Play Suspended Bills/Cincy Game

[bamainatlanta]

I can see this too. Play this game next Monday, and then have week 18 resume on 1/14.

They should do this. And then they get rid of that 2week layoff for the SB and cancel the PB week Prayers for Hamlin

 

[Discus fish salesman]

I dont think there's much chance at all they cancel all the games this week. Also don't think bills would be forced to forfeit if they don't play Sunday

 

[didshereallysaythat]

I dont think there's much chance at all they cancel all the games this week. Also don't think bills would be forced to forfeit if they don't play Sunday

Would they agree to tie? The Patriots are eliminated with a tie. They would be eliminated by something not their fault either.

If they don't play the game, they have to make it up to avoid it affected multiple teams. The most fair thing to do would be to postpone all the games. Everyone is affected the same.

 

[BNB]

Didn't the NFL postpone games when 9/11 happened?

 

[bearmick]

Didn't the NFL postpone games when 9/11 happened?

Yeah but that was week 2. They just shifted everything back a week. They had much more time to rearrange the playoffs and Superbowl.

 

[Bears4Ever_34]

There is almost no way they can push everything back a week. The regular season bye weeks are over, so they can't do the Covid maneuvering tactics they did last season when several teams had issues, and the Superbowl is pretty much unmovable with all the money and scheduling conflicts tied in to that specific date months in advance.

I honestly don't know how they are going to do this without causing other issues. They can't make the Bengals/Bills play their week 18 games this Sunday and then move the Week 17 game to Thu, because the playoffs would already start the following SAT/SUN. Unless the NFL agrees to eliminate the bye week before the Superbowl (seems unlikely and unfair), this game is going to have to end in a tie, and they'll just have to move on and hope to minimize as much potential chaos as possible.

 

[airtime143]

There is almost no way they can push everything back a week. The regular season bye weeks are over, so they can't do the Covid maneuvering tactics they did last season when several teams had issues, and the Superbowl is pretty much unmovable with all the money and scheduling conflicts tied in to that specific date months in advance.

I honestly don't know how they are going to do this without causing other issues. They can't make the Bengals/Bills play their week 18 games this Sunday and then move the Week 17 game to Thu, because the playoffs would already start the following SAT/SUN. Unless the NFL agrees to eliminate the bye week before the Superbowl (seems unlikely and unfair), this game is going to have to end in a tie, and they'll just have to move on and hope to minimize as much potential chaos as possible.

It is a mess, that is for sure. It doesn't look like there is a fair solution with this game not being played.
I would bet the nfl league office is burning up the phone lines with teams impacted by this game and looking for an agreeable solution.

The season will go on and a Solition needs to be found.
Through that lens, the business side, it is already a mess.
Bills and Bengals get a bye week this week. (Just talking competition here and the impact to the playoffs. I know they would rather have not had this).

Teams and seeding of course would be affected with this game and even more so if the bills don't play next week.

Whatever path the league takes going forward, some team or teams are getting screwed for something that isn't their fault.
The bills had as rough a night as anyone can imagine, so screwing them with 2 losses via forfeit wouldn't be a good look either.

Really one of the only fair ways to move forward would be a monumental shake up that they would never do.
Seed the playoff locks in the order in which they secured a berth, and give them the week off.
Take the teams that were mathematically alive, seed them as of this past week, and have them play each other for a win and in.
If too many are alive, make point differential the tie breaker.

 

[Midwaymonster75]

Hope he makes a full recovery. Wish him and his family the best. Just a shocking scene that unfolded last night.

 

[Aquineas]

I wanna say the Cincinnati crowd acted extremely respectful, patient and classy during the long wait and eventual cancellation. Maybe Sam Wyche was onto something all those years ago.

 

[mecha]

solution:
-revert playoff brackets to the old way with 6 teams and top 2 seeds get first round bye.
-2 weeks from NFC/AFC championship games is the Super Bowl
-the Pro Bowl goes last to finish out the season

Goodell with his press release saying it's not about the money was rich

 

[wklink]

@wklink What do you think the holdup is on the nfl updating his status?

They should have his heartbeat regulated either naturally or with a pacemaker by now.

Swelling? Complications? what the oxygen depravation did?

lack of news just feels like bad news.

Sorry, had eye surgery yesterday so wasn't able to really do much on the net. Still blurry but at least I can answer this part. I'm 55 years old and have cataracts. I guess it is one of the penalties for the privilege of watching Walter Payton play football.

Some of it is based on what the family wants released. HIPAA laws prevent the release of much information without permission from the next of kin. So if the family doesn't want much released, the hospital will release it. Some info has come out but we probably won't know all that much unless the family is willing to put it out.

And I respect that. Hamlin might have been a private person and the family might believe that he wouldn't want information put out. I know I wouldn't personally. There is some talk, like how they have titrated down his oxygen from 100% to 50%. That's good but only part of the whole ventilator thing. As most people know room air is about 21% oxygen. The goal of 'liberating' someone from a ventilator is to get the oxygen concentration down to as close to 21% as possible. There are other pressures involved.

Breathing on a ventilator is not the same as breathing normally. Normal respiration is a negative pressure system. Think of a bellows. Your diaphram drops down and your chest muscles expand your lungs out creating a negative pressure that draws air in. A ventilator works in opposite manner. It pushes air into the lungs. If he has spontaneous breaths it will help that with pushing some air in. Depending on the settings there will be a positive inspiratory pressure and a pressure at the end. We call that PEEP (positive end expiratory pressure). If we have a respiratory therapist on the message board I'm sure he or she can explain this better than I but I will try to keep it as simple as possible.

A 'normal' vent setting for someone that is sedated and has the vent either assisting or breathing completely for them is to have the machine push the air in with a pressure of around 10 centimeters of of water. PEEP is often around 5. Peep helps keep alveoli open and able to take ventilations. It mimics the amount of pressure left over in the lungs when we finish breathing. Now if he had some lung damage as a result of the cardiac event or the CPR then the needs may be higher.

It is something to note that CPR is not a benign thing. Good CPR sometimes results in broken ribs. No matter how good you do it sometimes it happens. It is a pretty sickening feeling when you are doing CPR and you feel that crack but sometimes it happens, even when done properly. I'm not saying that this happened, Damar Hamlin is a young guy so his chest wall probably handled this better than an 80 year old man but it is possible. Either way smashing on someone's chest can cause barotrauma to the lungs. It sucks but it is better than being dead.

The other issue is that people that go into cardiac arrest often develop edema (swelling) in their lungs from the pressure changes that occur during the event. This will go down, usually, but takes time. So the PEEP may have to be higher and the pressures to inflate the lungs may have to be higher for a while. You tend to have to keep the oxygen levels higher for a while too while the edema resolves. The fact that they have titrated the oxygen down is a good thing but I would be really happy if I heard he was down to around 30% and he passed his spontaneous breathing trial. But sometimes that takes a few days.

Be patient. We will hear more. The fact that there doesn't seem to be any other reports of major arrythmias is a good sign.

 

[wklink]

One other thing to add is for out-of-hospital arrests, often do therapeutic hypothermia/normothermia which usually also require intubation and sedation.

Agree with wklink, overall even with ROSC you need some time before you can slowly wean the vent, assuming no acute lung injury/aspiration/ARDS in the process either.

Actually cooling isn't the standard of care anymore per the American Heart Association although some facilities do that still. I don't know about U of C's policy. We used to do it until about six months ago. The data didn't support doing it. But if they did then Damar Hamlin probably would be heavily sedated and a paralytic used to cut down on the shivering.

The idea behind it is to cool a patient down to reduce the metabolic demand by both the body and brain during the critical period post arrest. It has to be started almost immediately after hitting the hospital, something that can be difficult since everyone is trying to get to the bottom of why a young man would have something like this happen in the first place. There are several ways of doing this but it does interfere with some of the treatments.

I don't know if they did this or not.

 

[BBBF]

Has enough time passed so that I can say I really don't get the, "they can't make up the game because it will be on all the players' minds" crowd? Won't it still be on their minds the following game?