This case involves a 14-year-old boy with a history of a heart murmur who collapsed at football practice. According to the nurse, the boy was practicing football at his high school where he was witnessed to collapse. The decedent arrived at the emergency department by medic transport. His pulse was lost en route to the hospital and CPR was performed. The physician noted that there was blood around the boy’s mouth and indicated difficult intubation. The only test the doctor was able to run prior to the boy’s demise was an ultrasound. The doctor observed on ultrasound an abnormally thick myocardium and diagnosed the boy with hypertrophic cardiomyopathy. An AED was never used in the hospital or medical transport. An expert in sports risk management was sought to review the case and opine on best practices in the prevention and emergency management of these kinds of situations.