Just after midnight at an automotive plant in the Midwest, a “man down” call went out over the All Call System. Matthew Gochenour, a member of the plant’s Emergency Response Team (ERT), immediately jumped into action and ran to the designated area not knowing what – or who – he would find. There, he found a co-worker he had known personally for a couple of years laying on the ground unconscious.
“I rolled him over and noticed he wasn’t breathing. Then he started taking agonal breaths. I checked for a pulse. There wasn’t one,” Gochenour says. “I called for some of the people nearby to get the AED and started compressions and breaths.”
About three minutes after the call went out, ERT leadership arrived along with Security and the plant’s on-site nurse. At about the same time, a fire protection officer (FPO) delivered the AED to the scene. “The FPO shocked the patient a few times, and on the fourth time he started coming to. We had a pulse,” Gochenour says, noting they worked on the patient for a good 10 – 20 minutes before he regained consciousness.
After the ambulance arrived at the designated door closest to the incident, EMS hooked up a heart monitor and glanced at each other with concern. “Looks like VTAC,” one of them said, referring to ventricular tachycardia, an abnormal heart rhythm that occurs when the lower chamber of the heart beats too quickly to pump effectively and the body doesn’t get enough oxygenated blood.
The patient began to flatline repeatedly as he was loaded into the ambulance and rushed to the nearest emergency room where he eventually had a triple bypass. Weeks after his cardiac arrest, the patient is still in recovery and grateful to everyone who helped save this life.
The ERT eventually got together for a debriefing of sorts, always looking for ways to improve. “Next time I hear that someone’s unconscious, I’m just going to grab the AED,” Gochenour says. Fortunately, the 30-member ERT takes yearly Basic Life Support classes including Basic First Aid, CPR/AED and Stop the Bleed. The team is split between three shifts to ensure they’re always at the ready, which they were during the midnight hour when this incident occurred.
“This was actually my first year of being a part of the Emergency Response Team,” Gochenour says. “So, I was just glad to have that training and understanding of what to do. Instinct took over, and that training kept me in the right line of thought: I need to do what I need to do to get this guy back.”
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Dr. Brown tells her story in her own words, below.
Why did you become an instructor? My mother, who was a trauma nurse in a hospital emergency room, started me with the American Heart Association when I was 16 years old. I fell in love with CPR. There was something about hope. And then I started hearing so many people say, “My grandmother, died. She collapsed, and we called for help, and they just didn’t get there in time.” And I couldn’t take it. I was like, Katherine, you’ve got an opportunity to teach people that didn’t do anything, they just stood there, because they didn’t know that there was something that they could do. And that’s when I left my position at an inner-city hospital and opened up the CPR company.
How long have you been involved with the American Heart Association and in what capacities have you served? Well, like I said, since the age of 16 as a volunteer. I have been the Southeastern Region Community Service Chair and the Southeastern Region Advocacy Chair. I’ve been on that the government team for Tennessee. I’ve done the Go Red for Women campaign. I’ve been a training center faculty member. I serve on the AHA’s Emergency Cardiovascular Care (ECC) Committee. I’m the current Lay Rescuer CPR Chair for the National ECC Committee. I’m on an AHA writing group. I do a lot for my Nashville AHA office. I’ve done the Minority Health committees. I’m currently on a National Diversity Leadership Committee for the AHA. I just got appointed to the International Liaison Committee on Resuscitation (ILCOR) on their diversity task force. It’s a lot of things – local, regional and national.
Are you involved with a specific training site? The world is my literally training center. Remember, you don’t have to be aligned with anybody just to teach. I went to Medellin, Columbia. Guess what I took on the plane with me? CPR manikin. Same with Johannesburg, South Africa. That’s how I’ve ended up teaching so many people. I just feel that everyone really, really needs to know CPR.
Tell us about your approach to CPR training. Be fearless and be innovative, that’s my approach. And I’m not afraid of people. So remember, most instructors say, “I’m going to host a class at this location.” But why are you waiting for people to come to you? If there’s a group of people congregated, that’s your class. I’m just going to disrupt with a “Heyyyyy…” You will usually get a “yes” if you just have the courage to make the ask.
Do you have any best practices you would like to share, anything unique that can be replicated or utilized by others? If I approach someone about learning CPR, and they say no, I don’t take the no instantly. I’ll say, “Tell me why.” They’ll likely explain to me that they don’t want to hurt anyone. So I’ll say, “Can I share with you a simple math problem? What is death plus death? They say, “Death.” I’m like, “Yeah, it is, so what’s death plus CPR? Sounds like a chance, right?” They’ll say, “Yeah.” So I say, “Do you think people deserve a chance? If something happened to you, would you want a chance? Everybody wants a chance. I’m just asking you to trust me for a few minutes and let me show you. That’s it. If you don’t want to push, let me explain it to you first and show you.” Then I teach them. And I say, “Now, can you put your hand here for me, you don’t have to push, just let me show you.” It’s just a slow progression. Don’t forget to do this in your own families as well.
What specific training do you offer? Early on, seeing those emergency rooms where my mother worked, I felt that sometimes the cost of being trained was a barrier, because instructors have to charge, but everybody doesn’t have money. Saving a life is priceless. You couldn’t put a price tag on it. So, around 2008, when the AHA really came out with that push for Hands-Only CPR, it really gave me a different tool, a different arsenal. I just feel like it’s hope in the darkest communities. And I do CPR classes. I do the Healthcare Professional class as well as the Heartsaver class, both the First Aid and AED. But the majority of my work is with people who can’t pay me, people who might never take a CPR class. They’re the people who will take a moment to give me those 15 minutes of their life so they can go back into their communities and make a difference.
Do you utilize any community products? I do. The AHA produces community products. That’s what I specialize in. I have a video of me teaching Hands-Only CPR on the AHA website. I also do the CPR Anytime Kits, I do the Essential Eight. But I feel like CPR is just one tool, and it’s reactive. So I try be proactive by reminding people to make sure they lower their salt intake and get their blood pressure checked. It’s easy to integrate those things into my classes. And anytime AHA comes out with something new, I use it. I think that we have to equip and empower our communities in very innovative ways, so I try not to miss opportunities. I always tell people, download the AHA app. Sign up for the You’re the Cure network, because you can get the advocacy alerts in your community. These are simple things the average instructor isn’t doing. The AHA website is a never-ending reservoir of knowledge.
What barriers to learning CPR do we as instructors have to break down? Another best practice for me is Don’t let money be a barrier. There are a lot of instructors saying, “I have to charge this amount or that amount.” You know what? That life that you save by reducing that cost, or having a time where you offer so many classes at no charge, will be a blessing to other people. People ask me, “Why are you so successful in CPR? We’ve never met somebody like you who’s trained over 300,000 people for free, around the world. I say because I focus on people. People matter. As long as you keep people at the core of what you do, you could do almost anything. That’s the key. I think instructors need to realize that, to put people first. Always remember why you became an instructor.
Any advice for someone else who notices the need for a new trail to be blazed? You know your community best. Listen and do what your community needs. Focus on that. What works for me in the places I serve, nationally and internationally, might not work in your community. The work we do is tough. You’ve got to be resilient. If you put out a registration form and host a class, and no one shows up, do it again. We give up too soon. I’ve been teaching CPR thirty-something years, and the AHA is 100 years old, and the message hasn’t changed. We’re still fighting. Keep showing up.
What motivates you? I can’t guarantee that if you perform CPR, your loved one will survive. I can’t guarantee that the stranger you try to help will make it, but I just want to teach people and encourage them to give somebody a chance. Just give them a chance. All of my children are involved in this work, because it really makes a difference.
Favorite AHA events? Listen, I just got to go to Chicago for the AHA centennial anniversary celebration. I had a dream come true because I got to dance with Nancy Brown while they were playing Stayin’ Alive! That was my favorite event in the world. That will never happen again. But I do love Heart Walks too.
What was your most memorable experience as an instructor? I was teaching a Boy Scout troop, and this mother came in and said, “Dr. Katherine, that’s the baby.” I was like, “What? What baby?” Turns out, I had taught this mother while she was pregnant with the son I was currently teaching. I love seeing generations. Another time, I taught a granddaughter, mother and a grandmother who was 100 years old doing CPR for the first time in her life.
About 20 years ago, Dr. Katherine Y. Brown launched a freestanding CPR company on the South Side of Chicago, knowing the underserved people living there were the least likely to get CPR. She thought, If you build it, they will come.
They didn’t come. So she went to them. At last count, she has taught more than 300,000 people to administer CPR in a safe, timely and efficient manner.
But all those years ago, Dr. Katherine, who holds a doctorate in education, had to go find people to teach. That meant showing up at churches on Easter Sunday, visiting sorority houses during rush week, and if a local store had weave on sale and a long line, she was there with her manikin. “Here’s my premise,” she says. “If you don’t come to me, I’m going to come to you, but I’m going to be strategic and go to places that I know you’re going to be at.” She started canvassing parks and housing projects, where she would find sometimes people playing basketball. “I would just go up to them and say, ‘Hey, if something happens out here, do y’all know what to do?’ They would just look at me like I was this crazy woman, and ask, ‘What do you mean?’ And there I was with my manikin, and I would teach them CPR,” she says.
At one point she was going door to door, sometimes with a baby on her hip, or standing on street corners with a sign that read: Honk if you know CPR. If you don’t, pull over and I’ll teach you. And she did. Eventually, she became known around town as The CPR Lady. Eventually, people did start coming to her. “What winded up happening was that I started getting calls from people in other states asking me to come. And I was like, This is not just training, it’s a movement,” Dr. Katherine says. “So I decided the name of my company should be a call to action: Learn CPR America. I felt like every household needs somebody trained.”
A mother of four, Dr. Brown founded the Roberta Baines-Wheeler Pulmonary Hypertension Awareness Group in honor of her own late mother and developed a leadership academy that bears her name, in part to train the next generation of global health care leaders. She’s a highly sought-after speaker, both in-person and in the media, and a consultant specializing in community engagement. She has taught for The Links Incorporated, the Alpha Kappa Alpha Sorority’s Boule event, the Kiwanis International, Lions Clubs International, among many other highly respected organizations. At one point, The Links Incorporated went to Jamaica, and Dr. Katherine went with them along with her manikin. “Any organization that had people, that’s where I went. That was my strategy. I was always very grass roots, and that’s how things grew.”
So what can we learn from her creativity, innovation and unstoppable spirit? Turns out, a lot. Please come back next week for Part 2 of Dr. Brown’s amazing story, in her own words. In the meantime, here is how to connect with her:
One afternoon, in the late summer heat of North Georgia, four E.R. Snell construction workers were busy on a job site. “We were building a new bridge and had some piles underneath it that we were bringing up to the top of a pretty steep hill,” says Jimmy Wilson, who was driving a tractor that day. Also on scene was Lamar Henderson and Austin Parker, a guy they called Tiny, who was operating the bulldozer. Plus another employee in his 70s, Ron.
As Ron made his way to the top of the hill, Jimmy’s back was turned to him. “I heard a racket, and Tiny started blowing the horn,” Jimmy remembers. “I got out of the tractor and ran around it to find Ron on the ground unresponsive. He wasn’t breathing. I rolled him over. His eyes were glazed over. There was just nothing there.”
Tiny called 911 and Jimmy started chest compressions. “A few minutes into it, Ron gasped for air, and went right back out with no response. After several more minutes of chest compressions he finally got his breath and started to come to,” Jimmy says.
Paramedics arrived in about 6 to 8 minutes, just as Ron regained consciousness. “He was incoherent and didn’t know what happened or where he was. The team had to coach him into the ambulance,” Jimmy says. Off Ron went to the hospital where he stayed for several days before returning home with a pacemaker and his wife who encouraged him to retire, which he did.
“The paramedics told us if we hadn’t started CPR, Ron wouldn’t be here with us now. The doctors said the same thing,” Jimmy says. “Ron is in his 70s, but you would never know it. He would outwork some of the 20-year-old kids we had working with us. That’s just the kind of worker he was. It was just a shock for him to go down like that. He worked really hard every day. You just never know.”
That’s true. Nobody can predict when and where CPR will be needed to save a life. After E.R. Snell’s safety manager, Jason Robinson, joined the company five years ago he soon began providing significantly more First Aid/CPR/AED training classes. As a career retired firefighter/paramedic, he understood the importance of training all employees, not just those on construction sites. He added two instructors and started training and certifying superintendents and foremen, then crew leads, and is working toward a goal of reaching 100 percent of the staff, including the administrative team. He says that’s absolutely doable without interfering with production.
Jimmy had taken one of Jason’s classes just a few months before saving Ron. These days, Jason shares their story even beyond the walls of E.R. Snell to encourage other organizations in their area to make CPR training a priority. When asked, he’ll even teach the class himself.
“If it weren’t for me having that CPR training, we would have been in big trouble that day,” Jimmy says. “We would have been in panic mode, and it wouldn’t have dawned on me to start CPR that quickly. . We might have started compressions eventually, but I wouldn’t have known that time matters. Minutes matter. Seconds matter.,” Jimmy says. “I’m just glad I had that CPR training. In my opinion, every workplace should offer some kind of first-aid training and CPR classes, because it really helped us.”
Friday nights for Israel Rodriguez and his family often involve winding down the workweek at a local restaurant. On one cold winter night in late January, they decided they were in the mood for Italian and headed to one of their favorite places. Just as they started to dig into appetizers, Israel sensed that something didn’t seem quite right with the family at the table directly across from them.
“I noticed the lady starting to panic. She’s patting her husband on the back, and she’s got this really worried look on her face. She gets up, starts trying to cry for help but can barely get the words out, then she seemed really afraid,” Israel says. The couple’s two little girls just sat at the table in shock. ”I pictured my family in that situation, if that were me,” Israel says, and he immediately got up to help.
“As soon as I started to walk over there to check on the man, his head hit the table,” Israel says. So Israel rushed over and started abdominal thrusts. On about the fourth thrust, what may have been a piece of ice dislodged from the man’s throat. He looked up at Israel and asked, “What’s going on? What happened?” He had completely lost consciousness.
What happened was that in a busy Italian restaurant with a Friday night crowd, only Israel rushed in to help. No one else stepped up, not even the manager or waitstaff. No one called 911. Lucky for Lee, the survivor, Israel had just completed a CPR & First Aid refresher course as a volunteer in the children’s ministry at his church. He and his wife had been taking life-saving courses for years.
Things settled down that night after the rescue, and Israel checked on Lee’s wife and children and made sure they were all okay. Lee’s family stayed and had their dinner — and bought Israel’s meal too.
In this day and age, Israel says that in an emergency people sometimes first think of recording an event, rather than rendering aid. “But a social media post isn’t going to help anybody in a life-threatening situation,” he says. “That was one of the things that really stood out to me about that night. If I hadn’t helped Lee, I don’t know if he would have had any help.”
Looking back, Israel also thinks about fully trained bystanders who have taken CPR courses, yet still hesitate to act because they’re afraid of hurting the victim. “It’s either you do something and give that person a chance, or do nothing and let them die. Step into action and increase their odds,” he says.
That’s exactly what Israel did on that fateful Friday. Months later, he and Lee are still in touch. Lee reached out on Father’s Day, a holiday that undoubtedly meant a little more this year, especially to Lee’s two little girls who were with him in the restaurant. “It could have gone an entirely differently way that night,” Israel says.
The AHA is committed to transforming a nation of bystanders into a Nation of Lifesavers. Join the movement that can make a difference in the life of someone’s partner, parent, friend, or family.
On an unseasonably warm evening in rural Maryland, Joe Greco hosted a small cookout for his son Joey’s friend Alex and his dad, John. After dinner, all four guys played a little basketball in preparation for upcoming high school tryouts before the boys headed inside.
Joe and John remained outside, just standing around talking about sports and life, when John said, “You know, I’m starting to feel … .” Those were his last words before he collapsed, and Joe caught him midway down to the concrete floor of the garage.
“Initially, I thought he was having a seizure,” Joe says. “He’s breathing very heavily, his eyes are rolling back in his head and he was convulsing a little bit. Then, all of sudden, he stops breathing.” At that point, Joe ran inside where he instructed his son to call 911 and John’s son to run down the 400-foot driveway to wave in first responders.
Joe started administering CPR – chest compressions and mouth to mouth breathing. John would take a few breaths, then stop breathing again. Joe continued CPR, only stopping to clear vomit from John’s mouth.
Soon enough, Joey ran into the garage with a 911 dispatcher on the line. “She was coaching me, helping me with the timing, she was really just a nice support and comfort,” Joe says. Eventually, she asked him just to focus on chest compressions, but nothing seemed to help.
About that time a local volunteer fireman who had heard the 911 call on the scanner appeared in the garage. “He told me to keep doing what I was doing,” Joe says. About 10-15 minutes after the 911 call went out, EMTs arrived on the scene and shocked John with the defibrillator. Still, not much of a response.
“I remember holding my son’s hand, holding Alex’s hand, in my garage – the three of us saying prayers and yelling to John to fight, to work, to give him encouragement to stay with us,” Joe says. Paramedics used the defibrillator one more time and got a pulse, then quickly transported John to a local hospital with Joe and Alex right behind them.
John’s wife, Dawn, and other family members met them there. Joe returned home and got a call from Dawn around 10 p.m. to let him know that John was in a medically induced coma and they weren’t really sure what his outcome would be. If he didn’t come to within the next three days, they would have some difficult decisions to make.
The next morning, Joe got another phone call. On the other end of the line was Dawn, who said, “There’s someone here who wants to talk to you … .” It was John. The first thing he said was, “Did the old guys beat the young guys in basketball?” He had fought through that coma with his sense of humor still intact.
“The crazy thing is that none of the doctors are quite sure why John had a heart attack,” Joe says. “He’s in very good shape, takes care of himself. He’s an athlete, eats well, he’s not overweight, has no previous history of heart problems. Other than a defibrillator that’s been implanted in his shoulder, they basically told John to go live his normal lifestyle.”
Looking back, Joe says John’s not the only fortunate one. “The company I work for provides first aid and CPR training every two years,” he says. “We’re just very blessed that we had the outcome that we did, because if we didn’t, I know I would have been impacted greatly. One of the things that kept going through my head the whole time was that I wasn’t going to let those two boys witness something tragic. I was giving John everything I had. It was the scariest situation I’ve ever been in my life, but without the training, it would have been worse. I can’t imagine being there, not being able to do anything and feeling helpless, not being able to offer aid to someone who obviously needed it.”
Eventually, things settled down and life got back to normal. After a few phone calls, Joe and John had an emotional reunion while they waited outside during their sons’ basketball tryouts. Both boys made the team, and before a game the coach gave Joe a signed photo of the squad during a presentation to honor his heroic efforts. Of course, he insisted on John and the boys being included too.
“If it wasn’t for that training, if it wasn’t for the teamwork between the two boys helping me, the 911 operator coaching me, the great work that the local EMS team and the doctors at the hospital did, John wouldn’t be with us, and his family would be in a much different position,” Joe says. “I’m incredibly grateful that when a friend needed help, I was able to help him.”
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On a quiet Sunday morning at the Regional 911 Dispatch Center in Berkshire County, Massachusetts, dispatcher Tara Jones-Nutting answered a call: “911, where’s your emergency?”
The caller, a man named Adam, didn’t know. How could he? Miles deep into a bike ride in the Berkshire woods, he and a friend, Robert, had just glanced back to check on a third buddy only to find him on the ground in full seizure. “We have a very serious emergency,” Adam told Tara, who used geocoding to send professional help. “I don’t know how to do CPR,” Adam said, “please send this ambulance quickly.”
Tara knew they were in a very rural area. “There’s not a lot of house numbers. It’s a back country road, there’s no mile markers, there’s nothing,” she says. “I can clearly remember listening to the man on the ground breathe. I’ve been an EMT since I was 18 years old, twentysomething years, and I instantly recognized the agonal respirations. I told Adam, I’m going to give you instructions on how to do CPR.”
Massachusetts requires all 911 dispatchers to be trained in CPR. Tara’s dispatch center uses the American Heart Association’s Basic Life Support and Heartsaver First Aid programs to deliver its training. And while dispatchers also have access to CPR instructions, Tara had the added benefit of having taught CPR classes.
And so it began. “Kneel by his side and put the heel of one hand in the center of his breastbone … .” After more than 70 compressions, Adam said, “We got something!” The victim began to take big gasping breaths on his own — then stopped breathing. Tara directed them to start five rounds of 30 compressions, followed by two breaths, and explained how to check for breathing — all while encouraging them.
About 14 minutes in, the local fire chief and his daughter, who’s an EMT, arrived on scene, followed by another officer, an ambulance and eventually a helicopter that flew the victim to Massachusetts General Hospital. “You guys did a good job, I’m going to disconnect,” Tara told them, not knowing if she’d ever hear the end of the story.
But later in the day, a paramedic who was in the ambulance called the dispatch center for some statistics. He happened to be an old friend of Tara’s from back in her days as an EMT. So she asked about the call, assuming the victim didn’t make it. “No, he did,” her friend told her. He wasn’t a victim, he was a survivor.
Later, Adam contacted the dispatch center to provide an update. When Tara worked up the courage to talk to him, she said, “Hi, this is Tara from Berkshire County.” He replied, “I’ll never forget your voice.”
Looking back, Tara says she’s talked to people she’s helped revive and save before, but this was different. “I wasn’t there to physically do it, so I had to use my voice and their hands as my hands to get them to do what I needed them to do. This was a whole new, different situation for me.”
She uses an analogy to explain how she approaches teaching someone CPR over the phone. “Imagine walking someone through how to tie a shoe when that person doesn’t even know what a shoe is — and you’ve got your back turned to them. So providing very, very basic, step-by-step instruction — finding the midpoint on the chest, doing the compression and making sure they’re doing it accurately.”
Weeks after this incident the survivor hosted a luncheon for all of the first responders, including Adam, Robert and Tara. “It was just such an amazing thing to see him standing there,” Tara says. “There were a lot of tears that day.”
As it turned out, Adam had taken a single CPR class many years ago. “It’s just so important to have that base level of knowledge, just so that CPR isn’t completely foreign to you when you need it,” Tara says. “I stand firm in the fact that I did nothing that day, those two gentlemen that were with him are the heroes at this call, because if they weren’t willing to do what they did, he would not be here.”