Sudden Cardiac Arrest
Sudden cardiac arrest – the leading cause of death in the United States!
Contra Costa Emergency Medical Services (EMS) believes that a community can improve survival from sudden cardiac arrest (SCA) when a comprehensive, community-wide, systems-based approach to the treatment of cardiac arrest is in place.
The Contra Costa Cardiac Arrest System will consist of a collaborative network of citizens (HeartSafe Communities), 9-1-1 prehospital providers, and hospital personnel who are able to identify victims of sudden cardiac arrest and rapidly care for them preventing sudden cardiac arrest from becoming sudden cardiac death.
Components of a Cardiac Arrest System of Care
Early Action is Key:
For the best chances of recovery, don't wait, call 9-1-1 immediately! Begin CPR and send someone to get an AED if there is one nearby.
When an AED is available, turn it on and follow the prompts.
- HeartSafe Community partnerships to promote sudden cardiac arrest recognition and response by our citizens
- Expeditious EMS dispatch and response
- Pre-arrival Instructions by EMS dispatch to assist in providing bystander CPR to the victim – decreasing the time to first compression and utilization of nearby AEDs
- Public Safety AED programs – providing rapid defibrillation
- Pre-hospital patient assessment and high quality resuscitation
- Communication with receiving facilities
- Cardiac arrest centers to provide rapid, appropriate post arrest care
- Cardiac arrest system of care post event analysis and review
If someone collapses and is:
- Not responding
- Not breathing or only gasping
If someone experiences these symptoms
Begin Hands Only CPR;
Use an AED as soon as one arrives
- HeartSafe Cardiac Arrest | Spanish
- HeartSafe Wallet Card – a quick reference | Spanish
- Hands Only CPR Video:
First Person Stories About Cardiac Arrest
Joe & Edie Farrell
We had just arrived at a professional friend's house at 2 pm on August 9, 2008. It was a 1.5 hour drive to their home where we were attending a memorial dinner for our friend's husband who had passed away three weeks prior. I was speaking to a couple of friends and a local track coach who coached my friend's daughter, when I collapsed suddenly, was unconscious and not breathing. The track coach immediately recognized that I was not breathing and thus he started CPR and someone activated the 911 system. The paramedics arrived within 5-6 minutes and I was shocked 4 times to re-establish cardiac rhythm. I was transported to Roseville Sutter Medical Center ER. In the ER I went into SCA again and was shocked four more times. Tests revealed that I did not suffer a heart attack (Myocardial Infarction: MI). I underwent angiography which revealed that my coronary arteries were very clear for a 56 year old man, thus my problem (SCA) was related to an electrical problem or cardiac arrhythmia.
I was transferred to ICU where I underwent hypothermia. Three days later I came out of a coma and began to recognize my family and a couple of very close friends who were with my wife and two daughters while my body was fighting for survival. I left the hospital 10 days later with an ICD (defibrillator) implanted in my chest and my cognition was normal. Pneumonia contracted in the hospital slowed my recovery, however, two months after my SCA I retuned to work as a physical therapist at my private practice that my wife and I own. In addition, at this point in the post SCA recovery, I was walking 4-5 miles/day, which I continue to do as an important component of my recovery.
The change in my life also stems from the fact that on August 23, 2007 (year prior to my SCA); I saved a man's life with CPR on a golf course in Incline Village, Nevada. This was a very humbling event since when I came upon the victim he was not breathing, his skin color was blue/black and a man was attempting CPR. I took charge of the scene, a fellow golfer activated the 911 system and I started CPR. It seemed like it took forever for the paramedics to arrive. The paramedics shocked the victim 5x to re-establish his cardiac rhythm. He was then transferred via helicopter with good vital signs to a hospital in Reno, NV. This gentleman survived and to this day, we have become very close friends. SO, saving someone's life with CPR, then surviving a SCA a year later sincerely changes one's perspective on life.
I remember saying to my golf buddies after saving the man's life that you better hope and pray if you ever go down with a heart issue that you are around someone who knows CPR; because early intervention with CPR will give you about a 50%-80% chance of survival. My good fortune of being in the presence of many colleagues (Physical Therapists) and friends who knew CPR saved my life. These mutually related experiences (e.g. saving a man's life with CPR; then being saved by CPR) made me think that I have to give back to society for my good fortune of surviving a SCA. My wife and I became involved with the San Ramon Valley Fire Districts (SRVFD) Heart Safe Committee (HSC) which has been responsible for putting AED's in every school in our district and in every police car. Edie and I have stimulated our HSC to initiate hypothermia programs in our six local hospitals and currently all paramedics within the SRVFD institute hypothermia in the ambulance for SCA victims. In addition, my wife and I became American Heart Association (AHA) CPR/AED instructors. We have volunteered many hours to teach citizens CPR/AED within our county. Our HSC team as trained over 10,000 citizens in Hands Only CPR and how to use an AED over the past 3.5 years. This year the HSC commenced teaching "hand only" CPR and use of an AED to all 7th graders in the San Ramon Valley School district. I have lobbied for mandatory CPR/AED training for all high school coaches and to have AED's at every high school sporting event (Not successful yet; but will be) in our state. This has to CHANGE!!!
In sum, my survival has provided the stimulus to become a trained CPR/AED instructor, serve on the AHA 2020 Task Force, serve as a Board Member of PulsePoint Foundation and to volunteer within the SRVFD to help save lives and educate the public about important live saving techniques such as CPR/AED use and "heart" healthy living. Every day is a great day for me, since I am very fortunate to be on this planet. I am thankful also for my wife, children, friends, the paramedics and my rescuer who never gave up on me during the immediate hours of my SCA 6 years ago. I have been told that my "never give up attitude" probably contributed to my survival.
If you have survived a sudden cardiac arrest or you are the spouse of a survivor join us at Mended Hearts. It's a program that is dedicated to "Inspiring hope and improving the quality of life for heart patients and their families through ongoing peer-to-peer support".
There will be educational presentations, time for questions to be answered and time to listen or share your experience with others.
See Mended Hearts Support Group or call 925-941-2111.
Cardiac Arrest System of Care Performance
How We Measure Survival
Contra Costa County Emergency Medical Services participates in CARES (Cardiac Arrest Registry to Enhanced Survival). CARES is a database developed by the CDC and Emory University. It includes data on survivability and other issues around cardiac arrest. CARES enables us to perform benchmarking to improve the response to cardiac arrest by strengthening the chain of survival in our communities.
Cardiac Arrest System of Care Program Medical Oversight:Senai Kidane, MD
EMS Medical Director