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NFL Random Thought of the Day

Another "window dressing" by the NFL. As much as the NFL states they are focused on maintaining gambling "neutrality," by levying only a pitance $150000 fine for a team worth billions, they show that it is all for show. Look at what they've done to a player for players which may be involved with potential infractions. Draft choices if anything will deter such covert activities. The NFL is only concerned about the additional revenues produced by opening up legal gambling............not protecting the integrity of the game. If the NFL were reallyy concerned, would have anticipated these actions and put in place some real bite into potential infractions. $150000???????? :shades:

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“Several” teams have been fined at least $150,000 each for bench-area violations
Posted by Mike Florio on December 30, 2022, 11:28 PM EST

The NFL’s effort to avoid potential problems related to gambling has extended to policing people present in the bench areas.

Per a source with knowledge of the situation, the NFL informed all teams earlier this month that “several” clubs have been fined the minimum amount of $150,000 for violating the Field and Bench Area Access policies.

It’s part of the broader effort to ensure that only the proper people are in position to see and hear the things that happen in the bench area — and to potentially communicate that information to others or to act on it themselves.
As one team source explained it to PFT, the league has an official on every sideline during games, looking for violations of this policy and other similar rules, such as the electronic device policy.

Again, the goal is to ensure that people don’t take advantage of information uniquely available to those who are in position to know exactly what has happened and perhaps what will happen during games.
 
SMDH....Justifying the unjustifiable. The Concussion Protocol should always be triggered to minimally check the player after an obvious hard hit to the head.................whether or not symptoms and/or signs are immediately appreciated. The symptoms/signs of a severe concussion are immediate – dizziness, blurred vision, memory loss or even loss of consciousness, but for a milder concussion that doesn't involve being knocked out, symptoms may not seem obvious until minutes, hours or days later. The NFL knows (or should have the common sense to know) that an immediate check either way is the only responsible approach to take.

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https://twitter.com/x/status/1609240522304139266
 
Just another example how strange concussion symptoms can act. Another reason to always to at least initially formally examine a player after a hard hit to the head. Colt McCoy cleared the Concussion Protocol Wednesday...........then began experiencing concussion symptoms yesterday...........he's out for Sunday.
 
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CloakNNNdagger said:
Just another example how strange concussion symptoms can act. Another reason to always to at least initially formally examine a player after a hard hit to the head. Colt McCoy cleared the Concussion Protocol Wednesday...........then began experiencing concussion symptoms yesterday...........he's out for Sunday.
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Are they making it too easy to clear the protocol?
 
CloakNNNdagger said:
SMDH....Justifying the unjustifiable. The Concussion Protocol should always be triggered to minimally check the player after an obvious hard hit to the head.................whether or not symptoms and/or signs are immediately appreciated. The symptoms/signs of a severe concussion are immediate – dizziness, blurred vision, memory loss or even loss of consciousness, but for a milder concussion that doesn't involve being knocked out, symptoms may not seem obvious until minutes, hours or days later. The NFL knows (or should have the common sense to know) that an immediate check either way is the only responsible approach to take.

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https://twitter.com/x/status/1609240522304139266
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Looks like Florio has the same question.

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NFL-NFLPA conclude Tua Tagovailoa’s latest concussion was handled properly
Posted by Mike Florio on December 31, 2022, 12:24 PM EST


For the second time this year, the NFL and NFL Players Associated conducted, and completed, a joint review of whether the concussion protocol properly was applied to Dolphins quarterback Tua Tagovailoa.
The league and union issued a joint statement on Saturday.

“The NFL and NFLPA concluded their joint review of the application of concussion protocol involving Miami Dolphins’ quarterback Tua Tagovailoa in Sunday’s game against the Green Bay Packers,” the statement explains. “The joint review determined the protocol was not triggered. The protocol is initiated when a player receives an impact to the head and exhibits or reports signs or symptoms suggestive of a concussion. The review established that symptoms of a concussion were neither exhibited nor reported until the following day at which time the team medical personnel appropriately evaluated and placed Mr. Tagovailoa in the concussion protocol.”

The statement glosses over the question of whether someone should have examined Tagovailoa after his head hit the turf, late in the second quarter of the game. Maybe if someone had looked closely, they would have decided to pull Tagovailoa from the game.

Indeed, the fact that people like Dolphins offensive coordinator Darrell Bevell “saw some things in the game” suggesting that something was amiss shows that, if someone had bothered to evaluate Tua after he struck his head, maybe someone would have seen the symptoms of a head injury.

Moreover, Bevell’s comment directly contradicts the declaration that symptoms were not “exhibited” until Monday.

There’s no dispute that Tua suffered a concussion on Sunday. The statement, quite frankly, tap dances around the most important question.

Why didn’t someone, at some point during the game, simply make sure Tua was OK after his head clearly and obviously struck the ground?
 
JB said:
Are they making it too easy to clear the protocol?
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This year, it seems that a lot of players are clearing the Protocol much earlier.........not giving a full day between stages (the way the Protocol was originally structured). McCoy was cleared only the 4th day following his concussion.
 
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CloakNNNdagger said:
This year, it seems that a lot of players are clearing the Protocol much earlier.........not giving a full day between stages (the way the Protocol was originally structured). McCoy was cleared only the 4th day following his concussion.
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Once they rule that a player has indeed suffered a concussion they should enforce a no play of at least 10 days or more for succeeding concussions
 
Latest NFL-NFLPA joint review of Tua Tagovailoa concussion exposes flaws in system
Posted by Mike Florio on January 1, 2023, 9:41 AM EST


On the surface, the NFL and NFL Players Association exonerated the Dolphins and league employees ostensibly responsible for spotting possible concussions and ordering concussion evaluations.

At a deeper level, the decision that everything was handled properly exposes real flaws in the overall process, because it’s undeniable that: (1) Tua Tagovailoa suffered a concussion; and (2) he kept playing after suffering a concussion.


Those two factors set the stage for a potentially serious health outcome. It happens several times per year at the high-school level. Second impact syndrome. A second brain injury immediately after a first brain injury. Swelling of the brain that goes out of control and can be fatal.

If the system created by the league and the union for spotting potential concussions worked properly last Sunday, the system created by the league and the union for spotting potential concussions doesn’t properly work. Because a player with one concussion was continuously exposed to a second one.

The biggest flaw, as one source with knowledge of the overall process explained it on Saturday, continues to be the unwillingness of many players to not self-report a potential concussion. That happens for various reasons.
First, the player’s brain is potentially impaired. He may not even realize he’s having symptoms.

Second, very few players are comfortable with the idea of tapping out voluntarily. Remember when Ben Roethlisberger did it and everyone said, “The culture has changed!” It hasn’t. Some players have the luxury to raise a hand and say, “I may need to exit the game.” Most players worry that they may be Wally Pipping themselves.

For Tua, who already has become far more closely identified with head trauma that he wants to be, it’s even less likely that he’d voluntarily add another coat to the scarlet letter on his helmet.

So what can be done, beyond more aggressive training and urging of players to speak up when they think they may have been concussed? As it relates to players who have had at least one documented concussion in a given season, perhaps a different standard should apply regarding when a concussion evaluation will happen.

The current protocol mandates an evaluation when a player strikes his head and there is associated injury behavior. For a player like Tua, who previously suffered at least one and possibly (probably) two concussions this year when his head struck the turf, maybe the approach should have been that any time he strikes his head on the turf, he gets a sideline evaluation.

And maybe the broader approach should be that players will have individualized protocols based on their own specific histories.

For some players, the spotters would watch for a blow to the head and associated behavior. For others, like Tua, a forcible blow to the head would be enough for a quick check, at a minimum.

Does that place too much of a burden on the professionals monitoring the game? If it does, get more. If two aren’t enough, get three. If there aren’t enough, get four. And so on.

If NFL players are going to be treated like patients, the league and the union should have the capacity in place to help ensure that every player-patient receives proper care and attention. While the player absolutely has an obligation to help himself, the league and the union need to recognize that many won’t, requiring extra steps to protect players against the potential development of second impact syndrome.
 
PFT
NFL quietly added new language to rule on reviewing forward progress in 2022
Posted by Michael David Smith on January 2, 2023, 1:18 PM EST

A controversial call took place during Sunday’s Patriots-Dolphins game, when Dolphins running back Raheem Mostert fumbled, the Patriots recovered, and the Dolphins kept the ball because the officials incorrectly ruled that forward progress had been stopped.

Patriots coach Bill Belichick pulled out his red challenge flag and talked to the officials, but they appeared to tell him he couldn’t challenge the play. On Monday morning, Belichick confirmed that.

“Not reviewable. Forward progress isn’t reviewable,” Belichick said.
But PFT checked with the league office today and was told that while forward progress is not reviewable, there are aspects that can be reviewed if forward progress is ruled.

And a little-noticed change to the rule on reviewing forward progress was made in 2022 that directly relates to the blown call in Sunday’s game. On page 7 of the Instant Replay Casebook, a situation similar to Mostert’s fumble is addressed. The three words in italics were added in 2022:

“If on-field officials rule forward progress, then replay can only review the position of the ball in relation to the line to gain or goal line and can rule that there is a fumble (with clear recovery) if possession is lost prior to or simultaneously with the defensive contact.”
 
badboy said:
Critical care https://www.fox19.com/2023/01/03/cpr-defibrillator-used-bills-damar-hamlin-play-suspended/
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Most of commotio cordis I've been involved with were with steering wheel high speed auto accidents. But any concentrated severe hit to the chest heart area. It happens all too often with baseballs, hockey pucks and soccer balls. Prognosis is poor. A recent limited study says ~50% survival. But that is overly generous (more acccurately still probably 10-25%), even with more modern techniques available. If CPR is not instituted within 4 minutes, you don't worry about survival, since the patient will likely be left brain dead. Prayers for the young man. Football is over, normal life is likely over.........hopefully his life without being vegetative is still in play.
 
en.wikipedia.org

Commotio cordis - Wikipedia

en.wikipedia.org en.wikipedia.org

Mechanism

The portion of normal sinus rhythm during which commotio cordis is a risk.


These factors influence the chance of commotio cordis:
  • Direction of impact over the precordium (precise area, angle of impact)
  • Total applied energy (area of impact versus energy, i.e., the kinetic energy of the projectile {\displaystyle E_{\text{k}}={\tfrac {1}{2}}mv^{2}}
    E_{\text{k}}={\tfrac {1}{2}}mv^{2}
    )
  • Impact occurring within a specific 10- to 30-millisecond portion of the cardiac cycle. This period occurs in the ascending phase of the T wave, when the ventricular myocardium is repolarizing, moving from systole to diastole (relaxation).
The small window of vulnerability explains why it is a rare event. Considering that the total cardiac cycle has a duration of 1 second (for a base cardiac frequency of 60 beats per minute), the probability of a mechanical trauma within the window of vulnerability is 1 to 3 percent only. That also explains why the heart becomes more vulnerable when it is physically strained by sports activities:

  1. The increase in heart rate (exercise tachycardia) may double the probability above (e.g., with 120 beats per minute the cardiac cycle shortens to 500 milliseconds without fundamentally altering the window-of-vulnerability's size)
  2. Relative exercise-induced hypoxia and acceleration of the excitoconductive system of the heart make it more susceptible to stretch-induced ventricular fibrillation.
 
CloakNNNdagger said:
Most of commotio cordis I've been involved with were with steering wheel high speed auto accidents. But any concentrated severe hit to the chest heart area. It happens all too often with baseballs, hockey pucks and soccer balls. Prognosis is poor. A recent limited study says ~50% survival. But that is overly generous (more acccurately still probably 10-25%), even with more modern techniques available. If CPR is not instituted within 4 minutes, you don't worry about survival, since the patient will likely be left brain dead. Prayers for the young man. Football is over, normal life is likely over.........hopefully his life without being vegetative is still in play.
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He seemed okay until he actually stood up - he seemed very wooden at that point and just collapsed.
 
So Hamlin had set up a GoFundMe to buy toys for kids for the holidays back in 2020 with an initial goal of $2,500. As of late this December it'd reached that goal with $2,921 raised.

As of late, late Monday night into Tuesday morning it'd surpassed $3,000,000 with people rooting for Damar to get well by supporting his fundraising effort.

Kinda wow, and really hope he gets to hear about this soon..
 
Texansphan said:
Young Hamlin's vitals have stabilized per report.
Thank goodness!
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The main problem still remains............the brain. Besides any delay in delivering ADEQUATE CPR (oxygen to the brain), especially beyond 4 minutes is critical. Nine minutes of CPR before a pulse is also of great concern. Even though a person may have stabilized vital signs now as reported, brain dead patients often demonstrate the same........normal temperature, normal blood pressure, normal pulse rate. By now, the hospital ICU physicians would have run an EEG (electroencephalogram) to assess his brain activity and would have a pretty good idea of what his prognosis may be..........even though it is not being reported.

Continued prayers for Young Hamlin!
 
There seem to be alot of misconceptions regarding CPR and its effectiveness. CPR is inherently inefficient; it provides only 10% to 30% of normal blood flow to the heart and 30% to 40% of normal blood flow to the brain even when delivered according to guidelines. The average survival rates following CPR in general is 5 to 10 percent, and even attempts with cardiac arrests occurring in hospitals, with about a 20 percent survival rate. Most patients having the arrest outside the hospital (if they make it to the hospital) will die in the hospital. CPR is effective for long-term survival outcomes only when it is performed immediately....and even then with disturbingly poor outcomes as seen by the in-hospital numbers.
 
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CloakNNNdagger said:
There seem to be alot of misconceptions regarding CPR and its effectiveness. CPR is inherently inefficient; it provides only 10% to 30% of normal blood flow to the heart and 30% to 40% of normal blood flow to the brain even when delivered according to guidelines. The average survival rates following CPR in general is 5 to 10 percent, and even attempts with cardiac arrests occurring in hospitals, with about a 20 percent survival rate. Most patients having the arrest outside the hospital (if they make it to the hospital) will die in the hospital. CPR is effective for long-term survival outcomes only when it is performed immediately....and even then with disturbingly poor outcomes as seen by the in-hospital numbers.
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Thanks Doc! Yeah, I got a panic call Jan 1 2022 after my dad had fell at home. We thought he was going to be out in a couple of days because he didn't have health issues. That panic call came from my older sister who said he tapped out for 18 minutes and had to be shocked back. He came back, but we had to have one of those end of life conversations with the doctors. We found out he had pneumonia and became septic. 730pm that night, it was over. Even if he was able to overcome ,he would've been vegetative and we know that's not what he wanted. I hope the young man has a better chance at a regular life than my 85 yr old dad. Again CND, thanks for your insight and wisdom.
 
My son and I were at the game. 10 rows up from the field, not even 10 yards from where Hamlin went down. Scariest stuff I've ever seen on a football field.
The stadium was electric in anticipation of the game, the AFC North title and implications with the #1 seed on the line.
The first matchup between two young great QB's in Allen and Burrow. IT WAS SO LOUD in the open air stadium.
Then it happened. It went so quiet in that place it was eerie. Like putting on noise canceling headphones.
Seeing these athletes just losing themselves on the field, you just knew the game was going to get canceled. No way it continued.
Everyone knew it, but no one left. I've never been more proud of our fans and city for the way everyone handled this terrible situation.
The players parents that were in attendance were coming down to be with their sons. Tee Higgins was just sobbing in his mothers embrace.
I don't know how this is going to play out, but it's a constant feed here in Cincinnati with updates and hearing from the Hamlin family.
Football is just secondary at this point. God love everyone involved. Thought I would share what we experienced here.
Take care everyone. Hug your loved ones !!
 
Bills say Damar Hamlin remains in critical condition
Posted by Mike Florio on January 3, 2023, 1:42 PM EST

The Bills have provided an update regarding the condition of safety Damar Hamlin.
“Damar Hamlin spent last night in the intensive care unit and remains there today in critical condition at the University of Cincinnati Medical Center,” the team said on Twitter.

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FYI regarding terminology:
HIPAA Updated Guidelines for Releasing Information on the Condition of Patients (provided by the American Hospital Association)
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• Undetermined - Patient is awaiting physician and/or assessment.
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• Good - Vital signs are stable and within normal limits. Patient is conscious and comfortable. Indicators are excellent.
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• Fair - Vital signs are stable and within normal limits. Patient is conscious, but may be uncomfortable. Indicators are favorable.
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• Serious - Vital signs may be unstable and not within normal limits. Patient is acutely ill. Indicators are questionable.
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• Critical - Vital signs are unstable and not within normal limits. Patient may be unconscious. Indicators are unfavorable.
Click to expand...
 
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Since he is unconscious on life support, I would hope that his physicians are familiar with hypothermia to try to preserve as much of his cardiac and brain function by reducing their metabolic needs. Have used this in the past with improved outcomes in some cases. Have not heard anything of this technique being utilized on Hamlin.

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