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When Judy and Jack Cain left their
home in Carlinville, Illinois to drive straight through to their daughter’s
home in Houston for a visit, they had no warning whatsoever of the events
about to unfold. |
Married for more than 52 years, the couple
enjoyed good health in their active retirement years and were excited about
seeing their family. Just after arriving Jack, 75, had walked upstairs
in his daughter’s home and suddenly collapsed against his wife, then slumped
to the floor.
David Braun, age 12, realized what must
be happening to his grandfather and, while scared, was willing to help.
In fact, if necessary, he could have helped with CPR. Both he and his 14
year old sister, Denise, had received CPR training through a program at
Lakewood United Methodist Church.
Instead, David’s dad, Kirk, called 9-1-1,
started the life-saving technique and sent Denise several houses away to
summon a neighbor who was a CCEMS paramedic.
"Things happened so fast after that," wife
Judy said. "Looking back, I’m amazed at how calm I was through those first
few minutes. I prayed for strength and for Jack to make it, and this really
seemed to help me through it."
| Minutes after neighbor Pat Howard
arrived, the street in front of the house filled up with emergency vehicles.
Cypress Creek Fire Department and CCEMS teams arrived and took over the
patient’s care.
Jack was unresponsive as the paramedics
evaluated his condition and responded with the appropriate protocol. |
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He had no pulse and was in ventricular fibrillation.
The team administered three defibrillator shocks; no response. They tried
Epinephrine
and Lidocaine; no response.
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Jack Cain’s Dream Team:
(l-r) wife Judy, Chad Adam, EMT-I; Jack;
Lisa Sands, EMT-P (In-charge paramedic);
and Kim Garrett, R.N., EMT-P.
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Then the CCEMS team used a relatively new
drug, Amiodarone -- an antiarrhythmic which slows nerve impulses
in the heart and acts directly on the heart tissues -- and Jack responded.
Before long, he was trying to breathe on his own and was stable enough
to be transported to the hospital.
While Jack remained stable through the night,
early the next morning he once again experienced arrhythmias, and several
times during the day had to be shocked back to normal rhythm.
"This was when I finally ‘lost it’," Judy
Cain explained. "It hit me that, with all the times they had to get his
heart started again, I might lose him. I just didn’t know how I could deal
with that."
Later in the day, the doctors felt he was
strong enough for a cardiac catheterization to determine the extent of
his problem. The tests revealed that his left coronary artery was 99 percent
blocked so, during angioplasty, three stents were inserted to open up the
vessel.
Unfortunately, his irregular heartbeat continued
intermittently, leading his doctors to recommend that one of the newer,
automatically defibrillating internal pacemakers be installed. Jack came
through the procedure well, and was soon on his way to recovery; feeling
better every day.
Jack has a full life in Illinois and was
anxious to return to his retirement "career." After years in broadcasting
and public relations, Jack kept himself busy doing some volunteer work
for a senior citizen complex. It wasn’t long before they persuaded him
to tackle managing the project. He says he’ll take it easy for a while,
however, after he returns home.
Jack remembers little of his day of excitement,
but says he feels an "overwhelming emotion" when he thinks about all the
people and equipment it took to save his live.
"It makes such an impact to see this many
people, all with the same ideas and caring philosophy," he said. "They
even visited me while I was in the hospital. Kim Garrett checked on me
every day. I really felt like I had a bunch of folks pulling for me."
An important factor in Jack’s recovery was
that the CCEMS team was trained to use the new drug, Amiodarone.
While it is not the first-line protocol for treating ventricular fibrillation,
it has made a life-or-death difference in each case it has been used by
CCEMS teams to date.
CCEMS learned of the drug when one of their
own, Dee Mifflin, had a cardiac arrest last year and the drug was
instrumental in saving his life when he didn’t respond to other medications.
They made arrangements to obtain the drug from its manufacturer, Wyeth-Ayerst
Laboratories, and held a comprehensive, in-house training program to prepare
for its use on the ambulances. A special protocol was developed by the
organization’s medical director, Levon Vartanian, M.D.
CCEMS was the first emergency medical service
in the state to be certified in the use of the drug in the pre-hospital
population.
The team of ems and fire department volunteers it
took to save Jack’s life.
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