{"id":20507,"date":"2022-07-19T18:19:48","date_gmt":"2022-07-19T18:19:48","guid":{"rendered":"https:\/\/updates-www.mccdn.io\/vitals\/?p=20507"},"modified":"2024-03-26T17:25:34","modified_gmt":"2024-03-26T17:25:34","slug":"cpr-and-collaborative-care-helped-this-cardiac-arrest-survivor-beat-the-odds","status":"publish","type":"post","link":"https:\/\/updates-www.mccdn.io\/vitals\/cpr-and-collaborative-care-helped-this-cardiac-arrest-survivor-beat-the-odds\/","title":{"rendered":"CPR and collaborative care helped this cardiac arrest survivor beat the odds","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

When Bill Joseph got out of bed on October 26, 2020, his day started much like any other: he got dressed, ate breakfast and headed to his job as a maintenance technician for a local city.<\/p>\n

Looking back, he remembers that his dogs seemed unusually anxious that morning and that he felt a little dizzy on his way to work, but he didn\u2019t think much of either of these things at the time. Joseph has little memory of what happened next; what he knows about the rest of that day has been pieced together from his family and co-workers.<\/p>\n

\u201cAround 2 o\u2019clock that afternoon, my boss and I were moving traffic signal cabinets from one place to another,\u201d Joseph says. \u201cThey contain the electronic equipment that control lights at intersections. We stopped for a minute to talk, and I started to reach down toward my knee and then just slumped over to the ground.\u201d<\/p>\n

Joseph was experiencing sudden cardiac arrest \u2014 a life-threatening emergency where the heart stops pumping blood.<\/p>\n

Working together to save a life<\/h2>\n

Although the terms \u201cheart attack\u201d and \u201ccardiac arrest\u201d are often used interchangeably in everyday conversation, these two health emergencies are different. A heart attack happens when blood flow to the heart is blocked or disrupted by a clogged artery. Cardiac arrest \u2014 what Joseph was experiencing \u2014 occurs when the heart\u2019s electrical signals malfunction.<\/p>\n

\u201cCardiac arrest is usually due to ventricular fibrillation \u2014 an abnormal heart rhythm that begins in the bottom chamber of the heart, says Michael Rome, MD, an electrophysiologist with Pulse Heart Institute. \u00a0\u201cWhen this happens, the heart can\u2019t maintain blood pressure so people collapse suddenly and often die. If a person experiences a cardiac arrest outside of the hospital, their chances of survival are less than 10 percent.\u201d<\/p>\n

Joseph defied the odds that day, in part due to the swift action of his boss who immediately began CPR. When emergency responders arrived, they continued CPR, used a defibrillator to restart his heart and rushed him to MultiCare Tacoma General Hospital.<\/p>\n

There, the Pulse Heart Institute<\/a> team was able to stabilize Joseph but his heart was still not effectively pumping blood, putting him at risk for a brain injury.<\/p>\n

\u201cIt\u2019s common for people who survive cardiac arrest to experience neurological problems afterward because the flow of oxygen to the brain was disrupted,\u201d says Deven Vora, MD, an interventional cardiologist with Pulse Heart Institute.<\/p>\n

\u201cOne of the things we can do to prevent or limit those problems after a cardiac arrest is to cool the body down to a low temperature for several hours and then warm it back up again slowly, which is what we did for Bill. Keeping the body cool reduces brain swelling and prevents brain cells from dying.\u201d<\/p>\n

In addition to protecting Joseph\u2019s brain, the Pulse team also needed to protect his heart. They determined that Joseph had a weakened heart muscle \u2014 likely the result of a viral illness \u2014which put him at risk for experiencing an abnormal heart rhythm again.<\/p>\n

To prevent that, Dr. Rome surgically placed an implantable cardioverter-defibrillator (ICD) in Joseph\u2019s chest. This battery-powered device continuously monitors his heart, and it if it detects an abnormal rhythm, it automatically delivers an electric shock to correct it, significantly increasing his chances of surviving a cardiac arrest should it happen again.<\/p>\n

\u201cOne of the great things about Pulse is the coordinated care we provide,\u201d Dr. Rome says. \u201cI think of it this way: I\u2019m the electrician, so I focus on the heart\u2019s electrical system. Dr. Vora is the plumber who ensures that blood flows the way it should. The two of us and our other partners all work together to help patients like Bill get back to their lives and their families. Success stories like his begin on the front lines and wouldn\u2019t happen without that collaboration.\u201d<\/p>\n

A badge of honor<\/h2>\n

Joseph spent a total of 16 days in Tacoma General Hospital and credits his wife as well as his diverse care team for his recovery.<\/p>\n

\u201cEveryone was amazing, from the doctors to the techs who did my chest X-rays and everyone in between,\u201d Joseph says. \u201cThe nurses in particular took such good care of me. Whether it was making sure my blood pressure was at the right level or helping me go for my first walk, they were determined to help me get better.\u201d<\/p>\n

Joseph\u2019s healing process is still ongoing. He experiences tremors in his right hand, has trouble recalling words at times and is being treated for nerve damage as well as post-traumatic stress disorder (PTSD). Ultimately, he was not able to return to his job; however, his experience has inspired him to support other cardiac arrest survivors.<\/p>\n

\u201cA lot of problems can crop up weeks or months after a survivor leaves the hospital,\u201d Joseph says. \u201cI\u2019m working with other volunteer members of the Sudden Cardiac Arrest Foundation<\/a> to put together a comprehensive package of information so that people know what to expect after they\u2019re discharged and where to turn for help.\u201d<\/p>\n

When he\u2019s not volunteering, Joseph spends his time beekeeping and playing the guitar, and he encourages anyone who witnesses a person collapse, as he did, not to hesitate on the sidelines.<\/p>\n

\u201cI ended up with 14 broken ribs from receiving CPR, and I can still feel the lumps from where they\u2019ve healed,\u201d he says. \u201cI consider them my badge of honor, because without them I wouldn\u2019t be alive today. Even if you don\u2019t really know how to do CPR and you need a 911 dispatcher to talk you through it, you may still save a person\u2019s life.\u201d<\/p>\n

For more information about how to give CPR or sign up for a class, visit the American Red Cross.<\/a><\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

When Bill Joseph got out of bed on October 26, 2020, his day started much like any other: he got dressed, ate breakfast and headed to his job as a maintenance technician for a local city. Looking back, he remembers that his dogs seemed unusually anxious that morning and that he felt a little dizzy […]<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":367,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[63,79],"tags":[],"class_list":["post-20507","post","type-post","status-publish","format-standard","hentry","category-heart-health","category-profiles-stories"],"acf":[],"yoast_head":"\nA survivor's story: CPR and collaborative care - MultiCare Vitals<\/title>\n<meta name=\"description\" content=\"CPR and collaborative care helped Bill Joseph, a cardiac arrest survivor beat the odds. 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