The Wall Street Journal recently ran an article about how to
survive a heart attack. There was lots of useful information, but what really
struck me was that a large number of people, in the midst of a myocardial
infarction, drive themselves to the
emergency room!
A heart attack happens when there is a blocked blood vessel
and the affected part of the heart cannot do its job. That job might be pumping
blood or it might be maintaining a steady rhythm. If the patient is lucky, the
surrounding heart tissue will take over for a while – just like your work
colleague will cover your phone while you take a bathroom break. But like at
work: how long can one expect someone else to do the job, especially without
any notice?
A lot of things can go terribly wrong very quickly if there
is inadequate blood flow. If the muscle part of the heart is compromised blood
will not be pushed to the vital organs. Would UPS be able to make deliveries if
their trucks didn’t have fuel? If the natural pacemaker is knocked out, the very
inadequate backup pacemakers will try to do the job (usually not successfully).
Did you every watch a local TV newscast on a holiday evening?
Even if you manage to get to the hospital without losing
consciousness, potentially killing yourself and someone else, you might be
polite enough to wait your turn to check in. The clock is ticking – that blood vessel
is still blocked and bad things are happening.
If you think you may be having a heart attack, save
yourself! Call 911 immediately. The hospital will come to you. Paramedics will
start treatment in the field (emergency-speak for wherever you are) and alert
the emergency department that you are on the way. If anything bad happens,
someone with training and equipment will help you. If you drive yourself, or if
your spouse drives you, who is going run the defibrillator?
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