pediatric housecalls Robert R. Jarrett M.D. M.B.A. FAAP

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Cardiac Arrest: Commotio Cordis – Prevention, Return To Play

Astin, the 17-year-old who suffered cardiac arrest when he was hit in the chest by an elbow playing baseball, is back for his 2nd follow-up. Remember, last visit he was depressed with worry over all the junk he had read on the internet and you (well I) assigned him some homework.

For the third article in the series we’ll talk about what we can do to “prevent” Commotio Cordis (CC, his final diagnosis) and help him decide about going back to play baseball in competition.
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Doctor Helen Brooke Taussig – World Renowned Cardiologist

Like others in this series of the 50 top physicians of all time, Helen Brooke Taussig is known by every Cardiologist in the world… most Pediatricians too.

You too would do well to get to know of her, if only to grasp a better understanding on how to care for your own children.
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Cardiac Arrest: Commotio Cordis – Treatment and Prevention

Ok, it’s been over a week and your 17-year-old Commotio Cordis patient who suffered a cardiac arrest on the baseball field is back for his follow-up and an answer to his question: “When can I go back to playing baseball?”

You knew he was coming and you’ve had a week to prepare what to tell him… so, go ahead, I’d like to hear this too…

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Cardiac Arrest in a Child Athlete

Most of you let your children participate in sports so it’s critical that you know this. Bear with me, it’ll be fun – and something you want to talk to the coach about.
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Sudden Cardiac Death in Child Athletes

Sudden Cardiac Death is, by definition, both sudden and unexpected – especially in a child whose life is supposed to revolve around “play” and “fun.” Unfortunately, it is also increasing.

Just as unfortunate, children’s “play” is often “industrialized” into major competitions with adult methods, standards and expectations leading to unintended consequences.
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Child Cardiac Arrest: Intro/Index

This was a fun series of articles to write, but about an almost terrible experience on a 17-year-old boy athlete. It made the papers when he ostensibly had a “heart attack” on the baseball field.

The reader gets to “see the patient” and make a diagnosis (and see my humorous side) while learning about the four causes of sudden cardiac arrest in a child.

In follow-up we see some of the emotional side-effects of the near-death experience, exacerbated by viewing social media; and learn methods of problem-solving the correct way.

5 Posts in "Child Cardiac Arrest" Series

  • Sudden Cardiac Arrest in a Child: Intro/Index – 25 Jul 2016
    A heart attack or death of a child is always a major and emotional event; but, when it occurs in an otherwise healthy child participating in a sport even it often makes the news. These posts explain most of the why, who and how's of these dramatic occurrences.

  • Sudden cardiac death – 26 Jul 2016
    Sudden cardiac death in children is an "eye-opener" and shouldn't happen, especially to a healthy athletic one… right. But it does happen, all too often; and when it does it often make the newspaper. This article lets you be involved with a 17-year-old athlete who does just that— good luck!

  • Sudden cardiac arrest - case – 7 Aug 2016
    A somewhat interactive educational article about the four most common causes of sudden cardiac arrest and collapse in a child: Hypertrophic cardiomyopathy, Myocardial infarction, Long-QT syndrome and Commotio cordis.

  • Commotio Cordis: Treatment and Prevention – 26 Aug 2016
    You made such an impression on that 17-year-old boy who nearly died on the baseball field last week that he's now back for his followup with the question: “When can I go back to playing baseball?” Well, how about it?

  • Commotio Cordis: Prevention and Return to Play – 9 Sep 2016
    HEEES BAAAAACK! The 17-year-old who you've (well I've) been treating for his heart problem: Commotio Cordis. He's several weeks now from his near-death experience and is back for his second follow-up and a discussion about: Survivability, Prevention and Return to Play.


If you’ve enjoyed this little romp through children’s sports issues you might like to read about children’s fitness.

Top 50 Most Influencial Doctors of All Time: Intro/Index

I’ve seen a list of the Top 50 Most Influential Physicians of All Time somewhere, I think in a physicians-only magazine called Medscape. It was compiled by physicians, I suppose from some committee somewhere.

Reviewing it, I’d heard of nearly every name on the list save it be a couple, so I typed one or two into Wikipedia to see what they had on the doctor and was pleasingly suprised with the new insight. These people had done amazing things, many against terrible odds, most with huge personal sacrifice and a few barely escaping dangerous backlash and physical hurdles (or not).

I decided to start a historical series myself, explaining in more detail their contribution to the medical care you and I take for granted today. That was more years ago than I’m proud of; but, I’m still struggling to add these tough-to-write posts to this series.

25 Posts in "Top 50 Doctors" Series


A few other posts also describe physicians of note, like in the series Unaccepted Medical Breakthroughs you might like to read.

Concussion Management and Return to Learn

Pediatric Concussion Management
Getting Back in the “Game”

This video is another one of Dr. Mike Evans productions where he explains in clear language what a concussion is and how it is treated. More specifically how a child should help themselves heal so they can have the best chance of returning to full activity levels – always the goal.

It is an updated version of his previous video (still available) which includes all the new information we’ve learned about the topic over the last several years of player observation and research – and that’s a lot!

You’ll also note that this post adds to the growing collection of articles I’ve written in this series about concussion in children and teens; which not only reflects the fact that concussion makes up a huge percentage of cases of morbidity and death in the US, but that it’s also largely preventable and therefore unnecessary – as well as one of the hottest topics in medical research these days. Give all of them a look-see, the links are in the box below.

[The web site www.allkids.org/ has more information or, better yet, you can contact your own school’s administration for information about your local return to learning policies.]

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