CPR: Why You Should Jump on a Stranger’s Chest

We’ve all seen spectacular examples of CPR (cardio-pulmonary resuscitation), especially on TV, where it leads to equally spectacular results: the previously pulseless patient sits up and tucks into pizza while vowing undying love for his family.

CPR ventilating with bag

In real life, the story is different. Outside Casualty, Grey’s Anatomy, and other small screen dramas, CPR is far less successful. Cardiac arrest in hospital has a survival rate of around 35%. Out in the big wide world, survival is more like 8%. This UK figure is especially dismal when compared with other western countries.

I learned all this and more at a CPR refresher course this week, courtesy of the Hospital of St John and St Elizabeth in North London. Tutor Philip Howarth is a brilliant mimic as well as a gifted teacher, and he was assisted by his fellow resuscitation officer Christilene Kiewiets. I can’t actually think of a more worthwhile way to spend a rainy Wednesday afternoon.

CPR manequin

We went through various scenarios of increasing complexity, but the principles are simple and they’re things everyone should know.

In a cardiac arrest, the heart stops pumping. This deprives the body of vital oxygen.

After five minutes without treatment, this damages the most important organ in the body (that’s the brain, in case you wondered).

CPR buys time. After a cardiac arrest, it can keep life going for up to 20 minutes (possibly even longer). That means time for paramedics to get there.

But CPR needs to start as soon as possible, ideally within two minutes.

Classic CPR uses chest compression and rescue breaths (in a ratio of 30:2 for adults). But hands-only CPR is a useful alternative. (Chest compressions make the lungs move, so they deliver some ‘breaths’. And people are more likely to give CPR to strangers if they can avoid mouth-to-mouth.)

Chest compressions should be fast and deep. A rate of 100-120 compressions a minute (two per second) is better than the old advice to keep time with the BeeGees’ Stayin’ Alive. ‘Deep’ usually means to a third of the depth of the chest. It’s tiring, and it can be noisy. The sound of ribs cracking is par for the course.

AED

Defibrillators can make all the difference to the outcome. In the UK there’s an increasing number of public-access defibrillators in airports, stations, and the like. The best bit is that these automated defibrillators are very easy to use, with voice prompts that are simpler and far more reliable than sat nav.

The most important thing of all?

Have a go. If someone has a cardiac arrest and you stand idly by, that person is dead. So there’s nothing to lose.

If you’re wondering about the best place to cash in your chips, a Las Vegas casino is probably the safest location of all in which to suffer an out-of-hospital cardiac arrest. Security guards trained in CPR and the prompt use of defibrillators can achieve impressive results.

FreeImages.com/Bob Townsend

Photo credit Bob Townsend

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The free app Lifesaver is a live-action movie you play like a game. It’s a great way to learn how to save someone’s life.

The British Heart Foundation runs HeartStart training courses around the UK.

First aid courses for the public offered by other charities such as the British Red Cross also include CPR.

Some ambulance instructors also teach the public. Get in touch with the Community Defibrillator Officer or the ambulance training school nearest you for more details.

The latest Resuscitation Council UK guidelines can be found here.

Here’s an easy tweet:

CPR: Why You Should Jump on a Stranger’s Chest http://wp.me/p3uiuG-1qC via @DrCarolCooper #CPR #cardiacarrest 

No Mother is Perfect

This week, a friend of mine happened across a book while tidying her daughter’s bedroom.

“Did your mother write this, by any chance?” she asked me.

 

Now Le Crazy Cat Saloon, with a cast of cats and a sprinkling of French words, may be amusing, but it’s hardly literature.

Nor is it politically correct. For one thing, it features a cat who’s a stripper. As my sons pointed out, stories about strippers aren’t exactly suitable for readers of all ages, no matter what the cover blurb says.

All the same, whenever people talk about my mother’s many books, or her cat paintings, Le Crazy Cat Saloon always features in the conversation.

On Mother’s Day, I have a vested interest in thinking that mothers should be remembered in the best possible light.

If I were to choose one book to remember my mother, it would be Cocktails and Camels. Although she wrote it just after Suez, and her divorce, it’s upbeat and funny.  Here’s how it starts.

I used to live in Alexandria—Egypt, that is, and not, as some Americans think, the one in Virginia. I liked Alexandria. There was no place like it on Earth, I used to think, and now, on looking back, I am quite sure there wasn’t. It was a nice, friendly little town basking in the sunshine and cool Mediterranean breeze, and in summer its streets smelled of jasmine which little Arab boys sold threaded into necklaces. Alexandria had plenty of character—characters, rather—Italian, French, Maltese, Turkish, even White Russians, to say nothing of Copts, Pashas, Effendis, and bird-brained but devoted Sudanese servants. The grocers were Greek, the jewellers were Jews, the shoemakers were Armenians, and the Lebanese were everywhere. The British Army used to play polo and complain about the heat. How they came to be there at all when they had a most roomy Empire in which to exercise is a long, sad story. For the British, though they like to look like good-natured and paternal fools, are, as every Arab knows to his sorrow, very cunning indeed, especially when it comes to taking advantage of trusting Arabs.

Happy Mother’s Day.

Note: Mother’s Day may be on the second Sunday in May in most of the world, but in the UK ‘Mothering Sunday’ aka Mother’s Day is today.

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You may also like to read an earlier post: Dating, 1940s Style.

What Do You Want to Know about Twins?

Everyone’s interested in twins, especially now that Beyoncé and Amal Clooney are each expecting a double bundle of joy.

Twins fascinate me too. Here’s a clue.

twins at the soft drinks dispenser

Sensibly, parents-to-be who read my book Twins and Multiple Births, or who join TAMBA, want to find out what’s in store for them. But other people only seem to care about secret languages, ESP, and other freaky twins stuff. Like this.

“Fun fact 1”: twins reared apart may have habits in common, like nail-biting or drinking the same brand of beer.

“Fun fact 2”: some twins have sexual relationships with the same person.

But are the similarities in behaviour and thinking really that extraordinary? It could just be chance.

Take twins who independently come back from the shops with the same coat, for instance. If a coat is widely available in a store like Marks & Spencer, nobody, twin or not, would have to go far to find someone else wearing exactly the same thing. Add in the fact that identical twins are the same age, and usually similar in colouring and general appearance, and bingo! No wonder they find the same garment suits them.

twins in school uniform

Sometimes twins are so close that, even as adults, they finish each other’s sentences, must work in the same office, and are incapable of truly independent living.

I always encourage new parents to raise their twins as individuals. That’s best route to healthy development in so many areas, including speech, behaviour, and social skills.

singleton-photo-august-1989

My wishes for parents of twins (and those like grandparents or others who help care for them) include these tips.  

1 Learn to relate to each as an individual from early on. That means being able to tell them apart easily, and using their names instead of lazy shorthand like ‘Twinny’ or ‘Pinky and Perky’.

2 Cherish each child for what she is. You won’t necessarily raise two Nobel prize-winners.

3 Avoid comparisons. One of them is not ‘the good one’ just because he sleeps through the night first.

4 Recognize that fair treatment doesn’t mean equal treatment. You’d be surprised how many people think twins must have identical birthday cards or presents, even though it ruins half the fun.

5 Make time to enjoy your children. Sure, there are twice the number of chores, and work beckons too. But, before you know it, they’ve grown up.

How do you make time when you have twins or more? I may cover this in a forthcoming blog post. If I can fit it in, that is.

https://www.amazon.co.uk/Twins-Multiple-Births-Essential-Parenting-ebook/dp/B004WOE6VY

If you’re expecting twins or more, you really should join TAMBA. It’s the only UK charity dedicated to improving the lives of families with multiples.. Click here to find out more.

Remember the Days of the Old School Yard….

If you too love reminiscences about school, this post will fit the bill perfectly. Author Jo Lambert wrote it a year or two ago, but since when does nostalgia go out of style? I give it 10/10.

JO LAMBERT - A WRITER'S JOURNEY

My Book Covers1

Our school days are supposed to be the best days of our lives – right?  Well I guess that very much depends on who you are.  Certainly I enjoyed college a whole lot more – freedom to dress how I wanted, lecturers who treated you like an adult and a far more relaxed teaching regime.  Having said that, there were many memorable moments during those school uniform years – and after.

Woodborough SchoolI grew up in a tiny Wiltshire village on the edge of Salisbury Plain which had no shop or post office, no pub and no school.  So from five to eleven years of age I attended school in the next village three miles away.  There was nothing remarkable about those first six years of schooling – fifty pupils, three class rooms and three teachers.  That same school today has a teaching staff of over 25, the building has been…

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Christmas Wishes

You’re all busy, especially this time of year, so this will be short. Whatever you’re doing this Christmas, I send you my best wishes for a wonderful time, hopefully with family, good food, and not too many arguments or hangovers. Here’s to a vintage Christmas, and to a new year that’s an improvement over 2016.

Not that I’m holding my breath.

The Night Before Christmas, 1949 edition

Autumn is Just a New Beginning

It’s hard to capture the loveliness of autumn in words, still less on video. I totally failed to immortalize a magnificent tree that shed most of its leaves over a period of a minute, creating an orange snowstorm. Here’s the tree now.

bare tree on Lammas Land

It being the season of mists and mellow fruitfulness, I can at least show you these.

misty morning on Lammas Land

autumn triptych

Autumn marks la rentreé, the beginning of the academic year and serious work. I spent many hours here, most of them wondering what the lecturer was talking about.

Mill Lane lecture rooms, Uni of Canbridge

And what could be more romantic than walking to class or work among the bright fallen leaves?

Lammas Land, Cambridge

Watch out for dog turds lurking underfoot, though.

New beginnings are in evidence everywhere, with cranes on the horizon, and buildings popping up all over the place. Alas, fresh starts mean the fall of the old order. 

demolition of the Strachey Building

If you were at Newnham College, you may just recognise your old room among the ruins.

The new buildings will be splendid and useful, I know. I trust the people in charge of the change, and I’ve seen detailed plans as well as the architectural model.

architectural model of new buildings Newnham College, Cambridge

But other new starts are less certain, and a hard winter may be on the way.

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To take your mind off our crazy world, here’s a two-minute video of the demolition of Strachey.

A Parent Worries Forever

Seen that touching Lloyds Bank photo where the mother is hugging her ‘baby’ before he nonchalantly sets off for university? I can’t reproduce the image here, but you can check it out by clicking on Lloyds Bank.  I showed it to some of my friends, who variously remarked on the mother’s height relative to her son, the blissful smile on her face, and the flimsiness of rucksack on the son’s back. 

Those with children noticed none of these things. Their reaction was just terror.

When expecting your first child, there’s usually a golden moment during which you’re thrilled at the prospect of having a baby but haven’t yet realised you’re heading for a lifetime of worry. Well, savour it while you can.

FreeImages.com/S S

My twin boys arrived when I had one son already. In a flash, my anxiety levels trebled. The children seemed intent on working their way through the alphabet, with accidents, asthma, appendicitis, and (scariest of all) anaphylactic shock.

Some letters stand out more than others. D was for Duplo, a normally safe toy, except when you stumble face first into it. G was for golf club, as when eldest son was smacked in the face by a 5 iron at the school fete, necessitating yet another tip to A&E.

FreeImages.com/Aron Kremer

Occasional false alarms brought light relief. At eighteen months, one son was on the bus, sitting forward in his eagerness to miss nothing. When the driver braked suddenly, my son’s face collided with a metal handrail. He screamed, and bright red stuff poured copiously from his mouth. I laughed hysterically when I found he’d only been chewing on a red crayon.

FreeImages.com/Trisha Shears

In my novel Hampstead Fever, I couldn’t resist including a super-anxious new mum. It’s not just the prospect of mishaps that cranks up her worry levels. She has studied the parenting books, so she’s aware of potentially lethal conditions like sepsis, where symptoms can be minimal in the early stages yet take a child to death’s door within hours. Like many parents, Laure suspects it’s dangerous to let her guard down, because that’s when things are most likely to go wrong.

Worry can drive mums (and dads) to become over-protective, turning into helicopter parents and doing for their children things that they should be learning to do for themselves.

FreeImages.com/melodi2

For some parents, anxiety becomes hard-wired. I’ve seen them make idiots of themselves as they continue to stalk their kids on social media throughout their teens and even twenties, panicking if they haven’t posted anything in the last few hours.  

Not me, of course. I’ve finally learned to ditch unnecessary anxiety about my offspring. I’ll tell you how I did this. Not this minute, though, because first I need to text my sons to see how they’re doing without me.

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