SM: I was at the game with my wife, Kelly. I looked over, and Bill just didn’t look right. At the time, he wasn’t unconscious, but I noticed that Bill’s son was speaking with him, and he wasn’t really responding. I don’t know if Michael noticed right away because he was still watching the game. Then, about three to four seconds later, I looked back to Bill, and I saw him take an unusual agonal breath, and that’s when I knew what was going on there. I jumped over the seats, and Michael and I got Bill down into the row, which was not easy. I probably have never given somebody bystander CPR, or CPR in a clinical setting, as quickly. We were in the right place at the right time, and there was recognition pre-arrest. You probably had CPR started within literally five to seven seconds of having your cardiac arrest.
Explore This IssueACEP Now: Vol 35 – No 02 – February 2016
KK: Did you do one rescue of CPR?
SM: I did one rescue of CPR. I’ll be honest; I probably went past 30 cycles before mouth-to-mouth was initiated because I knew that was not what was going to save Bill’s life at the time. There was a lot of attention, and there were other bystanders who were willing to help. What I needed to do was get them organized and into roles rather than let chaos occur. There was another bystander who was kind enough to help and did mouth-to-mouth while I continued the CPR. I called for the defibrillator right away, saw that it was v-fib, and shocked Bill. He actually got an immediate pulse back but did not regain consciousness.
KK: Let me ask you a personal question, Sujal. It sounds like you would prefer to do compressions over ventilations, and there was some reluctance to do mouth-to-mouth. Have you noticed this kind of hesitancy to commit in other relationships in your life?
SM: Now that Bill and I have gotten to know each other, I would do the mouth-to-mouth first and then start the compressions.
KK: Wow, that’s just weird. Bill, you couldn’t have had CPR done by a nicer guy.
BS: You are correct with that.
KK: How much care was delivered right there by the seats?
SM: We were working in between the seats and in between the rows where the popcorn falls.
KK: Was there an intubation attempt there, IV started, or medications? What else transpired right there at the facility?