FROM THE EDITOR
THE LIGHTBULB MOMENT
I sat down on my red velvet recliner to relax and take a long winter’s nap.
But before dozing off, I watched Mrs. Claus bake cookies and special
holiday treats with our granddaughters, Hinley and Harper.
Like I do with my detailed preflight step-by-step checklists, I heard
her tell the girls what ingredients to put into the bowl, as well as how
much to put in.
They wanted to deviate from the proven recipe and do it “their way,”
SANTA’S RESUSCITATION RHYME
but Mrs. Claus told them, “Girls, you have to understand that if you don’t
use the exact ingredients called for by the recipe, in the right order, and
at the right temperature, you won’t get the desired results!”
It hit me like a ton of bricks falling off a snow-covered roof! Mrs.
Claus could be describing what must happen to get the desired results
during resuscitations: Use a preplanned, proven recipe with the right
ingredients in the right order, to get the desired results!
I rose to my feet so fast that my phone fell to the floor with a clatter,
I raced outside, anxious to tell them all about the important matter.
“Get off your shelves my sleepy little elves, and assemble really quick!
Come Dasher, come Dancer, come Prancer and Vixen, to hear from
jolly ol’ Saint Nick!
Come Comet, come Cupid, come Donner and Blitzen!
Hey Rudolph, stop texting and come over and listen!”
They gathered around me that cold winter night,
anxious to learn whatever they might.
“Experts now know the secret to saving a life,
Is quite like the advice of my beautiful wife.
You can’t rely on one ingredient in a bowl;
Success lies in the careful sum of the whole.”
“While studies are great and some think each one’s ideal,
It’s their combined impact where improved results reveal.
Studies may show we can compete with machines that compress,
But consistency of effort is what so few fail to address.”
“Blood flow to the brain is the key, you must see.
If it’s interrupted, the patient’s demise it’ll be.
The heart is a pump that needs consistent blood flow.
If we’re without it—forget it! No oxygen will go.”
“If you stray from the process, like when making great dough,
out the window your save rate surely will go!”
Although not yet that old, Rudolph was bold,
and asked what the boxes I was carrying did hold.
“The boxes, you see, are chock full of resuscitation pearls:
A JEMS issue and supplement to help countless boys and girls.”
“The content,” I said, “when carefully read,
Can keep people alive who would otherwise be dead.”
They asked me to impart the knowledge I bared,
So I sat them all down and slowly I shared.
I read them key excerpts the JEMS experts had gathered,
and cited passages of text, as well as the data that mattered.
“Like the tips from my wife,” I told them that night,
“The gifts that we’re giving could help save a life.”
I passed around JEMS and had them review,
The articles that would forever change the work that we do.
The multiple key articles I present to you here,
Contain lessons and processes I pray you’ll truly hold dear! JEMS
Through early identification of ECMO candidates and the delivery of excellent pre-hospital care en route, EMS providers are on the front line of this potential lifesaving intervention for cardiac arrest patients. Photo courtesy Scott T. Youngquist
For Santa (A.J.’s) summary of the important articles in this month’s
issue and the accompanying State of the Science supplement, go to
the online version of this column at www.jems.com/editor-december.