Tag Archives: cpr

YOU ARE ALONE AND YOU ARE HAVING A HEART ATTACK!

 
What should you do when you are alone and have a heart attack?
A few times in my career I have had to perform CPR on heart attack victims. One time on a woman who was punched so hard in the chest by her husband her heart stopped. Then he left her on the street. I was dispatched to the domestic. A punch to the chest?
 
 “Commotio cordis is an extremely rare, 
serious medical condition that can happen 
after a sudden, blunt impact to the chest. 
If the physical blow hits during a narrow 
window in the heart rhythm, it can 
disrupt the heartbeat and cause sudden 
cardiac arrest.” –  HeartOrg.com
 
I saved her life with CPR, replaced by EMTs. I report this here because people in the martial training world need to know this could happen, and what to expect when punched in this manner, in the chest. I know of several instances where in baseball, line drives and fast pitches-throws hit players’ chest and stopped their hearts. And at times, the punch or sports impact set the stage for later heart attacks when one might be alone. This later problem…is your chest just hurting from the impact? Or…? To cover this “alone” scary subject, here’s some established tips on what to do when you are alone. Are you suffering a heart attack?
 
John Hopkins advises: “Heart attacks often occur when people are alone. Knowing what to do when heart attack symptoms come on can save your life. People sometimes ignore symptoms of an oncoming, deadly heart attack, and this can be fatal.
 
The most obvious symptom of a heart attack are:
 
  • 1: Chest ache, pain or discomfort. Chest discomfort usually occurs in the center of the chest.
  • 2: A feeling of heaviness, tightness, pressure, aching, burning, numbness, fullness, or squeezing.
  • 3: The pain can either last for several minutes, go away, or come back repeatedly.
  • 4: Pains in the torso/upper body, including the arms, left shoulder, back, neck, jaw, or stomach.
  • 5: Difficulty breathing/feeling out of breath. Sweating or “cold” sweating.
  • 6: A sense of fullness, indigestion, or choking. Nausea or vomiting, lightheadedness, dizziness, feeling like you might faint.
  • 7: Unexplained tiredness, weakness, extreme weakness (like you can’t do easy tasks), or severe anxiety reacting to symptoms.
  • 8: Rapid or irregular heartbeat.
Alone? What should you do?
  • 1: Call 911 The most important thing to do when you suspect a heart attack is to call emergency medical services. Always call 911 before you attempt to contact anyone else. Calling 911 will almost always be the quickest way to get treatment. Even if you live in an area that an ambulance may have difficulty getting to, the emergency dispatcher can provide you with instructions on minimizing the damage.
  • 2: Consider contacting someone to come over immediately. If you have a trustworthy neighbor or relative who lives nearby, make another phone call asking that person to come to meet you. Having another person nearby can be helpful if you suddenly go into cardiac arrest. You should only do this if the emergency dispatcher permits you to get off the phone or if you have a second line you can call on while the dispatcher stays on the first line. Do not rely on another person to get you to the hospital. Wait for emergency paramedics to show up.
  • 3: Chew on aspirin. Chew and swallow a single 325-mg or two tablets of baby aspirin 81-mg. Chewing on aspirin is especially effective if done within 30 minutes of your first symptoms. Aspirin inhibits platelet development. Taking aspirin can delay the formation of blood clots that could further block your arteries during a heart attack. Chew the aspirin before swallowing it. By chewing the aspirin, you release more of the medicine directly into your stomach and hasten its ability to get into your bloodstream. Do NOT use this treatment If you are on a medication that interacts poorly with aspirin or have otherwise been told by your doctor not to take aspirin or if you are allergic to aspirin.
  • 4: Do not attempt to drive. Driving yourself to the hospital is not recommended. If you begin to experience heart attack symptoms while driving, immediately pull off to the side of the road. If you suffer from a cardiac arrest, you will pass out. This is the main reason why driving while suffering from a heart attack is not advised.
  • 5: Remain calm. As frightening as a heart attack is, rushing around or putting yourself into a state of panic can worsen the problem. Relax as much as possible to keep your heart rate steady and calm. (Use the tactical breathing method as described  in one of my blogs and in my books.)
  • 6: Lie down. Lie on your back and raise your legs upward. This opens up the diaphragm, making it easier for you to breathe and supply oxygen to your blood. Make the position easier to maintain by propping  your legs up on pillows or another object. You could also lie down on the floor with your legs propped up on a couch or chair. Make your way carefully if you cannot immediately lie down or sit, such as working on a ladder or crossing traffic. If you feel dizzy or unable to walk correctly, watching a fixed object such as the horizon or a large fixed object might help calm you and help you control the situation until helparrives. Consider lying down in front of an open window, open door, fan, or air conditioner. Providing yourself with a consistent stream of fresh air can help supply your heart with oxygen.
  • 7: Do not attempt Cough CPR. A common myth is that you can survive a heart attack alone by coughing in a particular manner. This probably won’t work, and worse still, attempting this technique may put you in more danger. Attempting this procedure on your own can cause you to accidentally work against the rhythm of your heart and make it harder to get oxygen into your blood rather than easier.
  • 8: Avoid food and drink. Eating and drinking are probably the last things on your mind when you experience a heart attack, but just in case, you should avoid food and drink even if you want them. Having anything other than aspirin in your system can make it more complicated for paramedics to give you adequate treatment. If necessary, you can swallow a little water to help you get the aspirin into your system, but even this should be avoided if possible.
  • 9: Lower Your Body Temperature. If you can lower your body temperature, you increase your chance of surviving a heart attack. A quick way to decrease your body temperature is by placing a cool towel under your arms or on your wrist. Using ice packs is even better if you have a few available.

    According to the American Heart Association, naturally lowering the temperature in this way decreases your risk of experiencing brain damage. It stops chemical reactions that can damage your organs when full oxygen flow resumes. Lowering your body temperature also helps regulate your heart rate and encourages steady breathing.

  • 10 Follow-Up: Talk to your doctor about what to do in the future. Suffering a heart attack increases your risk of experiencing a heart attack in the future. When you survive your heart attack this time, you should talk with your physician to discuss improving  your chances of survival if you should suffer from one again.”
Hock’s email is Hock@HocksCQC.com
 
Get many free hour-long training films at Hock’s Combatives TV Channel, click here
 

CPR AT SAMBOS, OR HUSBAND KILLS WIFE AND WATCHES…

 

“Sixty-five…fight on the Sambos parking lot,” the police dispatcher announced, as Glen Nowles and I prowled the midnight hour, wintery north Texas streets in our squad car.

“Ten-four,” I replied, and off we went to yet another pain-in-the-neck family argument, or redneck versus hippy, or disco versus cowboy, or, or…you get the picture and the numerous combinations that can happen after clubs-bars hours .

Sambos Restaurant. Odd name, huh? It was a chain like a Denny’s restaurant we see so much today. The names were changed to be more politically correct, but some historians say the name was never a derogatory black theme. It actually came from an abbreviation of the owners Sam Battistone and Newell Bohnett. The photo above is a franchise replica of out city’s Sambos.

The logo was often that an Indian boy, as in India. Open 24 hours, near Interstate 35, it was always a hotspot for the multi-culture drunks after the bars closed. When the country western bars and discos closed, many of the drunk patrons flooded into the all-night and late-night restaurants. And of course, we had our hands full with these knuckleheads. Quite a mix. Roy Rogers at one table. John Travolta or Dennis “Easy Rider” Hopper at another. I’ve had a few knock-down and drag-out fights and arrests in places like this.

When Glenn and I rolled up to Sambos, we did not see any fight in progress, but rather a downed woman and the Sambos manager out front on the wide sidewalk of the restaurant. Shivering from the cold, he waved us over with a motion of desperation. As we ran from the car, he yelled,

“He hit her and she fell. She’s dead! I think she’s dead!”

Probably knocked out when her head hit the pavement? Typical, I first thought. I went to her head and lifted it to see or feel for a wound as Glen grabbed for her throat and felt for a pulse.

“Did you call for an ambulance, too?” he asked the manager.
“No, just the police.”
“Well, call an ambulance,” Glen ordered, and he looked at me. “No pulse. No pulse,” he told me. “She’s dead.”

We began CPR on her. Glenn started working on the mouth and I took the chest, as we were taught. We switched positions, but worked non-stop, for what seemed like an hour, but it wasn’t. Both
Glen and I recognized her as someone we knew, an emergency room nurse at one of our hospitals.

She suddenly gagged! And coughed! What a sign, and her body started to spasm. She even started to mumble.

Glen and I dropped back on the cold ground beside her, pretty well exhausted. She sat up in complete shock, babbling about where she was. I wanted to say “from hell and back” but refrained. Who knows, maybe she went the other way? We all three sat there on the sidewalk. In the distance, we heard the sirens of an ambulance.

“Your heart stopped,” Glen said.
“My God, my God,” she said.
“What happened?” he asked.
“My husband and I…. had a fight. That is all I can remember.”
“He hit her!” the manager piped in. “He hit her, but she fell when he hit her in the chest. Hard in the chest!”

Apparently, it was a heart-stopping strike to the chest. Not all that unusual really. The ambulance pulled up and EMTs charged out with gear. They began checking her out as Glen and I stood up.

Typically, we follow the ambulance to the hospital and get all the complainant’s contact information to fill out a crime report. The next day, detectives would work the assault case, domestic or
otherwise, and that is the typical routine of that age and era.

“Did you see the car the husband left in?” I asked the manager as I stood up, and as the EMT crew readied the woman for transport.

“Left? He didn’t leave,” the manager answered.
“What? Where is he?” I asked.
“Well, he is right there,” and he pointed to the first booth in the corner of the front door. Through the huge glass windows, there sat a man with a menacing expression, smoking a cigarette, facing us with a cup of coffee on the table. He was right at the front window; directly facing us and saw everything we did.

“Him?” Glen asked, about as astonished as I was.
“Him,” the manager replied.
“He sat there and watched us do all this?” I said aloud but to myself mostly.
“Yup,” the manager said. “Sat there the whole time. watching.”

Glen and I exchanged glances. Now, getting someone’s heart to beat again is an emotional experience. It is a ride unlike no other. A ticking time bomb that must be diffused before explosions occur in the head and then in the body. It is a race. Then somehow, if it works, the magic of the universe kicks in. The spark of life. The heart beats yet again. So, to think that the husband sat and watched all this. Death, and life again.

I think I was the first to march toward the door. I was quite young then, and I was ready to destroy this guy with my bare hands. I am sure Glen, a bit older, was ready also. But, as so called, professionals we put the “skids on” that, squeezed the adrenaline before we entered the establishment. I sat at the table across from the guy. Glen stood. The husband barely looked at us. Coffee cup in his hand. he stared out the big window.

He looked like an unshaven, smelly scumbag, an uneducated, middle-aged drunk waste of air, time and space. Of course, that is such a snap judgment on my part, huh? I just wanted to toss that hot coffee right in his face, the cup and all, and smack him out of his seat. Couldn’t. But if he made so much as the wrong move? My dream would come true.

The conversation went, to the best of memory, something short like this:
“Coffee good?” I asked quietly.
“No,” he said.
I nodded.
“Any guess where we’re going?” I said.
“Jail,” he said.
“Coffee’s not much better there either. Maybe worse.” I said.

All that angst, as actor/writer Billy Bob Thornton would call it years later – “angst and shit,” and it came down to a calm, few lines about the coffee. Iconic. Laconic. Ironic.

“Up,” I said. I stood. He stood and Glenn cuffed his hands. Glenn searched him as I watched. We marched him to the squad car. No chance for a fight. I guess he could tell that Glen and I were about a thread away from going rodeo right then and there all over him.

Instead, we booked him into the city jail for aggravated assault and the rest is history in a set of books I ain’t read yet. We went to the next call. The detectives did their thing. The D.A.s office did their thing. 

I guess they call us professional when we keep our cool at times like these. Sometimes it ain’t easy, but it got easier as the years rolled along. I grew a callous on my hide that was once three inches thick. But I see that cover peeling away now, that bare unpredictable nerve coming closer to the surface again. I hope I can keep some of both that callous and that nerve.

We continued to see the nurse at work for another year. She got a divorce. With each encounter with her, behind the curtain of our conversations, was some kind of a bond. Funny feeling. She told us she was back in school. She graduated with another medical degree and moved away. So, the nurse got a divorce and moved away. That ex-husband by the way? Turned out he really was an unshaven, smelly scumbag, an uneducated, middle-aged, drunk, waste of air, time and human space. A lot of my snap judgments do turn out. Imagine that.

There was a bit of police history here too. As the years went by Glen, I and others did save a few more lives out on the proverbial “streets.” We weren’t EMTs who did this routinely, but we did once in a while. Oddly, ironically, decades later when our police department became more modernized and larger with the times, a new police chief instituted a medal for lifesaving. The first recipient had rescued a woman from a burning car wreck as I recall, and the young officer deserved some creds for his actions. Sure. This medal with news media, was awarded at a big, department ceremony. Great rounds of applause. Yipee.

But some of us older hands sat quiet and could not help but think of the times we had saved lives in the past years. A quick, accidental exchange of glances in the ceremony between me and other older vets said it all to me,
“Oh well, guess the new kids get medals now.”

Such is life. And death. Imagine trying to reward all those deeds retro-actively anyway. How exactly would you do that? And who among us would walk into an admin office and ask, “Can I have a medal, please?” Not me. Not the other vets either.

The medals are a good idea, though I guess, for the future. Good for morale but also it is a special moment to do such a thing. Real heroes doing real work. But the “across the street at the fire station? The hospitals?  People are saving lives all the time. Way, way more than any of us every did.

Hey, even CPR has changed these days, emphasizing more on the chest pumping and way less on the mouth to mouth. Check out the new courses. You never know when you need it.

Check out these police memoirs books from Hock, click here…