On 2 January 2023, Damar Hamlin of the Buffalo Bills suffered sudden cardiac arrest (SCA) in front of millions of viewers on Monday Night Football, and on 16 December 2023, international football (soccer) star Tom Lockyer suffered SCA on the pitch in Luton’s match against Bournemouth. These events are a stark reminder that the keystone of cardiac health and safety in athletes is a well-planned, well-rehearsed emergency action plan (EAP) with an emphasis on rapid cardiopulmonary resuscitation (CPR) and automatic external defibrillator (AED) use. Thankfully, while SCA in athletes on the competitive field is infrequent,1–3 failure to immediately recognise SCA and rapidly execute an EAP can cost lives. Similar to relying on years of training for competitive sports, rapid response to an SCA requires preparation and training. Indeed, the immediate response in Hamlin’s case was planned for and rehearsed; the National Football League and many other professional sporting organisations require a preseason hands-on rehearsal of medical emergencies and also have a ‘medical timeout’ prior to all formal competitions to review the EAP and assign responsibilities should SCA or other emergencies arise. EAPs are recommended for every organisation, school or institution that sponsors athletic or performance activity and are required at the collegiate and professional levels.4–6 Figure 1 illustrates the key components of a cardiac EAP. Figure 1 Core principles of a cardiac emergency action plan (EAP). AED, automated external defibrillator; CPR, cardiopulmonary resuscitation; SCA, sudden cardiac arrest. In general, an EAP coordinator should lead the planning and documentation of the …

中文翻译：

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心脏运动员的健康和安全：行动呼吁

2023 年 1 月 2 日，布法罗比尔队的达马尔·哈姆林 (Damar Hamlin) 在周一橄榄球之夜数百万观众面前突发心脏骤停 (SCA)；2023 年 12 月 16 日，国际足球明星汤姆·洛克耶 (Tom Lockyer) 在卢顿球场的球场上突发心脏骤停 (SCA)。对阵伯恩茅斯的比赛。这些事件清楚地提醒我们，运动员心脏健康和安全的基石是精心策划、反复演练的紧急行动计划（EAP），重点是快速心肺复苏（CPR）和自动体外除颤器（AED）的使用。值得庆幸的是，虽然运动员在赛场上出现 SCA 的情况并不常见，但 1-3 未能立即识别 SCA 并迅速执行 EAP 可能会导致生命损失。与竞技运动需要多年的训练类似，对 SCA 的快速反应也需要准备和训练。事实上，对哈姆林案的立即反应是经过计划和排练的；美国国家橄榄球联盟和许多其他职业体育组织要求对医疗紧急情况进行季前预演，并且在所有正式比赛之前都有一个“医疗暂停”，以审查 EAP 并在发生 SCA 或其他紧急情况时分配责任。建议赞助体育或表演活动的每个组织、学校或机构使用 EAP，并且大学和专业级别都需要 EAP。4-6 图 1 说明了心脏 EAP 的关键组成部分。图 1 心脏急救行动计划 (EAP) 的核心原则。 AED，自动体外除颤器； CPR，心肺复苏； SCA，心脏骤停。一般来说，EAP 协调员应领导……的规划和记录。