場域工作
我的勇氣跟能力足夠應付這樣的意外事件嗎？

另外在圖片或文章中我皆以"猝倒"來表示
(但英文都是sudden death, 這樣找的資料比較齊全)
因為我認為死亡是由醫師來判定
我們能做的就是盡力搶救
在醫師判定之前我都不認為此人是救不活的
所以使用猝倒一詞

CPR中也有小小的修正
運動時的猝倒極少機率有呼吸道阻塞的狀況，且一般民眾較難去判定是否有呼吸道阻塞
以及在衛生安全疑慮下也不鼓勵大家口對口吹氣了
叫叫CABD的A和B我也先拿掉囉

參考資料：
Prentice, W. (2016). Essentials of athletic injury management (10thed.), Ch21, 347.

Emery, M. S., & Kovacs, R. J. (2018). Sudden cardiac death in athletes. JACC: Heart Failure, 6(1), 30-40.

Bille, Karin, et al. "Sudden cardiac death in athletes: the Lausanne Recommendations." European Journal of Preventive Cardiology 13.6 (2006): 859-875.

Angelini, Paolo, et al. "We have plenty of reasons to propose new, updated policies for preventing sudden cardiac death in young athletes." Journal of the American Heart Association 9.8 (2020): e014368.

民眾版心肺復甦術參考指引摘要表 衛生福利部於 110 年 4 月 23 日修訂

#運動防護員AT
#物理治療師PT
#緊急救護技術員EMT
#場邊急救
#運動猝倒

In Loving Memory of MUMARU SAMA 🤍

Translated by Everyday English with Maya

17.12.2020
Every year, December 17th is an incredibly special day for our family, MUJI SAMA. Muji, our only beloved dog, is turning 5 today. He’s not a little puppy anymore. Our memories of him being a young, playful puppy have begun to fade away now as his personality has matured into adulthood, which also means we must pay attention to his health. As long as he’s still alive, we will continue to take great care and strive to optimise his health as much as we can.

It has been a year since Muji got his teeth cleaned. We noticed that plaque and tartar on his teeth starting to irritate his gums, so we took this day as an opportunity to get a check up on his teeth and general health. We then thought that bringing Mumaru - our cat, to the hospital to be neutered was also a logical thing to do. Only little we know, our special day, December 17th, for the past 5 years has turned into the saddest day for our family. Mumaru has just passed away today. He has left us forever. There is a hope in a mist of our sorrow that we will overcome the grief like we have done in the past with other family members. We didn’t expect him to leave us so soon. It is so unexpected as there was no sign that his health had deteriorated.

To those who followed us for some time, we hope you notice that when it comes to their wellbeing, we always choose the best options for our fur babies. Neutering male cats reduces the incidence of prostate cancer and also for Mumaru, it would deter him from mating with his own sibling, Mumi. Sadly, Mumaru had a server allergic reaction to the anaesthesia during the operation, which caused a sudden death. Being a short-nosed and flat-faced cat breed with an exotic short hair, increases the chance of respiratory complications associated with anaesthesia. The vet and his team tried their best to save his life, and they did the best they could.

There is nothing we can say to express how sad we are that he is gone. We just want to thank him for being such a great cat that always brought joy to anyone that encountered him. His agreeableness and high sense of being affectionate converted those who are scared of cats to become a cat lover. Mumaru liked to be picked up or held, even with any strangers, and this had never ever terrified him. Mumaru in our clingy, hugging my arm, refusing me to work cat video became a viral internet sensation in this video. https://www.facebook.com/watch/?v=500551120630272

You always had one facial expression in the countless photos that we took of you Mumaru. You never destroyed the belongings. There are many endless definitions of you, our dearest Mumaru.

There is an interesting fact that funny and cute cat’s videos can actually ease anxiety and depression. It was mentioned to us that Mumaru’s video clips have helped some people get through their days when they were down. This might not be the greatest invention in the world but small bits count. We wish that our tiny drop of positivity can reinforce that in this world, life is worth living. The same goes to those pet owners who understand the emotionally attached bonds we have to our pets.

Our goodbye message for Mumaru:

𝘙𝘦𝘴𝘵 𝘪𝘯 𝘗𝘦𝘢𝘤𝘦, 𝘮𝘺 𝘥𝘦𝘢𝘳. 𝘠𝘰𝘶 𝘮𝘢𝘺 𝘧𝘦𝘦𝘭 𝘢𝘭𝘰𝘯𝘦 𝘥𝘶𝘳𝘪𝘯𝘨 𝘵𝘩𝘦 𝘫𝘰𝘶𝘳𝘯𝘦𝘺, 𝘣𝘶𝘵 𝘐 𝘸𝘢𝘯𝘵 𝘺𝘰𝘶 𝘵𝘰 𝘬𝘯𝘰𝘸 𝘵𝘩𝘢𝘵 𝘺𝘰𝘶 𝘸𝘪𝘭𝘭 𝘧𝘰𝘳𝘦𝘷𝘦𝘳 𝘣𝘦 𝘪𝘯 𝘰𝘶𝘳 𝘩𝘦𝘢𝘳𝘵𝘴! 𝘓𝘰𝘷𝘦 𝘺𝘰𝘶 𝘢𝘭𝘸𝘢𝘺𝘴!
𝘋𝘰 𝘺𝘰𝘶 𝘳𝘦𝘮𝘦𝘮𝘣𝘦𝘳 𝘵𝘩𝘢𝘵 𝘐 𝘵𝘰𝘭𝘥 𝘺𝘰𝘶 𝘵𝘩𝘢𝘵 𝘐 𝘭𝘰𝘷𝘦𝘥 𝘺𝘰𝘶 𝘦𝘷𝘦𝘳𝘺 𝘥𝘢𝘺? 𝘑𝘶𝘴𝘵 𝘳𝘦𝘮𝘦𝘮𝘣𝘦𝘳 𝘰𝘶𝘳 𝘥𝘢𝘪𝘭𝘺 𝘳𝘪𝘵𝘶𝘢𝘭𝘴 𝘸𝘩𝘦𝘳𝘦 𝘸𝘦 𝘦𝘹𝘤𝘩𝘢𝘯𝘨𝘦𝘥 𝘰𝘶𝘳 𝘭𝘰𝘷𝘦. 𝘐 𝘬𝘯𝘰𝘸 𝘵𝘩𝘢𝘵 𝘺𝘰𝘶 𝘭𝘰𝘷𝘦𝘥 𝘮𝘦 𝘢𝘯𝘥 𝘰𝘶𝘳 𝘰𝘵𝘩𝘦𝘳 𝘧𝘢𝘮𝘪𝘭𝘺 𝘮𝘦𝘮𝘣𝘦𝘳𝘴.
𝘛𝘪𝘭𝘭 𝘸𝘦 𝘮𝘦𝘦𝘵 𝘢𝘨𝘢𝘪𝘯, 𝘔𝘶𝘮𝘢𝘳𝘶. 𝘗𝘭𝘦𝘢𝘴𝘦 𝘣𝘦 𝘵𝘩𝘦𝘳𝘦 𝘧𝘰𝘳 𝘶𝘴 𝘦𝘷𝘦𝘯 𝘵𝘩𝘰𝘶𝘨𝘩 𝘺𝘰𝘶 𝘢𝘳𝘦 𝘨𝘰𝘯𝘦.
𝘐𝘯 𝘓𝘰𝘷𝘪𝘯𝘨 𝘔𝘦𝘮𝘰𝘳𝘺
𝘔𝘜𝘔𝘈𝘙𝘜 6.6.2017-17.12.2020

We decided to remove his life support at 15.58 today.
The time that we wrote this message is 22.38.

I've never really thought about death. And I don't want to think about it. I hope she IS in heaven, tickling God in an endless fit of laughter. I don't know. But I DO know that her passing left a big void. She left a big void because she was still relevant, and she was still very important and integral in a world of comedy that only a handful have the ability to truly stand out in. But more so, she left a void because she touches me. I could recognize her pain. Many of us do.

Over the years, Joan taught me something very important - that through humor, we could get through any adversity. I've begun to realize that it's such an important tool to have, to get through this thing called 'life'. She inspired me. And she continues to do so. Maybe that's why I feel with her death, I have suffered a colossal loss.

When I was young, I didn't have that many idols; I only wanted to sing as great as Streisand, and I wanted to have a personality and tenacity that rivaled Miss Rivers'. She was unapologetic about being who she was. She taught me that I needed to be, too. And to this day, no one comes close to holding a candle to how she inspires me, and a million others.

I'm still sad. It was all just so sudden. It was all just too soon. There was so much more to come, too.

Thankfully we have a plethora of videos and movies of Joan, through which her legacy lives on. I'm thankful to live in an age where I got to see her host her own talk show, and continue to manifest her own special brand of fabulousness through Fashion Police and web series like In Bed With Joan.

And boy, what she has done for us gays. We owe her such a mountain of gratitude.

We are blessed to be touched by such an amazing comedian, and a truly amazing human being. Truly. <3