The 20-year-old’s sudden demise was investigated throughout an inquest that started on Monday, greater than three years after the rising expertise fell in poor health throughout pre-season coaching.
After noticing his physique spasms whereas stretching after a cardio exercise, Titmus suffered a seizure on the membership’s base in Narrabeen, on Sydney’s northern seashores, on 23 November 2020.
He died 5 hours later at Royal North Shore Hospital after being taken there in an ambulance.
Whereas a autopsy examination couldn’t verify the reason for demise, barrister aiding coroner Adam Casselden SC informed the courtroom that Titmuss almost certainly suffered from exhaustive heatstroke, a life-threatening situation.
Paramedics who arrived on the scene famous that Titmus’ temperature was 41.9 levels, whereas his coronary heart fee was greater than 140 beats per minute.
Cassildon added that paramedics took his temperature 3 times as a result of they didn’t imagine his physique exceeded the typical by about 5 levels.
“I could not imagine it. I’ve by no means seen a temperature like that earlier than,” a paramedic mentioned in his introduction.
“You possibly can actually really feel the warmth radiating off of it.”
Teammate and childhood buddy Joshua Schuster mentioned their indoor coaching services do not have air-con.
The power had massive cooling followers however they weren’t turned on whereas the doorways remained closed.
“It was worse (inside). It was most likely the most well liked factor I’ve ever been by means of,” he informed the inquest attended by the Titmuss’ household.
The teaching employees and medical practitioners didn’t decide that Titmus was affected by heatstroke.
The inquest was informed that no ice packs had been used and a physician gave the younger athlete a paper bag to deal with hyperventilation.
Former Manly prop Lloyd Perrett collapsed in comparable circumstances in 2017 however survived when then-chief medical officer Luke Inman handled the participant for heatstroke.
Like Titmus, Perrett confirmed a physique temperature of over 40 levels, whereas his coronary heart fee was above 160 beats per minute.
After the defibrillator confirmed there have been no issues with the participant’s coronary heart, Dr. Inman informed the inquest that he positioned ice packs on areas with massive arteries to chill Perrett.
“With out training, it is vitally troublesome (to diagnose), even for a physician,” he mentioned.
“But when the defibrillator exhibits there is no such thing as a want for resuscitation, there’s a good probability it’s warmth stroke.
“If it goes undetected and untreated, they die after 20 or half-hour.
“They’ll prepare dinner internally. It’s virtually unimaginable to convey them again after that time.”
Titmuss died three days after being named a member of the membership’s Nationwide Soccer League (NRL) high 30 squad.
He has been a rising star on the membership, having given the Sea Eagles their first Holden Cup title in 2017 with a match-winning strive on the siren to beat Parramatta.
Peggy Dwyer informed the courtroom on Manly’s behalf: “Keith was well-respected by his teammates and the teaching employees. He was additionally well-liked for his type and mild nature and was a real workforce participant.”
“He was an enormous expertise, with a pure expertise for the sport he liked a lot.”
Former team-mates Musa Sule, Sione Faino and Ben Trbojevic will give proof to the inquest on Tuesday.