The 17-year-old badminton player died suddenly during a game, says cardiologist and sports medicine specialist

CBN

2024-07-01 17:47CBN official account

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0117-year-old badminton player Zhang Zhijie suddenly fainted in the mixed team group stage of the 2024 Asian Youth Badminton Championships and died after being sent to the hospital.

02 The video shows that Zhang Zhijie had convulsions of his hands and feet after falling to the ground, and once raised his head, but there was no movement after that, and the audience questioned the rescue process.

03 Ge Yunshen, deputy chief physician of the Sports Medicine Department of Huashan Hospital Affiliated to Fudan University, said that the athlete did not perform cardiopulmonary resuscitation for a long time after falling to the ground, delaying the golden time.

04Experts stressed that it is very important to popularize out-of-hospital resuscitation and electrical defibrillation, and on-site first aid personnel should have professional first aid capabilities.

05In addition, Lin Dan, a well-known badminton player, suggested providing a better environment and rest for athletes.

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On July 1, the Asian Badminton Federation and the Indonesian Badminton Association issued an announcement saying that in the mixed team group stage of the 2024 Asian Youth Badminton Championships held in Indonesia, Zhang Zhijie, a 17-year-old player of the Chinese badminton team, suddenly fainted and died after being sent to the hospital.

As of press time, the official has not announced the specific cause of Zhang Zhijie and the process of on-site treatment. In the live video of the game, many viewers saw the process of Zhang Zhijie fainting, and questioned whether Zhang Zhijie was rescued in a timely and professional manner.

According to the announcement issued by the Chinese Badminton Association, after Zhang Zhijie suddenly fainted, the Chinese team leader, coach, team doctor, translator and other medical personnel of the organizing committee immediately organized rescue and sent him to the hospital in time.

Cardiopulmonary resuscitation has a long way to go!

Judging from the live video, the audience did not agree with the statement of the Badminton Association. The video shows that after Zhang Zhijie suddenly fell to the ground, his hands and feet twitched, and he once raised his head slightly, but then there was no movement.

Ge Yunshen, deputy chief physician of the Sports Medicine Department of Huashan Hospital Affiliated to Fudan University, told the first financial reporter: "This video makes people really uncomfortable to watch, and I feel at a loss. ”

In the video, Zhang Zhijie fell to the ground for about 7 seconds, a staff member suspected of being a referee entered the stadium to check, but did not take any measures, and after more than 30 seconds, the medical personnel at the scene entered the venue, but did not see the appearance of professional equipment such as AED (external defibrillator), and there was no CPR (cardiopulmonary resuscitation) first aid at the scene.

A cardiologist told the CBN reporter: "Cardiopulmonary resuscitation has a long way to go! ”

The above-mentioned expert further said: "After the athlete fell to the ground for a long time, no one checked the patient's pulse in time to resuscitate him, delaying the golden time!" Even if it is not cardiac arrest, in such a sports place, there should be an electrocardiogram, but it is not seen at the moment. ”

He also said that if you find that someone around you suddenly falls to the ground and is suspected of cardiac arrest, the most correct and timely first aid measure should be to immediately implement cardiopulmonary resuscitation and cardiac defibrillation (CPR-D) to carry out first aid.

According to statistics, if these measures are carried out immediately within 1 minute of the occurrence of the situation, the success rate of rescue can reach 90%; The success rate decreases by 10% per 1 minute of delay, and if resuscitation is started after 10 minutes, the patient's chances of survival are slim. Therefore, universal access to out-of-hospital resuscitation and defibrillation is critical.

Ge Yunshen analyzed that judging from the video alone, the cause of Zhang Zhijie's death is not clear. "The death of a patient with sudden cardiac death will be relatively sudden, and Zhang Zhijie still struggles after falling to the ground, so it really doesn't look like sudden cardiac arrest death. However, whether it is a cerebrovascular accident or not needs to wait for further analysis by brain surgery experts. ”

Professor Chen Shiyi, a sports medicine expert and director of the sports medicine department of Huashan Hospital, told the first financial reporter: "The judgment of doctors who are not at the scene may have limitations, and the real cause of sudden death is mostly related to heart, brain and vascular diseases, which is currently unknown, and the real cause depends on the autopsy, waiting for the official conclusion!" ”

At the same time, he stressed that the timeliness of medical rescue is the most important, and it would be a pity if the preparation is insufficient, the best time for rescue is lost, and even AED equipment is not available.

Medical emergencies require specialized training

During the last European Cup, Danish star Eriksen fell to the ground without confrontation, teammates and opponents on the field immediately signaled to the referee to stop the game, Danish team captain Kjaer immediately performed chest heart compressions for him according to first aid knowledge, only 37 seconds later, medical personnel with first-aid equipment entered the field, 52 seconds AED equipment arrived, Danish players formed a circle, formed a human wall, guarding the rescue scene. The rescue lasted until 8 minutes and 08 seconds, and the ambulance special stretcher entered to transfer Erickson to the hospital.

Later, Erikson was in the hospital with an ICD (automatic cardioverter-defibrillator) implantation surgery. And the key first aid on the field undoubtedly won the opportunity for the subsequent surgery. Christian Eriksen is back from an accident and will be back at the European Championships this year.

Ge Yunshen told the first financial reporter: "Our Huashan Hospital team has been doing sports medical security related work for several years, so as to avoid the situation that could have been saved, but missed the best time for treatment because the rescue was not timely. ”

He said that the medical emergency team is a must for professional or quasi-professional competitions, and medical emergency personnel are medical security personnel who have been trained in systematic first aid and have professional first aid capabilities. "For example, in case of emergency, how to enter, how to deal with it, how to transport and evacuate patients, there is a strict training process. It's not about finding a few people to pretend, so that you will be at a loss in case of an emergency. Ge Yunshen said.

He further said that when there is an emergency on the field, the medical staff should move the patient to a safe place for treatment as soon as possible, and if there is a special major situation such as sudden death or heavy bleeding, and the patient cannot be transported in time, then emergency personnel should be equipped to assist, pull up the screen, and rescue in a confined space to protect the patient's privacy.

The 4 minutes after the occurrence of cardiac arrest is called the "golden 4 minutes" of rescue, and cardiopulmonary resuscitation is started within 4 minutes, and the survival rate is about 50%.

In recent years, all parts of the country have been organizing and carrying out national cardiopulmonary resuscitation knowledge popularization activities, promoting the improvement of first-aid facilities and equipment standards in public places, and equipping schools, airports, stations and other densely populated places with AED and other professional medical equipment, so that more people can master the first-aid technology of cardiopulmonary resuscitation, facilitate non-professional rescuers to rescue critically ill patients, improve the success rate of first aid, and pull more lives back from the death line.

In addition to medical emergencies, Lin Dan, a well-known badminton player, suggested to the International Badminton Federation that athletes should be given a better environment and better rest.

(This article is from Yicai)

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