I. From Heidi
30:2, 30:2, deep and fast right over the heart. This is what was going through my head the 25 minutes I was performing CPR for the first time in my life on a real person yesterday.
CPR is something I’ve had to renew every year for 3 years as an RN. However, its one of those things you think you will never need because there will always be someone more competent at the scene. That is, unless you are in the middle of a run in Viveros de Coyoacan and happen upon a collapsed middle-aged man not breathing, cold, with only the slightest pulse, as a frenzied group of a dozen people hover over him, some giving their best attempts at CPR.
The man had been down for 5 minutes. I asked if someone called an ambulance, they had. I asked if there was a defibrillator, there wasn’t. I told them to give deeper compressions; they said, “Tu eres enfermera, va!” (You’re the nurse, go ahead). From then on, I gave most of the compressions, stopping during most breaths to show them they have to tilt his head up so the oxygen can actually get to his lungs.
But I wasn’t prepared for the chaos and utter incompetence of the police and emergency system in el DF, especially a well-off, civilized area like this region of Coyoacan.
When I first arrived, someone came over with a bag of sugar and attempted to pour it into the man’s mouth. I strongly objected, completely baffled that they were really going to pour sugar into the mouth of a man not breathing.. I continued with compressions and asked again, “una ambulancia esta en ruta?” (an ambulance is coming?). Si, si. I found out later that a police guard approached us in the middle of CPR holding something wrapped in a towel, which many thought to be an AED or something related to CPR. But no, it was a bottle of liquor. People scoffed, and he left.
Finally, when the EMTs showed up (almost 30 minutes later) I breathed a sigh of relief, only to find out that their course of action was putting a pulseox on his finger (a device to measure pulse and oxygen), taking his blood pressure and placing cords on his chest (not to defibrillate him, which is what he needed more than anything) but to measure his heart rhythm. The results were everything we knew already, except now with precious minutes lost of breaths and chest compressions. Unbelievable. When I realized they were not actually going to deliver a shock, we proceeded to give chest compressions while the EMTs (or whatever they were) appeared to do nothing. He was then laid on a stretcher and taken out of the forest to a hospital.
I was absolutely not prepared for this. But the thing is, you never know when an emergency will take place, so I had to put aside my unpreparedness and language barrier and do what I knew to keep this man alive. Apparently adrenaline kicked in, because many details have left my memory (Chris helped fill in some gaps). However, I certainly cannot forget the eerie coldness of this man’s skin, the cracking of his ribs under my force, and the extreme anger I felt towards the incompetent emergency personnel.
My prayers are with that man and his family. Peace to you.
II. From Chris
Heidi and I finished a lap around Viveros de Coyoacan, a beautiful forested park in the middle of Mexico City, and decided to start another. Just as we passed the entrance, we saw a crowd blocking the path, and noticed they were surrounding a middle-aged man lying motionless on the ground. Some runners had already started CPR, but the man was unresponsive.
Heidi immediately rushed towards the man while I stayed a few meters away. She explained how to properly do chest compressions and helped open the man’s airways while somebody else gave him breaths. Eventually she took over the chest compressions, forcefully pushing into the man’s chest while somebody counted to thirty in Spanish. I have never seen CPR performed on a real person, and was shocked by how hard and deep the compressions go.
The minutes ticked by, but no ambulance arrived. Heidi and the others continued with CPR, while two other people held the man’s legs vertical to keep blood in his vital organs. Heidi somehow directed a whole team of untrained volunteers in Spanish, which was a sight to see.
Heidi and the other volunteers ended up doing CPR on the man for 25 minutes before the ambulance arrived, just barely keeping the man alive. I later mentioned to Heidi how long it was, and she couldn’t believe it. Apparently, adrenaline makes time irrelevant.
When the EMTs showed up, people gave them space as they took the man’s shirt off and applied electrodes to his chest. When a minute passed and nothing happened, Heidi asked them why they didn’t apply the shock. It turns out, they didn’t have an AED. They were simply checking his heart rhythm and blood pressure, and surprise, confirmed that he had dangerously low blood pressure and had an irregular heart rate.
In other words, they stopped CPR on a man on the verge of dying for precious minutes, just to confirm what the least medically-trained spectator could have told them: the man’s heart wasn’t functioning properly. Eventually, they loaded him on a stretcher while volunteers continued chest compressions.
We all expected the EMTs to come and save the day, but when they left, people were astonished. It took almost a half an hour for an ambulance to come help a man suffering from cardiac arrest, and when they finally showed up they didn´t even bring a defibrillator. A woman standing next to me said the man would have been better off if we just called a taxi.
Afterwards, somebody found a pen and paper, and began gathering signatures and email addresses. Everybody at the scene who wasn’t a police officer or EMT seemed appalled at the lack of adequate response, so they began discussing plans to make sure this never happened again. People mentioned CPR training for the park guards, getting a defibrillator for the park (since thousands run there everyday), and streamlining emergency procedures.
It was a terrible event, but it strangely felt like sacred ground. These 15-20 strangers, who previously were anonymous runners, suddenly were thrust into this teetering moment between life and death, with a person none of us knew. Everybody forgot about their own lives for a moment and became fully invested in the saving the life of this stranger.
The man would have never made it alive to the hospital without Heidi’s direction and a few helpful volunteers. Using chest compressions and rescue breathing, they kept a man alive for almost 30 minutes with no medical technology. It was unbelievable.
When he was taken away, nobody knew whether to be relieved or angry, because we didn’t know if the man survived because of a few people’s efforts, or died in spite of them. One woman came up to Heidi afterwards to thank her, and said she planned to go to the hospital to check on the status of the man.
We still aren’t clear on the man’s condition, so this story currently has no ending. It’s either a beautiful story of strangers acting to save a man’s life, or a tragedy about the incompetence of the EMTs that basically left the man to die.
–As a side note: I (Heidi) would strongly encourage you to learn the basics of CPR if you haven’t already. CPR trainings are fairly short and relatively inexpensive and without fear of sounding cliché, it is a skill that can save someone’s life when least expected.