Sister, Mother, Lifesaver
Amelia Naylor was a very active and healthy 10 year old with an Olympian’s attitude towards sport.
She was a member of the Charnwood Triathlon Club, completed a 5k Beacon Hill training run and was a keen and energetic cyclist.
It shouldn’t have been a stretch for her to complete a 2k cross country run at school - but what should have been an easy race soon became a race for survival when Amelia suffered an out of hospital cardiac arrest.
Amelia paused during the run to help a struggling friend and then worked hard to catch up to the pack - eventually finishing third in the race. She began to feel unwell and laid down, complaining she felt sick and couldn't get her breath. It seemed like typical post-race complaints, but then her condition worsened. She vomited, became cyanosed and stopped breathing.
Jo Naylor had just watched her daughter complete the race on a day off from her job as a Sister on the Neonatal Unit at Leicester Royal Infirmary. Jo also instructs on Newborn Life Support and Advanced Resuscitation of the Newborn Infant courses - making her familiar with resuscitation in the very young. As a mother, she was also familiar with her daughter’s often dramatic responses to finishing a race - but when Amelia stopped breathing, Jo’s years of cardiopulmonary resuscitation (CPR) training and experience took over.
Jo set off the chain of survival to give her daughter her best chance of resuscitation. She established Amelia had no signs of life, requested an ambulance and then started CPR on her 10 year old daughter.
Amelia began to gasp, but soon stopped breathing again. Jo asked a bystander to run to the nearby village hall to grab the local automated external defibrillator (AED) - and continued to administer CPR to her daughter. She performed CPR alone for 10 minutes until Amelia’s head teacher was able to step in and continue CPR for a further 10 minutes until the defibrillator and the ambulance crew arrived. Then - a breakthrough. The paramedics attached the defibrillator, which showed ventricular fibrillation (VF), and used the defibrillator to shock the young girl - and with one shock, Amelia went back into sinus rhythm.
Amelia was back - but she still wasn’t out of the woods just yet. A mis-sized guedal airway lodged in her trachea, and back blowshad to be administered to recover it. Another paramedic arrived, as did the West Midlands Hele Med Team - and soon Jo’s organisational side as a Sister came into play. She suspected the issue was cardiac and called ahead to her workplace (Leicester Royal Infirmary).
They were greeted at the hospital by Dr Amy Atkinson - a former student of Jo’s in her ARNI course - and Jo felt relieved to see a familiar face and have the security of knowing her daughter was in good hands. Amelia received excellent care at Leicester Royal, and Jo is forever grateful for the care they took of her daughter.
“As tough as this was,” she says, “we are truly lucky that such a great team did such a great job.”
Amelia spent two days cooled, sedated and ventilated in the Children's Intensive Care Unit and then went to Glenfield Hospital where they found an anomalous left coronary artery.
Today, Amelia truly is a one-in-a-million survivor. After a month in hospital and a successful surgery which uncovered a defect usually identified in autopsies, Amelia is alive and recovering well. She is currently waiting to find out if she will have an ICD inserted - and in the meantime, her family carry an AED with them as a precaution. Although she spent 25 minutes not breathing, she is completely neurologically intact.
It could have been so different for Amelia, but her life was saved by the fact that those around her knew what to do in an emergency - and Jo knows that without that education, her daughter would not be alive today.
“I really can’t imagine what the outcome might have been, had I not been there that day.”
“Although I am an ARNI and NLS instructor, I was a little rusty on child resuscitation. Luckily my wonderful running club had recently run an AED training with Dr Doug Skehan’s team, so although I didn’t have to use the AED myself (it arrived in the field as the ambulance crew did) I felt confident to do it.” Dr Skehan not only ran AED training sessions, but also is a founder of Heartwize and Heartwize Runners - so he was perfectly placed to provide education on what to do in an emergency.
Not everyone in Amelia’s situation is so fortunate. There are around 60,000 out-of-hospital cardiac arrests in the UK per year. (1) When someone has a cardiac arrest, every minute without CPR and defibrillation reduces their chances of survival by 7-10% (2) The chance of survival from out-of-hospital cardiac arrest can be increased two-to-threefold by the immediate provision of bystander CPR. (3) AEDs are known to drastically boost survival rates of out-of-hospital cardiac arrests. Defibrillation within 3–5 min can produce survival rates as high as 50%–70%. (4)
Now Jo is keen to ensure more people across the UK know what to do if someone around them has an out of hospital cardiac arrest. Since Amelia’s arrest, she counts 80 new trained potential lifesavers around her - one of whom has already saved a life in an out of hospital cardiac arrest situation. She is spreading the word about free game-in-a-film digital training App Lifesaver and, this year, Jo and Amelia will be working together to raise awareness for CPR training and education as part of the 2018 Restart a Heart Campaign - and they are asking everyone they meet an important question.
Could the people around you save your life or the life of someone else in an emergency?
If the answer is no, it’s time to learn what to do to save a life. As this relieved and grateful mother now knows, you just never know when the unthinkable could happen - and it’s essential that you are ready if it does.
(1) Resuscitation to Recovery, https://www.resus.org.uk/publications/resuscitation-to-recovery/
(2) Holmberg M, Holmberg S, Herlitz J. Incidence, duration and survival of ventricular fibrillation in out-of-hospital cardiac arrest patients in Sweden. Resuscitation 2000; 44:7-17.
Larsen MP, Eisenberg MS, Cummins RO et al. Predicting survival from out-of-hospital cardiac arrest: a graphic model. Ann Emerg Med 1993; 22:1652-8.
(3) Ambulance Service Association. National Out-of-Hospital Cardiac Arrest Project 2006.
(4) ↵ Valenzuela TD, 2. Roe DJ, 3. Nichol G, et al : Outcomes of Rapid Defibrillation by Security Officers after Cardiac Arrest in Casinos. N Engl J Med 2000;343:1206–9. doi:10.1056/NEJM200010263431701 CrossRefPubMedWeb of ScienceGoogle Scholar