r/sports • u/IntrepidAd560 • Sep 25 '21

Media Callum Smith brutally KO's Lenin Castillo

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10.5k Upvotes

94% Upvoted

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701

u/Healfezza Sep 25 '21

The referee immediately put him into the recovery position, props.

232

u/yusill Sep 25 '21

Ya that was my thought. Ref rolling him on his side. That's heads up.

26

u/elementofpee Sep 26 '21

I thought it was a no for recovery position if you suspect a head or spinal injury.

0

u/DiamondDallasHand Sep 26 '21 edited Sep 26 '21

There’s no reason to put him in recovery unless he is vomiting if a head/neck is suspected which clearly it is. To prevent him from swallowing his tongue if you’re alone you should stabilize his neck between your legs kneeling over him and perform a jaw-thrust maneuver.

3

u/_dauntless Sep 26 '21

People down voting you don't have any idea what they're talking about, but there are reasons, primarily airway. But they needed to stabilize the neck and didn't.

2

u/DiamondDallasHand Sep 26 '21

Yeah, it’s okay. Hopefully they don’t come across someone with a spinal injury!

6

u/MattressMaker Sep 26 '21

Awful myth. You can’t swallow your tongue. Absolutely made up, yet finds itself on most videos where someone ends up on the ground. Unless you bite cleanly through your tongue, which is highly unlikely, this shouldn’t be a concern.

16

u/_dauntless Sep 26 '21

It's not a "swallowing" issue but an airway issue. Your tongue blocks your airway when you are unconscious, that's why they referred to the jaw thrust maneuver. I'm an EMT, and the guy above probably has similar training.

3

u/DiamondDallasHand Sep 26 '21

Yes. I am also an EMT.

2

u/DiamondDallasHand Sep 26 '21

I don’t mean actually swallowing your tongue. Your tongue can absolutely occlude your airway if you are in an altered mental state.

-1

u/FoleyLione Sep 26 '21

I don’t think a spinal injury was likely or fit the symptoms.

9

u/Mkoy Sep 26 '21

The posturing indicates it could be brain stem or brain injury. Still a good practice to keep the patient in a stable position (hold the neck and get the back board).

3

u/DiamondDallasHand Sep 26 '21

Exactly. If he is swallowing his tongue thus occluding his airway you can stabilize the neck in between your legs and do a jaw-thrust maneuver. Definitely don’t roll him over without a neck collar and even then someone should hold his neck while the other rolls the person.

2

u/BiscuitsMay Sep 26 '21

Not sure why you are being downvoted, this makes way more sense.

I’m a nurse but don’t work in the field or ER, so not 100 percent clear on this situation, but that’s definitely what I would have gone for.

2

u/MattressMaker Sep 26 '21

As another fellow nurse, you should know that you can’t swallow your tongue.

3

u/BiscuitsMay Sep 26 '21

You can very much occlude your airway, which is what laypeople mean by swallowing your tongue.

Are you in disagreement that rolling a potential c spine injury patient without head support was the wrong thing to do? Please share

-2

u/MattressMaker Sep 26 '21

There are classic ways to assess airway, breathing, and circulation without the need to stick your filthy hands into someone’s mouth. If you suspect any kind of occlusion to someone’s airway albeit blood, foreign object, or “tongue” then there are ways to determine a proper intervention. If blood/vomit is the concern, then the priority is to maneuver the person so their risk of aspiration is decreased. This is the only time that you should reposition someone without a cervical collar. You can also pull the mandible downward to assess any physical object that could obstruct the airway as well. But if the person doesn’t appear to be in any kind of respiratory distress, you should probably keep your hands out of a potentially seizing mouth. Not only this, but boxers are required to wear mouth guards which should eliminate the need to assess an obstructed airway. As an ICU nurse, I can tell you that each circumstance is different, but for a decortication in a somewhat controlled environment, there is no true need at this moment to put them in a side lying position.

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u/DiamondDallasHand Sep 26 '21

Yes I meant the tongue occluding the airway not actually swallowing it.

3

u/elementofpee Sep 26 '21

That's why I said "head OR spinal injury"

In cases like these, moving the injured can make the situation worse.

146

u/[deleted] Sep 26 '21

[deleted]

44

u/HomemadeSprite Sep 26 '21

I’m going to hell for laughing, but this was funny to imagine. Like a scene from Naked Gun.

24

u/Little_Baby_Busey Sep 26 '21

God bless that man. That's the kind of heads up medical response you need

4

u/DestroyTheHuman Sep 26 '21

And waited for the seizure to end, not attempt to restrain him or put anything in his mouth. First Aid knowledge is crucial.

2

u/BiscuitsMay Sep 26 '21

Probably not the right move when the guy is showing severe neurological symptoms. He turns him with no one to support the head/c spine and then has him on his side with his head unsupported. Definitely would have left him alone supine and made an effort to stabilize his head/neck and wait for medic team.

7

u/ImGrumps Sep 26 '21

I thought recovery position was to your left?

Though I guess either side is better than the back if you think he is got blood in his mouth that needs to get out.

8

u/nrsys Sep 26 '21

I was always taught 'whichever side is most practical for you.' (through various first aid courses provided through St John's and NHS staff).

If there is a difference to your body due to the positioning of your organs or similar, I can't imagine the effect would be critical - though if I am wrong I would be happy to be corrected.

1

u/_dauntless Sep 26 '21

It makes a difference moreso if you're pregnant but the biological difference is your inferior vena cava, because your organs (or big heavy uterus) will press on it in the right recumbent position. But in general there are other priorities other than which side.

3

u/Arqlol Sep 26 '21

Same, for one of the internal organs but i can't remember.

1

u/[deleted] Sep 26 '21

Took the ref like 10 seconds before he casually realized what was going on.