Timely CPR saved Chris Eriksen's life.
The match footage shows
-how immediate collapse is after #CardiacArrest
-how quickly we need to respond
In Cardiac Arrest the heart stops while other organs are healthy: rapid CPR response saves lives.
Learn CPR: see @ResusCouncilUK
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There has been criticism of TV companies broadcasting footage of Eriksen's on-pitch collapse. I wonder what he will say when he is ready to comment.
I hope the footage drives better public understanding of CPR & a wider uptake of CPR training.
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CPR training must include info on success rates, & explain when NOT to attempt it. CPR is entirely appropriate when the heart stops first: it gives brain & other organs their best chance of preserving function. Early, effective CPR by trained people may save 1 in 5.
Learn CPR!
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Conversely, as dying from illness approaches, organs gradually shut down until the heart stops last of all. This is not reversible & CPR will not help.
Knowing the difference can save some lives & also respects #OrdinaryDying.
Learn CPR.
Understand its limits.
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CPR is now in school curriculum.
I hope our teens learn how to perform effective CPR.
They also need to know the place of CPR, the need for speedy action in sudden collapse, & not to feel responsible if they attempt CPR but don't succeed. Community CPR usually won't succeed.
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Although community bystander CPR success rate is low, the rate will rise the more often it is used without any delay, with good technique, & in the right circumstances (so - more of us trained in CPR).
'Right circumstances' is hard to grasp, but very important.
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Right circumstances for CPR:
- heart stops suddenly
- CPR commenced immediately
- person has not refused CPR in advance
Start without delay, be prepared to stop if we discover during CPR that this person has previously declared a decision to refuse CPR.
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Wrong circumstances for CPR:
- the person was already dying & their heart stops at the end of that irreversible process
- the person is found dead (this is hard to decide if body is still warm)
- the person is known to have formally refused CPR by telling people/making ADRT
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Wishing Chris Eriksen a full & speedy recovery, & successful treatment of whatever caused his sudden & unexpected cardiac arrest. As a young, very fit athlete he is among those most likely to survive after timely & efficient CPR.
CPR is only step 1 in treatment.
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The footage shows the shock & distress of Eriksen's team-mates. There is a lesson about CPR there, too. Witnessing sudden collapse & giving or supporting CPR is shocking & brutal.
Anyone who has administered community CPR will be changed, often haunted, by that experience.
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CPR is an extreme first aid procedure. Participants & witnesses may need a lot of care & support afterwards, whether resuscitation attempt is successful or not. This also needs to be part of CPR training.
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With millions of fans watching, this shocking event could turn into an opportunity for football clubs across @UEFA to teach CPR to thousands of supporters. That increase in CPR-competent citizens could transform public response to community cardiac arrests. @premierleague
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Perhaps after recovery from the incident & their shock, Eriksen & his colleagues might give permission for this footage to be used as a training tool in CPR classes.
Perhaps it will save many more lives.
Please learn CPR
Please learn its limits
Please look after each other
#MedicalTwitter, this is not OK.
Please look at this story, & the responses, to see the uphill struggle we have to talk with compassion about CPR to people who are sick, frightened & not accompanied by their loved ones during this time of covid.
Some comments: 1/
Firstly, I have been the doctor whose words were relayed by a v sick patient to a relative, & what the relative heard was not what I said. But it WAS what the patient/family understood from what I said, so I was responsible for that miscommunication.
Communication matters. 2/
CPR isn't really 'treatment.' It's a bridge to treatment in an emergency. Sometimes it works. But it's not like on TV.
Most people don't know that, so how we explain it really matters.
How should we help teenagers to understand and accompany a dying relative?
Here are some ideas and suggestions: I know the experts on Twitter will come in to support @healinghappily in her quest to be as ready as she can be.
First: there's no 'right answer.' Your teens are individuals, and what suits one may not sit well for another.
Good support is a mixture of access to good information, lots of listening, & giving them choices.
Support includes helping them establish their own support network & self-care choices. Your own Mum is dying: you may not always feel able to be their sole support.
1. What can they do to keep themselves well? Hobbies, exercise, confidantes, good food: discuss & plan with them.
Most of us haven't seen somebody die in real life. We get our inner pictures from TV dramas, cinema screens, media stories. We've had more of those media stories than usual during Covid19. But we haven't been there for real.
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Worse: for some of us, our beloved person died and we weren't allowed to be there. We have pictures in our minds of how it might have been, but no way of knowing for sure.
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Some of us work in health or social care. We're more likely to have been alongside dying people. But unless we recognise the process, then we may not understand what we are witnessing.
Some experienced workers aren't aware that there are similarities between most deaths.
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Thread:
Looking at the future, as you grow older or your health deteriorates:
🌈 What's your best hope?
😱 What's your worst dread?
👣 What steps can you take now that will help to ensure the future is closer to 🌈 than to 😱?
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Who will you need to talk to as you think about what steps to take? e.g.
Family &friends: people who have your wellbeing in mind.
Medical advisers: people you trust to give you truthful information.
Rights advisers: people to ensure your concerns receive a fair consideration.
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What do you need to find out?
🧭 The likely direction of your future health. How will it affect your independence, mobility, thinking, ability to do the things you love?
🧭 Any predictable health emergencies? Options for how these can be dealt with.
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Before #COVID19 I tended to think bereavement support was not integral to palliative care, fearing we might 'medicalise' grief.
During a period when family life is disrupted & beloveds are separated at death, prioritising bereavement care is essential - it starts before death. 1/
Making sense of a death in our bereavement requires us to be able to understand the story of the dying.
This is why people bereaved by disasters need enquiries & information. They need to construct the narrative of their dying loved one's final days, hours, minutes.
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Making sense of our beloved's final part of living helps us to complete their story.
Those 9/11 messages from the Twin Towers & UA flight 93 gave us insights into the experience of those people as they faced death.
Their calls mention fear & sorrow, yet also love & thanks.
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This is the time to have those tender conversations.
Not out of panic.
Out of love.
If you want to understand each other's wishes, here are a few questions to ponder together.
There are no right answers.
The only wrong answer is silence.
We're all trying to minimise the risk of our most vulnerable citizens contracting the virus.
Let's all minimise the risk that any of us who get very sick end up with intrusive treatments that we didn't really want.
Some of us already know we don't want to go to hospital.