Some wrote in about coughing may save your life in a heart attach.

I have worked as an Advanced Life Support Ambulance Officer in Australia for 22 
years, and have not been able to confirm this theory.

I have cut and pasted an article from a Large First Aid Training Authority here 
in Australia.
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We have received a number of enquiries from people who have been informed about 
"cough CPR" and "How to survive a heart attack when alone". Advice has been put 
on the Internet that someone who thinks he or she is suffering a heart attack 
should repeatedly cough and go at once to a hospital, by car if necessary. 
This advice is based (very loosely) on published case reports of people being 
able to maintain some sort of cardiac output during cardiac arrest by vigorous 
coughing - so-called "cough CPR". The scenario has usually been of a patient 
developing ventricular fibrillation whilst being monitored, often whilst 
undergoing cardiac catheterisation. The patient has been encouraged to cough 
and a measurable circulation has been recorded. This anecdotal evidence 
supports the theory that chest compressions during CPR are successful because 
they increase intrathoracic pressure and result in a flow of blood. The 
collapsed veins and patent arteries at the thoracic inlet result in this flow 
being in a forward direction. Coughing produces the same effect. 

We know of no evidence that, even if a lone patient knew that cardiac arrest 
had occurred, he or she would be able to maintain sufficient circulation to 
allow activity, let alone driving to the hospital



Regards

Peter Mckie
Managing Director
PARASOL EMT Pty Limited

Unit 17, Molonglo Mall
Fyshwick ACT 2609
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Phil Matheson
[email protected]
VH-PKR ( reserved)
61 3 58833588

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