17 Minute EMS Response

Phillyrube

Member
May 21, 2010
1,272
Flatistan
Anyone have any info?


PITTSBURGH--Sue Hostler arrived at the Philadelphia


International Airport on August 22 to catch a flight home to


Pittsburgh. As a business traveler, she knew her way around the


airport and ran to get on an elevator in a remote area of the F


terminal. A young man entered the elevator just before her, but


the doors closed before she could join him. When she hit the “up”


button and the doors reopened, she was stunned by what she saw.


There he was, face down, not moving. Sue reached for her cell


phone to call 9-1-1. It was 3:04 pm.


The dispatcher asked if the man was breathing. “No,” Sue


answered, adding that he was unconscious. Sue asked if she should


start CPR and the dispatcher said, “Yes.” As Sue put her phone on


speaker mode, Vivian Nolan, from Unadilla, NY came by and


offered to help. Working together, the two women turned the


young man over. He was well-dressed, and appeared fit—not


someone you would ever expect to go into cardiac arrest.


Sue immediately started CPR, a lifesaving technique she had


learned long ago. She was going to start mouth-to-mouth


breathing, but remembered she had heard that continuous chest


compressions—or “hands only CPR,” without artificial


respirations—can be just as beneficial. Following the dispatcher’s


guidance, she began chest compressions. Pushing hard and fast on


the center of the chest was exhausting and Sue was getting out of


breath. She kept giving rhythmic compressions, waiting for


professional help to arrive and repeatedly giving instructions to the


dispatcher regarding the precise location of the incident that was


unfolding. Every now and then, she thought she heard the young


man gasp—but he wasn’t breathing on his own. It was abnormal


breathing, known as agonal respirations, that often heralds death.


Meanwhile, Vivian kept onlookers at bay, staking out a post near


the curb to guide emergency personnel to the scene. “I kept


looking for the police or EMTs and asking people to use the stairs


since there was a medical emergency in the elevator,” she said.


During this time, about a dozen people passed by—not one offered


to help. All Vivian could think was “God, what is taking them so


long? Shouldn’t someone have noticed the elevator wasn’t going


anywhere? Shouldn’t there be a number by the elevator that could


be easily identified by security?” After “what seemed like


forever,” a police officer arrived and asked how he could help.


With that, Sue realized that she was still the young man’s best


hope. “I kept calm, but I was getting frustrated. I raised my voice


and said, ‘Get the EMTs here now or this man is going to die!’”


An emergency medical crew finally arrived at 3:21 pm, exactly 17


minutes after Sue placed the 9-1-1 call. She estimates that she


provided CPR for at least 15 of those critical minutes. One of the


EMTs grabbed an AED and Vivian led them to the elevator. The


EMTs shocked the victim twice before getting him on the gurney.


As the ambulance pulled away, Sue and Vivian—complete


strangers with a bond—shared an emotional hug.


Sue gave her contact information to the EMTs. The next day, she


heard from the man’s mother, Mary Hallinan. Her son, Robert


“Bob” Hallinan, a 25-year-old with no known health issues, was


alive and on life-support. The day Bob nearly died was his Mom’s


birthday. He had sent her a Facebook message just minutes before


he collapsed!


In the weeks following the cardiac event, Bob underwent mild


therapeutic hypothermia and was in a medically induced coma for


five or six days. His doctor recommended that he receive an


implantable cardioverter defibrillator (ICD) to protect him from


future life-threatening events. On September 5, 14 days after he


suffered cardiac arrest, Bob was discharged home from the


hospital, neurologically intact. “He’s eating and texting,” said


Mary. “Things are getting back to normal.”


It was disturbing to Sue that the 9-1-1 operator could not identify


their location, despite exact instructions. “I later discovered there


are about 100 AEDs at the airport. If the dispatcher had told me


where the closest one was, I could have asked someone to retrieve


it while I continued compressions.” As for the people who passed


by without offering to help, perhaps they did not realize what was


happening, perhaps they were anxious about catching a flight, or


perhaps they were just plain scared. Unfortunately, no one thought


to look for a public access defibrillator and bring it back to the


scene. “


Sue and Vivian hope their experience will help raise awareness


about the fact that sudden cardiac arrest can happen to anyone of


any age at any time—and it’s up to the public to make a difference


in saving more lives. First and foremost, they say, learn CPR and


how to use an AED. “In all honesty, CPR is something everyone


should know,” said Vivian. Next, they say, if you should ever


encounter someone in cardiac arrest, just do something. “Don’t be


afraid to try CPR. When someone suffers sudden cardiac arrest,


let’s face it: they’re dead. Your actions can only help. So do


something!” said Sue. Even if you don’t actually care for the


patient, you can still help, said Sue. “You may not feel


comfortable doing CPR, but you can call 9-1-1, you can run for the


AED, you can flag down emergency responders, you can keep


people who just want to watch out of the way. All these actions are


just as important as giving CPR.” Deciding to help was the only


option Sue ever considered. “I knew that the young man would die


if I did nothing.”


Sue also has a message for communities and government agencies.


First, she says, “AEDs should be everywhere.” Second, labels


warning that AEDs are “for use by trained personnel only” should


be removed, she said. Third, the public should be reassured that


immediate bystander intervention in cardiac emergencies is


essential, and further, that good faith efforts to help are protected


by Good Samaritan legislation.


Sue has been asked if she thinks of herself as a hero. “Absolutely


not,” she says. “Heroes are people who risk their lives for others—


people like the 9-11 first responders. The only thing I risked that


day was missing my flight.” So…about that flight. The passengers


heading to Sue’s destination had boarded, but due to a sudden


thunderstorm, the flight was delayed. As a result, Sue was able to


make her flight after all. And as she approached her destination,


she was greeted by a giant rainbow.


-By Mary M. Newman, MS, SOURCE: Sudden Cardiac Arrest Foundation
 

DJIceman97

Member
Dec 22, 2012
357
Northeast Kentucky
One thing I hate about the big city anymore it seems. Earlier this year, I was the sound engineer for a local free festival on a guy's property in a small town in WV. Beautiful day, 80* and sunny. Older gentleman passed out and was thought to not be breathing...within 30 seconds, there were about 4 nurse's, a couple of vol. FF's, the "hired" paramedic for the festival, as well as myself right at his side. Luckily he was fine, just overheated.. Just to see that sort of support from the community makes me glad I live in a more rural area.
 

CPDG23

Member
Oct 17, 2011
835
Ohio
DJIceman97 said:
One thing I hate about the big city anymore it seems.

The cities make you jaded. Very jaded. I moved from a big city way out to the country.


Our last good car wreck I was first on scene, 2min from my house, and I counted 23 people who had already stopped to help, 23 people pulled over to lend a hand for a three car accident with five patients. I had a hard time distinguishing patients from good sams. I was blown away.


A few years back when I lived in the city I happened across a real bad accident on one of the major expressways, two cars, man trapped and unconscious, car had a fire in the engine compartment. It was rush hour traffic and there were literately 1000's of cars on this five lane highway. Only myself and a truck driver pulled that guy from that car. People were passing us in between a burning car and the other wrecked car. When it was all said and done and I was back on the road I remember getting really really really mad about that.


I hate the city.
 

tnems7

Member
May 21, 2010
407
USA Nashville Tennessee
I am pleased to know that the Nashville Airport (BNA) is prepared for cardiac arrest emergencies and has a good record of response. Getting an ambulance on scene within 17 minutes may be a problem around major airports, but such poor response from airport security and first responders, and lack of 911 awareness of airport aed capabilities is damnable.
 

FireEMSPolice

Member
May 21, 2010
3,429
Ohio
I am really surprised that the elevator didnt have a phone inside the cab that would connect to airport police/security so they can get an AED enroute. I know she was talking to a dispatcher, but couldnt that dispatcher have transferred her to the airport police/security or maybe did a 3-way call?
 

DJIceman97

Member
Dec 22, 2012
357
Northeast Kentucky
FireEMSPolice said:
I am really surprised that the elevator didnt have a phone inside the cab that would connect to airport police/security so they can get an AED enroute. I know she was talking to a dispatcher, but couldnt that dispatcher have transferred her to the airport police/security or maybe did a 3-way call?

Possibly, but then that would make sense.
 

Zoe

Member
May 28, 2010
776
Deerfield MA
tnems7 said:
I am pleased to know that the Nashville Airport (BNA) is prepared for cardiac arrest emergencies and has a good record of response. Getting an ambulance on scene within 17 minutes may be a problem around major airports, but such poor response from airport security and first responders, and lack of 911 awareness of airport aed capabilities is damnable.

I'm willing to be that part of the problem with the OPs story is that she called 911 on her cell phone... which would have bypassed the airport security/public safety system altogether and would have been answered who know's where. Should the dispatcher have been able to patch through to Airport public safety? Sure.


This is why in CPR classes I always hound on people to use an in-house phone and call the "local" emergency number if there is one.


For example, at Boston's Logan airport, if I call 911 from my cell there is a decent chance it will be answered by MA State Police in Northampton... 2+ hours to the west. Those dispatchers can be the best in the world, but it will still take more time than calling on an in-house telephone in the terminal and getting Airport resources directly.


$0.02
 

delcofirecop

Member
Jul 22, 2012
232
usa pa
the story mentioned both pittsburgh and philadelphia but if she was indeed at philadelphia international there is a als medic unit on the airport grounds at all times medic 30 so idk why the delay in ems response
 

justavillain

Member
Mar 7, 2013
1,010
Grand Rapids
One thing I though was a little presumptuous was that dispatch would known the location of every AED. They know a lot but most of it is from maps. If they don't have a clear map on their screen they can't do anything.


I agree that tsa, airport police and fire should have been there. I have been working security at the airport before and the fire department is usually on top of things. And he larger he airport the more trucks and FFs they have to have according to he faa.


Was it a raw deal sure, was it preventable (response time) yes. 8min is the standard. But the avg wait time is around that 17min mark in a few areas I know of for sure due to manpower budget issues.
 

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