Below is the account I wrote for my mates the day of the incident, below that is the results of the incident.
Some Training Could Have Come Sooner
Today I went for lunch with my friend Wilfrid, as I usually do on a Thursday. As I walked up the street to the train station, about four metres down a side street I saw an Indian man in his 40s sitting slumped against a wall, apparently with foam coming from his mouth - he wasn't moving. A couple of people walked past him, and lots of people walked down the main street, all only glancing at him quickly. I went over to him, I saw that the foam was actually rice, and his left hand was clenched tight. A heart attack, maybe?
I squatted down by him, and shook him. "Mate, are you alright?" No response. I leant in, and couldn't tell if he was breathing. He had a pulse at his neck. Again I shook him, and with no response. I called out to passersby, "This man's collapsed, can you call an ambulance?"?
"No phone," one person said, though there were shops around anyone could walk into, and several other people again only glanced at us. Cursing, I called 000 on my mobile. A prerecorded message told me some other number is the emergency number. They asked if I wanted police, fire or ambulance, and what state I was in. I told them. I checked his pulse again, still beating.
Next on the phone was a woman. She asked what state I was in, too. I told her. So far about 1'00" had been wasted listening to messages and going through bull****.
I said, "I have an Indian male in his 40s, unconscious and unresponsive, I'm not sure if he's breathing, his heart is beating, he's vomited. I need an ambulance."
"Okay the ambulance is on the way. Does he have any history of heart disease?"
"I dunno, I don't know him, he's some guy in the street."
"What I want you to do is lie him down on his back -"
"I said, he's vomited, he may choke, I'll put him on his side and -" I lay him down and turned him over.
"Use his fingers to clear out his mouth."?
No way I could do that, I used my own instead, but - "His jaw is pretty tight and his tongue forward or swollen, maybe he's choked."
"Can you put something under his head?" I was just wearing shorts and shirt, and my shirt wouldn't be much padding. I looked around - a woman was standing in the crowd with her woolen coat on - "Can I take your coat and use it as a pillow?" She shook her head and took a step back.
I looked back at him, I saw that his eyes were open, pupils dilated. I checked his pulse again. None. Again. None. "****, he's arrested." I turned him on his back, cradled the phone in my shoulder, I heard the ambulance coming down the road, put my hands on his chest in the right position.
"Do you have a defibrillator?" she asked.
"What? No, I told you, it's some guy in the street."
"Alright," she went on, "I want you to put him on his back, put your hands on the middle of his chest about five centimetres down from his neck -"
"Yep, I'm doing that, I've done CPR before. I can't give him a breath though. Mouth still clogged up." I was pushing down on him, I felt a crack - woops, broke some ribs, never mind, I can't make him any sicker.
The ambos rolled up now and started unpacking lots of gear. I called out to them what I knew, they came over and basically shoved me aside, though asked if I knew him.
Now all the people who moments ago had been running away were hanging around watching. I hung around for a bit to see if they could revive him, and also not sure if they needed my number or something.
One older woman was standing there and basically patted me on the back asking me if I was okay, introduced herself. She'd been there first apart from me and after I'd hung up on the emergency line asked if I needed help. I saw the paramedics fail to get a breathing tube into him, then get forceps to drag food out of his throat - a sushi roll. A sushi pack lay on the ground a metre or so away. Maybe he was just really hungry and forgot to chew.
I was amazed at how many people they sent - two ambulances, a fire truck. Four or five paramedics were helping him, a couple of fireies standing around joking with each-other. Everyone was quite relaxed and professional. A paramedic started shooing the rubbernecking crowd away, including me. "Do I need to give my contact details? I was first on the scene." She said no and shooed me away again.
I went to the train station, and as the train pulled away I saw the two amulances and fire truck were still there, and some cops had showed up, too - probably to control the crowd.
Afterwards I felt a bit bad that I'd stopped to look at the op shop just before seeing the guy, maybe if I'd been earlier - but then, maybe I would have passed before he collapsed, and nobody would have helped him. I was also not pleased with my performance, I could have acted much more quickly and calmly, I forgot to try to smack his back and side to get the food out, and so on.
Anyway, I doubt he'll live. He was probably not breathing when I found him, and I think I was doing the depressions a bit low on his chest. So he would have been a few minutes without oxygen.
We're meant to start our first aid course at PT school in a week or so. Of course I did it all years ago in the Army, and in the Red Cross ERU in NZ. But I've only done the heart part once before, the breathing a few times - though minor injuries heaps of times. I could have done with some more recent practice, I think I would have acted more quickly and calmly.
Still, whatever happens, I'll never know if he lived or died. A strange feeling. I spent dinner tonight thinking, "There's some family without their dad or husband with them tonight." I couldn't sleep, tossed and turned as I reviewed everything I'd done and not done. It's like after an exam, but an exam where you'll never know the results and the stakes are as high as they can be.
I seem to be a magnet for poo. I'm always finding people's wallets, having chroming kids fall over and knock their heads open in front of me, getting smacked in the head by random strangers, finding people collapsed in the street, all sorts of ****. But then, maybe it's not that I'm a magnet, and simply that
I don't walk on by. I know that sounds self-righteous, but I am not impressed at all those people walking on by.
I guess the lesson is, don't buy sushi from that joint in Clayton Rd!
*******************
Update
I wrote to the Clayton cop shop to say I'd been the person there, here were my details if they needed them, and I understood there were privacy issues but if they could let me know if the man had survived or not I'd be grateful.
On Friday morning they replied as below.
From: Murray, Nicholas <[removed so he doesn't get spam]>
Date: 2009/10/30
Subject: emergency incident Haughton Rd 2009-10-29 1215
To: [to my email]
Hi Kyle
I was one of the police members who attended this incident yesterday.
Thanks very much for providing assistance to this male who had a choking incident after swallowing some food he had just bought. Your actions may have helped save his life!
I have been to the hospital today and he is in a stable condition, and at this stage, the medical team expect him to recover slowly in coming weeks.
I will keep your details on file in the event that he takes an unlikely turn for the worse and passes away. It would be only then that I would need to take a statement from you regarding the incident.
Thanks again for your assistance
Regards
Nick MURRAY
Leading Senior Constable
Clayton Police
Ph: 9543 3888
********
Morals of the story:
- learn first aid!
- your mother was right, you should chew before swallowing.
Lessons learned
I made some mistakes, hesitated too much before doing various things, forgot to do other things, and so on. The mistakes and right things I did both are useful teaching points for my class, I think - and for all of us. Because of my mistakes and hesitation, the guy
might have brain damage - comparable to after a stroke. BUT - he's
alive. If there were someone more competent than me to do, okay I hand over to them (as I did when the ambos came). But if not, well better to be alive and a bit crippled than dead.
But even that not very impressive effort improved his chances of survival a lot. Someone had told me only 2% of CPR patients survive. That sounded low to me so I looked up the statistics, and it's,
- no bystander CPR, no medical help = 0% survival rate
- bystander CPR only = 2%
- no bystander CPR, professional medical help after 10 minutes = 2%
- no bystander CPR, professional medical help in 5-10 minutes = 8%
- bystander CPR + professional medical help in 5-10 minutes = 20%
- instant medical help (eg in hospital) = 40%
So, just by being nosey to see if the person is alright and calling an ambulance you greatly improve their chances of survival (from 0% to 2-8%), but even with poorly-performed CPR it improves yet again (from 2% to 20%).
Every minute is vital, quite literally.
Many people are scared of doing a cruddy job at it, but even if they do it badly, it helps. An important point to remember, I think - so that people will have the confidence to use what they've learned!
Confidence is helped by knowing that the professionals are on the way, and they'll be doing the real work. I was VERY relieved when the ambulance showed up. If you think it's all up to you, you might panic!
A final point might be that it's pretty gross and unglamorous. Puke in the mouth, the patient wetting themselves, and they don't just cough and leap up alright afterwards like in
Baywatch. It's something that if people are unprepared for, they might panic.
The other thing is that I was lucky, I found out the guy lived. Most likely you will never find out, and it's extremely unlikely you'll become bosom buddies afterwards. Yes, Hollywood lied to us. Oh well. That does make things harder - I'd be a mess for some time, I think, if I hadn't found out.
These are all things to keep in mind, and make you more likely to step on up and help someone who needs it. Yes, you might do a crap job - but even a crap job greatly improves their chances of survival.
I write all this not to gloat - I had a really good gloat to my family and friends on Friday, and my woman took me ought for beer, steak and chips. But I'm over myself now. I just think it's an experience which it's good to share. Others can learn from what I did wrong and what I did right...
And learn that you don't have to be highly-trained, super-calm and professional to do useful stuff. You just have to step on up and give it a go. I sweated, hesitated, ****ed up - but the guy lived.
Learn first aid. Don't walk on by.