AKRON,
Ohio — She normally prays silently.
Deanna
"Dee" Norflee prayed aloud the day she saved Bart
Skinner’s life.
"Please,
Lord Jesus," she said between sobs as she hooked an
automatic external defibrillator, or AED, unit to Skinner, who
was in cardiac arrest. "Right now, if you give me the
strength to do your will …"
Norflee,
a recreation director at Summit Lake Community Center in
Akron, Ohio, had just watched the 55-year-old Skinner take
what could be his last breath. Only seconds earlier he was
sprinting up and down the basketball court.
"Press
the button," the AED unit told her.
Norflee
did as instructed and felt like she was being shocked as she
watched Skinner’s body jerk. He began to make a gurgling
noise that meant he was breathing again.
Skinner,
who was revived by paramedics a second time on the way to an
area hospital but is now doing well, credits Norflee’s quick
actions with saving his life. His basketball teammates honored
Norflee with a plaque and fruit basket, and she will be
recognized Thursday by Akron as the city’s Employee of the
Month for January.
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The
incident, which occurred Nov. 29, is one of three in the past
six months in which someone used an AED in a city-owned
building.
An Akron
fire captain used an AED on Tony Gorant, a retired Ohio Edison
and Akron General Medical Center executive, during an Akron
Planning Commission meeting July 8. Though Gorant was revived,
he died a few weeks later.
Akron
employees tried to use an AED on a city employee who was found
Jan. 3 lying on the floor of the men’s locker room in the
CitiCenter Athletic Club. The unit didn’t deliver a shock
because the man didn’t have a shockable rhythm. It was too
late for him to be revived.
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"An
AED is one of those things — a tool — that, under the
right circumstances, with the right timing, can provide you
with positive results," Akron Fire Capt. Dale Evans said.
"Sometimes that’s not the case."
Evans
said Skinner was in good physical shape, his problem was
recognized early, Norflee and others at the community center
quickly provided him with help and he survived.
Norflee
remembers sitting in the community center office, feeling
sorry for herself before she had to spring into action to help
Skinner.
"I
was sitting there complaining," recalls Norflee, 32, who
is also a substitute special education teacher for Akron
Public Schools and an assistant boy’s varsity basketball
coach at Buchtel High School. "There was so much going
on."
"Do
you see that?" her co-worker suddenly asked.
Norflee
looked into the gym from her office and saw Skinner slouched
over. She dialed 911 and told them to hurry; they had a
possible heart attack.
In the
gymnasium, basketball players, spectators and attendees from
the Narcotics Anonymous meeting in the adjoining room buzzed
around, with everyone wanting to help.
One
person said they needed to elevate Skinner’s legs. Someone
said to grab a chair. Norflee told them they needed to lay
Skinner flat.
A nurse
who is the wife of one of the players started CPR. Norflee’s
co-worker grabbed the AED and, together, they ripped open
Skinner’s shirt. Norflee paused for a moment, perplexed
because the AED wasn’t identical to the one she had been
trained on. She then noticed an illustration inside that
showed her what to do.
Skinner
let out a noise, expelling his breath, and Norflee knew he was
gone.
The AED,
which had been reading Skinner’s rhythm, told her to push
the button. Norflee told a man touching Skinner’s shoulder
to back off and then pushed the button. It delivered an
immediate shock that made Skinner jump.
"It
felt like I was shocked," Norflee said. "You go
through the class, but it’s nothing like the real
deal."
Skinner
made a gurgling sound that told Norflee he was breathing. He
didn’t immediately come to, though, and his eyes rolled into
the back of his head.
"Why
isn’t it going off again?" someone asked.
When the
paramedics rushed in, Norflee told them, "He was gone for
about three. Then pressed. One shock," an accounting she
later realized didn’t quite make sense, but was enough to
get the point across.
Norflee
worried about Skinner until a firefighter who made a run to
the community center about 45 minutes later because of a blown
fuse told her he was in Akron General Medical Center’s
emergency room, singing.
"Tears
of joy came so fast," she said. "It was a
relief."
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Skinner
doesn’t remember singing in the emergency room.
In fact,
he doesn’t remember much until he woke up in the ER with a
sore chest and his sister, Celeste Hicks, at his side.
"I’m
scared," he told her.
She
squeezed his hand and he felt better.
Doctors
told Skinner he suffered a heart attack brought on by
dehydration and a partially blocked artery. In the days that
followed, they pumped him full of fluids, used a cardiac
catheter on him and put in shunts and a pacemaker.
When
Skinner celebrated his birthday Dec. 7, his friends told him
he was 1 again. "You were gone and had a new
birthday," they said.
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The
experience has given both Skinner and Norflee a new outlook.
"My
faith in the Lord is strong but not as strong as it should
be," Norflee said. "Complaining. Going on. How dare
I complain!
"He
showed me something through you," Norflee said to
Skinner, getting teary as they sat side-by-side at the
community center where she saved him. "For me to embrace
what I have, instead of wondering why things don’t go the
way I want them to go."
Skinner
is thankful he had his heart attack in a place that had an AED
and where someone was trained to use it. He has been trained
to use the device because he volunteers at House of the Lord,
his church, which has a fitness center. He now thinks AEDs
need to be available in more places.
"I
think they should be everywhere," he said.
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Skinner
isn’t alone in that opinion.
Terry
Gordon, a retired Akron General doctor, has been leading a
campaign for many years to make AEDs more readily available.
He was
successful in getting AEDs added in all middle and high
schools in Summit County, then in schools across the state,
and in having them put in law enforcement vehicles in Summit
County. He has yet to achieve his goal of helping provide them
for every school across the country.
U.S.
Rep. Betty Sutton, D-Copley Township, has introduced
legislation three times that would provide federal funding for
this addition. The legislation, which Sutton is shepherding in
honor of Josh Miller, a Barberton High School football player
who died of cardiac arrest during a football game in 2000,
made it through the House twice, only to be rejected in the
Senate because of the expense.
"The
travesty is: If you walk through the halls of Congress, there
are AEDs everywhere — four or five on each floor,"
Gordon said. "Our senators are protected, but not our
children."
Gordon
said at least 192 children have died in schools since Sutton’s
bill first made it through the House in 2008 — a number that
he says could be higher because it’s an estimate compiled by
a Parent Heart Watch.
Beyond
schools, Gordon thinks AEDs should be in all high-rise
buildings, golf courses, churches and shopping malls. He said
they should be treated on par with smoke detectors and fire
extinguishers.
Local
governments aren’t required to have AEDs in their buildings,
but many have them and are providing training to employees in
how to use them. Cuyahoga Falls, Stow, Green, Lake Township,
New Franklin and Jackson Township have AEDs in municipal
buildings, golf courses, pools, police stations and cruisers.
"They’re
very simple to use and anyone who is trained how to use one
can save a life," Cuyahoga Falls Fire Lt. Steve Lyons
said.
Because
of Akron’s three incidents in such a short time period, the
city plans to re-examine its distribution of AEDs to determine
if more are needed and if enough are available in the
buildings in which they’re already located. Akron currently
has 34 AEDs in community centers, fitness centers, pools and
other buildings where employees work and citizens frequent,
including City Hall, CitiCenter and the police department.
"It’s
a good time for us to evaluate the program," Evans said.
"We have little doubt of its value."
(Beacon
Journal reporters Kathy Antoniotti and Paula Schleis and
correspondent Gina Mace contributed to this report.)
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———
ABOUT
AEDS
AED
stands for automatic external defibrillator. It restores
spontaneous respiration and a pulse.
How easy
is it to use? Often, they work with the push of a button that
triggers step-by-step voice prompts. The steps are normally to
place patches on the person’s chest, turn on the unit, stand
back and push a button to administer a shock.
How
effective are they? Terry Gordon, a retired Akron General
Medical Center doctor who has pushed for more AEDs to be
available, offered these statistics:
—
Every minute a person is in cardiac arrest decreases the
chance of survival by 70 percent.
— When
you call 911, the average response time is eight to 12
minutes.
— If
you call 911 and do nothing else, the chance of survival is 3
to 5 percent.
— If
you call 911 and do CPR, the chance of survival increases to 6
to 9 percent.
— If
you call 911, do CPR and use an AED, the chance of survival
jumps to 50 percent or more.
— How
much do they cost? $1,000 to $2,000.
— Is
training available? Many local fire departments and the
American Red Cross offer combined AED and CPR classes.
Sources:
Akron, Ohio, Fire Department and Dr. Terry Gordon.