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Images in Clinical Medicine
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Volume 347:1248 October 17, 2002 Number 16
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Commotio Cordis

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A 13-year-old boy in good health was a batter in a Little League baseball game. He pivoted his body toward the field to avoid an inside pitch, was struck over the precordium, and collapsed to the ground, unconscious. Two physician bystanders immediately initiated cardiopulmonary resuscitation. Shortly thereafter, a passing police car was summoned. Fortuitously, the officer carried an automated external defibrillator in the vehicle. The pads were applied to the child's chest within three to four minutes after collapse. The defibrillator identified ventricular fibrillation (Panel A) and signaled the officer to activate the device, which immediately delivered a shock (Panel . . . [Full Text of this Article]

 

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