Showing posts with label death. Show all posts
Showing posts with label death. Show all posts

Thursday, January 26, 2017

You Can't Save Them All

We've all seen the movies where somebody is dragged from the sea, or found collapsed, and our hero gets straight down and starts doing CPR. Shortly afterwards the poor suffering victim will splutter back to life and thank their new found hero.

I've had some success when it comes to CPR and lives have been saved. But it is not how the movies or television depict it.

Effective compressions on a person's chest are likely to break the ribs. One is required to compress about a third of the way into the person's torso. Imagine feeling the ribs crack beneath your hands as you push down. Then with each compression you can feel the broken bones inside the chest cavity.

I have been reliably informed by a doctor that CPR does not actually bring anybody back to life, it merely keeps the body alive. Compressions keep the blood moving around the body and therefore supplying it with oxygen, and rescue breaths into the victim's mouth keeps oxygen in the blood.

So you never actually bring someone back to life with CPR, you merely keep them alive.

It's not a glamorous task either. I would like to flatter myself by telling you stories of a poor, dying damsel in distress, images of me ripping my shirt open to reveal a six pack glistening in the sun while I run towards her in slow motion, before kneeling to bring her back to life with a few sensual compressions and a lingering kiss/rescue breath.

You'll be glad to know that the story I shall share is much more realistic, and a lot more gory.

A homeless man had jumped from a hostel window, falling from the second floor to the street below. As he had jumped his head had moved backwards and he descended as if lying flat on his back in bed. He landed this way and did not move. His head was flat on the pavement.

A fall from the second floor is most survivable. It is generally accepted that a fall from the 4th floor or higher will ultimately guarantee death. However, if you hit your head you could die from falling from a standing position.

Anyway, I was the first to reach this man. His facial expression told me he was dead. But there were onlookers. As I knelt beside him I started to see a grayish, clear liquid seep from the back of his head. I began chest compressions. Police officers are told that even if they know a person is dead, try CPR, their family may be looking on and just need to see someone trying to save their loved ones. Equally the public report feeling helpless and seeing somebody take action reassures them. Apparently.

That didn't matter though, I thought I had a good chance of saving this man.

CPR is a curious task. You become completely enveloped by the rhythm and strength of what you are doing. Making sure you do 30 compressions to 2 breaths (luckily I had a mask to help deliver the rescue breaths). I have always found that I become somewhat detached from my environment when conducting CPR. And that is how I found myself that day. It wasn't until I felt myself being dragged away by a paramedic concerned that I had completely lost the plot that I snapped back to reality.

The paramedic told me the male was gone. He turned the body slightly and I saw the man's brains dripping from the back of his head, which had taken the full force of the impact with the pavement.

I was covered in juices and blood. But, you can't save them all.

Anonymous Bobby

Monday, January 23, 2017

A Professional Relationship with Death

Being a police officer for so long, on the front line of crime in the UK, has caused me to develop a strong relationship with death. I almost consider death a colleague with whom I work hand in hand.

I've spent more time than I care to think about around death. I have seen many dead bodies. Normally lying in the same position as when they took their final breath. I have broken the news to the loved ones of people who have passed too many times. The task of delivering such news is called a 'death message' and despite the various horrendous tasks police officers undertake, this is often considered the least desirable. It is certainly my least favourite item to deal with.

I've seen people die. I've heard the infamous 'death rattle'.

After a while I became familiar with death and the circumstances that surround it. I suppose it is a defence mechanism that I now consider death a colleague.

The most apparent and immediate consequence of death's presence is the smell. To describe it as a smell is actually misleading. However 'smell' is the closest and easiest description for the atmosphere in a place where death has been at work. In actual fact you do not even need to breath to be completely enveloped by the aroma and stale air that follows death. For those uninitiated in the ways of death, the best description of this 'smell' is to compare it to the smell of cannabis. Once a person is familiar with the smell of cannabis they recognise it easily, and do not tend to mistake it with anything else. It is such a distinctive smell, completley unique, that once a person knows the smell, they always recognise it. The same is to be said about the smell of death. The smell can linger in your throat or on your clothes for days like no other smell I have ever encountered.

Long ago a colleague and I forced our way into a flat where a man had not been seen for weeks. Before the door was open we knew he was dead inside, and had been so for a while. We could smell death. Sure enough, the man lay on his bed and the smell was absolutely horrendous. He was a white man but his skin had turned completely black. He had been there for weeks. I looked down to his stomach, which appeared to be moving. It was. A mass of maggots had turned his stomach into a living, moving lump of decaying flesh. My colleague pushed me into the room and held the door shut so I couldn't escape. Dark humour such as that is difficult to understand but a way that police officers deal with such horror.

There is another case where a woman was found sat in her armchair. Her television was on. She had obviously been there for months and had largely melted away into her carpet. On her lap was a TV guide which had rotted along with her. It was late December. The TV guide was just about eligible and open to the previous Christmas Eve, over a year ago.

More often we find the elderly relatively 'fresh' in their homes. Once there was an elderly chap who had died in the night at home. His flat was adorned with anniversary cards between himself and his wife. Pictures of his wife were everywhere and it was obvious that he missed her dearly. She had died a few years before. Before the undertakers took the man away I removed a coin from his wallet with an inscription on the back from his wife (he had obviously carried it around with him for most of his life). I placed it in his pocket to accompany him on his final journey. (Please note that we are required to search people's homes and wallets etc for high value items and large quantities of cash so that they are not left unattended and vulnerable, I was not leafing through his wallet out of curiosity!).

People tend to be curious about death. I have seen enough to satisfy any curiosity that I may have had. The curse is that when those close to you die, you know exactly what they looked like as they lay waiting to be found.

Anonymous Bobby