@heli_med_james Been involved in a few ‘athletic arrests’.. at least one was still rapidly breathing. The atypical presentation can be jarring, and you run the risk of wasting precious seconds as your brain tries to catch up. Important discourse for event medicine!

@immi_beresford This is really interesting, thanks Immi. I’d not come across this before so really helpful to understand

@heli_med_james This is one I always pass on to my students early doors, just in case I go a bit lightheaded.

@heli_med_james Pretty much how dad presented. Superfit fell runner. I'm just grateful I recognised he was big sick early doors.

@heli_med_james Having recently done a Conscious CPR pt, and arrived as ALS back up, I can tell you that atypical presentations DO waste precious seconds, and that there is a huge hurdle to overcome as responders.

@Sophie_T_SEM Hi Sophie. There wasn’t any literature I’m afraid. The speaker was Dr Chris Smith from the university of warwick if that helps

@heli_med_james 20% present early (up to 6hrs in some cases) the remainder are sudden collapse. Exercise is a `trigger` not causation. If you look at the Abdullak Nouri case (Ajax 2017) the player is in respiratory distress which rapidly escalates to CA. When in doubt, get the bloody pads on!

@heli_med_james There`s heaps of them on YouTube guys. Very few successful outcomes. Look at Marc Vivien-Foe, Miklos Feher, Pierre-Mario Morrisini, Bruno Boban to name but a few? Great teaching tools. They shatter the myth of the `tombstone` CA