It happens every day: to the hostess at a restaurant, to the referee at a basketball game, to the grandfather raking leaves down the block. A heart stops beating without warning, and the victim collapses.
So what do bystanders do after they've called 911?
Too often, nothing. "When we're talking about sudden cardiac arrest, we're talking in minutes," said Lakeville Police Chief Tom Vonhof. Even so, he said, police officers and firefighters are often the first to give CPR or use a defibrillator on a patient.
To make sure those precious minutes are never wasted, city and school leaders have an ambitious goal: By Valentine's Day 2011, they want to train one quarter of Lakeville's population in basic CPR. That's 14,000 people.
Lakeville's effort, dubbed "Heart Restart," will start with a few experienced trainers working with small groups, said organizer Kathy Lewis, a school board member and intensive care nurse. Those people will reach out to churches, block party leaders, Boy Scout troops -- anyone who will listen. Then those people will take what they've learned home to friends and neighbors.
The campaign started in the fall after Lewis heard a talk by Keith Lurie, a University of Minnesota heart specialist who co-founded Take Heart America, an initiative that aims to prepare communities to save lives threatened by sudden cardiac arrest, which kills more than 250,000 Americans a year. For people who fall victim outside of a hospital, it's fatal about 95 percent of the time, according to Take Heart.
But Lurie says communities can improve those grim statistics if they battle back together, getting a lot of people involved and using high-quality training and equipment. In St. Cloud and Anoka, the survival rate of sudden cardiac arrest was 9 percent in 2005, the year before Take Heart started pilot programs in those two communities. In a two-year period after the pilots started, it rose to 17 percent, with 47 of 277 patients surviving.
Take Heart aims to improve treatment in four phases that correspond to a patient's caretakers: bystanders, first responders such as police, ambulance crews and hospital workers.