Back How to Save a Life Save as PDF
Chapters (80)
  1. Cover
  2. How to Save a Life
  3. Dedication page
  4. A Guide to the Chain of Survival: Part 1
  5. Chapter 1: Kerry
  6. Chapter 2: Tim
  7. Chapter 3: Kerry
  8. Chapter 4: Tim
  9. Chapter 5: Kerry
  10. Chapter 6: Joel
  11. Chapter 7: Kerry
  12. Chapter 8: Joel
  13. Chapter 9: Kerry
  14. Chapter 10: Tim
  15. Chapter 11: Joel
  16. Chapter 12: Kerry
  17. Chapter 13: Joel
  18. Chapter 14: Kerry
  19. Chapter 15: Joel
  20. Chapter 16: Kerry
  21. Chapter 17: Kerry
  22. Chapter 18: Tim
  23. Chapter 19: Joel
  24. A Guide to the Chain of Survival: Part 2
  25. Chapter 20: Kerry
  26. Chapter 21: Tim
  27. Chapter 22: Kerry
  28. Chapter 23: Joel
  29. Chapter 24: Tim
  30. Chapter 25: Kerry
  31. Chapter 26: Joel
  32. Chapter 27: Tim
  33. Chapter 28: Joel
  34. Chapter 29: Kerry
  35. Chapter 30: Joel
  36. Chapter 31: Kerry
  37. Chapter 32: Joel
  38. Chapter 33: Tim
  39. Chapter 34: Kerry
  40. Chapter 35: Tim
  41. Chapter 36: Joel
  42. Chapter 37: Kerry
  43. A Guide to the Chain of Survival: Part 3
  44. Chapter 38: Joel
  45. Chapter 39: Tim
  46. Chapter 40: Kerry
  47. Chapter 41: Joel
  48. Chapter 42: Tim
  49. Chapter 43: Joel
  50. Chapter 44: Kerry
  51. Chapter 45: Tim
  52. Chapter 46: Kerry
  53. Chapter 47: Tim
  54. Chapter 48: Joel
  55. Chapter 49: Kerry
  56. Chapter 50: Joel
  57. Chapter 51: Kerry
  58. Chapter 52: Joel
  59. A Guide to the Chain of Survival: Part 4
  60. Chapter 53: Kerry
  61. Chapter 54: Joel
  62. Chapter 55: Tim
  63. Chapter 56: Kerry
  64. Chapter 57: Joel
  65. Chapter 58: Kerry
  66. Chapter 59: Joel
  67. Chapter 60: Kerry
  68. Chapter 61: Joel
  69. Chapter 62: Kerry
  70. Chapter 63: Joel
  71. Chapter 64: Kerry
  72. Chapter 65: Joel
  73. Chapter 66: Kerry
  74. Chapter 67: Joel
  75. Chapter 68: Kerry
  76. Chapter 69: Joel
  77. Author’s Note
  78. Acknowledgements and Further Reading
  79. Praise
  80. How to Save a Life

‘Listen to me, Jane, an ambulance is coming but I need you to help your father by giving him chest compressions. He’s on the floor already, right? He needs to be on his back, on a flat surface.’

The instructions appear on my computer screen, though I know them by heart. On the map next to them, a little moving dot shows the progress of the ambulance the dispatcher has sent. Six minutes away.

Jane is panting. ‘He’s on his side. I can’t . . . he’s a big man.’

‘Is there anyone there to help you?’

‘No. Oh shit, Dad . . .’

‘All right, get him flat on his back as quickly as you can.’

‘But what if he hits his head?’

This part is hard: how do you tell the caller that the person they love is beyond pain, as far as we know?

‘Please do as I say.’

She groans, her mouth right by the receiver; I picture her, the phone tucked into the crook of her neck. I hear a slap as the patient falls. ‘Is he in the right position now, Jane?’

‘Yeah, I think so. But why isn’t he breathing?’

‘You need to help him. Kneel down next to him and move his clothes out of the way so you can see his chest properly.’

A flashback: the sight of Joel’s perfect torso as I pulled up his T-shirt to do what I am asking Jane to. I replace the image with one of this older man, with more fragile ribs and looser skin, but so much life still ahead.

My current patient’s collapse was witnessed. Like Joel, but unlike many others, he does have a chance.

‘Now place your palm right in the centre of his chest, below the nipples. OK so far?’

‘I think so.’

On the radio someone says: The rows over parking are splitting us down the middle. Neighbour against neighbour.

‘Now place the other hand over the first one and begin to push down, hard, by at least two inches, at the pace I’m going to give you: one and two and three and four. Keep your arms straight, one and two and three and four . . . Are you doing that now, Jane?’

‘It’s going to hurt him. Dad, wake up!’

I’ve lost count of the number of times I’ve read this script in the past eleven months with the service. It hasn’t worked once. The crews have never been able to restore spontaneous circulation. My first death almost broke me, because saving Joel had convinced me I was invincible.

But I got over it. You just do.

A colleague stands close by, both of us staring at the screen, willing the crew to get there faster.

‘My arms are getting tired . . .’

‘I know, Jane. Help is nearly there but don’t stop. Keep that rhythm going, hard pushes.’