NCAA official Bert Smith is taken off the court after collapsing on the court during the first half in the Elite Eight of the 2021 NCAA Tournament. Mark J. Rebilas-USA TODAY Sports

Referee who collapsed during USC-Gonzaga Elite Eight game had blood clot

The scariest scene of the entire 2021 NCAA men's basketball tournament involved veteran referee Bert Smith collapsing shortly into the Elite Eight matchup between the USC Trojans and Gonzaga Bulldogs.

Smith told Gregg Doyel of the Indianapolis Star that he suffered the fall due to a blood clot in his lung. While Smith was alert and responsive minutes after the episode, it turns out that collapsing in front of the worldwide audience may have saved his life.

"You don’t know where that clot was going next," Smith explained while crediting Dr. Katie Trammel from IU Health Methodist for discovering the culprit. 

"It puts in perspective the value of each day, because we all go through our lives – we’re all guilty of it – and we just live, right?" Smith said. "But do we say ‘I love you’ enough? Do we give an extra hug enough? Do we do the things with our family and friends that have value to them? When you live something like I did, it hits you square in the eyes that you really have to value each day."

Smith plans to be back in action next fall when college basketball seasons open. 

"I could work again in seven to 10 days," he said. He added that he feels lucky he endured the health scare at the Elite Eight "around a bunch of people who had the ability to help me" rather than when he was driving or sleeping. 

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