ER doc & CPR professor here with some thoughts on cardiac arrest survivorship.

As we all wait nervously to see if Damar Hamlin recovers, I thought it was worth compiling some inspiring stories of survival.

A thread of hope below 🧵

#Hamlin #CPR #BuffaloBills #DamarHamlin
2/15

now, before I begin: we cannot yet say if Mr. Hamlin will recover. He has a long and difficult road ahead.

But what is medicine without hope?

As an ER doc, I couldn't do my job without it.... so let's learn from these survivors:
3/15

1. FABRICE MUAMBA - 2012

A soccer player in the UK, Mr. Muamba collapsed at age 23, during a game. It was observed that he "fell like a tree trunk. He didn't put his arms out to break his fall, or anything, he just dropped."

Cardiac arrest. People sprung into action....
4/15

ambulance crews performed CPR and attached a defibrillator.

Mr. Muama was in a "shockable rhythm" known as ventricular fibrillation. He was shocked FIFTEEN TIMES and received CPR for 78 MINUTES.

think about it: "dead" for over an hour.

things were ominous....
5/15

he was taken to the hospital, where they managed to restart his heart. And.... slowly.... over days....

he regained consciousness, and was eventually discharged from the hospital.

Read more:
theguardian.com/football/2012/…
6/15

He returned to his family, returned to soccer (coaching, not playing) - and took time to reflect on his remarkable experiences.

watch:
7/15

2. CHRISTIAN ERIKSEN - 2021

While we're on the topic of soccer.....

Mr Eriksen, a Danish footballer, was 29 when he collapsed during a game. He required CPR and a shock from a defibrillator.
8/15

Ambulance crews worked hard while his teammates, upset and protective, formed a human shield for privacy.

Remarkably, one shock and his pulse was restored. He was even waking up within minutes.
9/15

my favorite part of the story? On the sidelines, as he was waking up, he worried about his teammates.

He understood - survivorship is not just for the arrest victim, but for friends and family. It is a shared trauma.
10/15

also remarkable - he received an internal defibrillator (an ICD) and is now back to playing soccer at a high level.

Read more:
football.london/international-…
11/15

3. WILL FLANARY - 2020

Our last inspiration for the thread - Will is a "social media rock star" physician and comedian. His wife, Kristin, figures big in this one.

a father of two kids, he suffered cardiac arrest while ASLEEP

this story still gives me shivers....
12/15

Kristin woke up to snoring sounds. Probably didn't think much at first - she nudged him.

But then she realized: something is wrong. He isn't waking up.

Kristin is not a physician & was not CPR trained. But she did > TEN MINUTES of continuous CPR until medics arrived.
13/15

Kristin and Will have played the tape of the 911 phone call at conferences. It is truly inspiring, and catches me in the throat each time I hear it.

She just wouldn't stop. "Not gonna die on my watch" was her energy.

EMS shocked him, and his pulse came back -
14/15

Now Will is back to his medical practice and comedy, and Kristin has become a superstar advocate for CPR and survivorship.

read:

dailymail.co.uk/femail/article…
15/15

So, friends from around the world, let's keep hope that Mr. Hamlin will join the survivors.

And if more of us learn CPR, and make sure automated external defibrillators (AEDs) are available, we can ensure that more will survive.

Learn CPR - it's an act of love.

/fin

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More from @BenjaminAbella

Jan 3
ER doc & CPR professor here - with a second thread tonight to explain what comes next, AFTER CPR....

it seems that Damar Hamlin is alive, in critical condition... so what does this mean, & what happens now?

a new thread, below 🧵

#Bills #DamarHamlin #CPR @NFL @nflnetwork
2/8

in my first thread earlier tonight, I briefly explained CPR.

When CPR is successful, and heart function is restored, patients require specialized ICU care to support organ and brain recovery - this is known as POST-ARREST CARE.

It is slow and careful work.
3/8

One of the keys to post-arrest care is TARGETED TEMPERATURE MANAGEMENT (TTM) - the use of technologies to avoid fever and precisely control body (and hopefully brain) temperature.

It can look like this - cooling pads hooked up to a coolant machine:
Read 9 tweets
Jan 3
Having received a number of texts and calls tonight....

as a emergency doc who studies cardiac arrest for a living: a mini thread on CPR and #cardiacarrest

#hamlin #CPR #BuffaloBills #emergencymedicine
2/5

cardiac arrest is when the heart stops - abruptly and with little warning

this is different than a "heart attack" when there is a blockage to a coronary artery, and USUALLY the heart doesn't stop
3/5

cardiac arrest is 100% fatal UNLESS actions are taken immediately - those actions include CPR and the use of a defibrillator
Read 7 tweets
Jun 28, 2022
A tragic consequence of #RoeVWade decision that will harm women:

time to talk CANCER during PREGNANCY.

Without abortion access, women with cancer will have an impossible choice: risk delayed cancer care or severe fetal harm

angry ER doc thread... (1/8)

#reproductiverights
(2/8)

1,000s of pregnant women each year in the US are diagnosed w cancer. These include breast ca, rectal ca, melanoma.

Treatment may require radiation, chemotherapy. But here's the problem....

radiation & chemo can cause great fetal harm in up to 15%-20% cases

what to do?
(3/8)

imagine: you're a pregnant women, excited to have your 1st child. You receive terrible cancer news. And you are told that you need chemo NOW - or you risk the cancer spreading.

But you are told chemo has a big chance of harming the fetus.

If you live in many states....
Read 10 tweets
Jun 27, 2022
Here's my 2nd tweet thread on how the #RoeVsWade decision will hurt so many people.

Today let's talk about ectopic pregnancy. Common, and deadly. A medical emergency that can affect anyone.

Thread below...
(1/11)

#WomensRightsAreHumanRights
#ReproductiveRightsAreHumanRights
(2/11)
Ectopic pregnancies, sometimes called "tubal pregnancies" are when the fetus is growing in the wrong place.

A fetus should take root in the uterus, where it can grow safely. If it gets stuck elsewhere, that's an ectopic.

It's super common - 1 in 50 pregnancies! Image
(3/11)

many women have no idea that their pregnancy is ectopic.

One day, they have abdominal pain and/or vaginal bleeding, and they go to the ER - and an ultrasound confirms it. It's a serious emergency that ER providers see ALL THE TIME.

Every damn day, really.
Read 14 tweets
Feb 8, 2022
Dr. Oz is running for #PA senate.
Dr. Oz is a quack doctor. A fraud.

What's up with that? What IS a quack doctor?

An educational thread.

#MedEd #medtwitter

(1/7)
So I decided to look into this whole "quack doctor" thing.

Comes from old Dutch word QUACKSALVER, meaning "hawker of ointment".

Now it means someone who sells bogus cures.

(2/7)
Turns out, quack doctors have been around a long long time. They are con artists who know what people want from medicines.

We all want to:
lose weight
be younger
be smarter
have more energy

(3/7)
Read 7 tweets

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