- [Tane] Hi everybody.
Hi.
So excited to be here.
My name's Tane Danger.
I am the host and co-creator of this thing called
The Theater of Public Policy.
This whole event, it's a lunch and learn,
and so this is part of the,
this is the learning part of the event.
You're already doing a lunch.
You're doing a very good job.
Now's the learning part.
Theater of Public Policy.
I always like to just start like this
to get everybody on the same page.
If you have never seen
the Theater of Public Policy before, please applaud.
(audience applause)
That's good, that's good.
That is the most applause that we get in a show.
So what do we do?
We are gonna talk to some very smart people up on stage,
and then we have this team of amazing improvisors
who's listening to all of it
and they are going to bring all of the wisdom
and smarts, ideas and things that we have talked about
to this amazing panel, to life, on stage.
Now, I am extremely excited about this panel
because I think that probably, I assume most folks
if you're here, understand that heart disease
and things the that we're talking about are a big problem.
But, I did not realize how big a problem
and how severe it was until we started planning
and getting ready for this event.
For example, I did not know that heart disease
is the number one killer of women,
more so than any form of cancer.
And so, part of our job here today
and with this organization
is to try and change some of that.
In order to do that, we need to be smarter about it,
we need to know more about it.
Luckily, we have an amazing panel
that is gonna help us do that.
I have four folks that we are gonna introduce.
Four amazing women who are gonna join me on stage.
You should and probably can applaud for each of them
but I'm gonna keep going through because we have
a limited amount of time.
So with that, first up,
Jan Althoff is the communication supervisor.
An emergency medical dispatcher for North Memorial
Health Ambulance since 2014.
She has been working steadily on efforts
to decrease the time to first compressions
for victims of cardiac arrest.
Everybody, Jan Althoff!
Yay!
(audience applause)
Alright.
Next.
I know, they all deserve much slower and more generous
introductions but they only gave me eight minutes.
Alicia Bravo is a cardiac arrest survivor
and an emergency department registered nurse
at Hennepin Healthcare.
Big round of applause.
Alicia Bravo.
Kim Harkins is program manager
at the Center of Resuscitation Medicine
at the University of Minnesota.
Big round of applause for Kim.
Last and certainly not least,
Dr. Johanna Moore has been practicing emergency medicine
at Hennepin healthcare in Minneapolis since 2012.
She also serves as the laboratory research director,
and works with Hennepin County EMS
in management of cardiac arrest patients.
Please, a big round of applause.
Dr. Johanna Moore.
(audience applause)
All four of our amazing panelists!
Okay, alright.
Like I said we actually have now like seven minutes
that we have to get through this,
but it's okay 'cause we talked a little bit before
this and I just wanted to start with sort of,
we're talking about CPR and the importance of that.
It's sort of thing that you hear,
like, "oh CPR is important.
I see people do it on very important television programs,
and so therefor it must be important."
But can we put like an actual figure or number
on how important it is to do CPR?
What's the difference between if we do it,
or we don't do it when someone
is actually suffering cardiac arrest?
- Sudden cardiac arrest is literally a disease state
that has a 90% vitality in America.
Which is amazing because on TV it doesn't look that way.
- [Tane] No, everybody (laughs)
gets back up pretty much.
- Yeah, that's right.
- I watched some Grays Anatomy.
Like they mostly are fine.
- Yeah and so research shows seconds,
literally every 30 seconds your odds of survival
decreases if you go without CPR.
We have great first responders, EMS services and physicians
but you know, we can't be at the patients bed side
within 30 seconds to a minute of their cardiac arrest.
- Right and we heard that a little bit
in Ali's introduction that the mortality rate goes up
pretty dramatically every 30 seconds
that something isn't done.
And so then the question is,
if we know that, if we know that every 30 seconds
really makes a big difference if somebody's getting CPR
or not, why aren't we all just doing it?
What are the things that sort of scare us
or stop us from doing it?
- I think a lot of people are afraid to do CPR.
They're afraid that they don't remember the steps
or that they might do something wrong,
and those types of hesitations make people pause
and not start CPR right away.
- [Tane] I mean, I'll be..
CPR is right scary to I think most people.
Even someone who's probably been trained in it,
it's A, anytime you're dealing with life and death,
but then I was in the wonderful expo out here
and there was one of the..
Someone who was actually a survivor and had
CPR to save his life and he's like,
"oh yeah, well they were doing CPR on me,
they cracked one of my ribs."
And I'm like, "I don't want to crack somebody's rib.
That's terrifying."
But, if you don't do that..
- They have no chance for survival if nothing's done.
As Johanna said, the time that passes is so important,
and so that early CPR is critical.
Broken ribs can be repaired.
They're something that we can fix.
But you have to make sure
that they get there alive to fix them.
So, starting CPR and some of the minor things
that can happen are all repairable.
- I mean Alicia, can I ask you to maybe share your story?
Because I mean you are literally living, breathing evidence
of the fact that this really matters.
- Yes.
Again, my name is Alicia.
I am 20, or sorry, not 20, I wish I was 20.
(laughs)
I am 39 years old and when I was 37 on Janua..
Or Jul..
My gosh why am I so nervous?
I talk about this - [Tane] I don't know
all the time. - You're 20 it's okay
Okay let's start over. - It's your first
time doing this.
- On July 1st 2017, that's where I was getting the 20 from.
I had swimming training for a triathlon
at my parents home in Wisconsin.
I was gonna swim across the lake and run home
and I asked my Dad to trail me in a boat.
He and along with my Sister, my Brother-in-Law,
my three nieces and my youngest son
were all trailing me in the boat.
I was swimming for about five minutes
and I stopped and looked at my Dad
and I mouthed the words help.
He threw a flotation device at me
and I just wasn't responding in the water.
My Sister jumped in the water and swam to me,
and I whispered the word breathe two times to her
before going lifeless in the water.
She swam my body back to the boat and my Dad lifted me
out of the boat and knew I didn't have a pulse
and I wasn't breathing,
and he immediately started CPR.
I had chest compressions
and the LUCAS machine on me,
which was out in the demonstration area,
for 20 minutes I had CPR.
Before I was defibrillated
out of ventricular defibrillation.
I'm an ER nurse, I've performed CPR countless times
and I never once thought it would happen to me.
I have never been such a bigger advocate
for inspiring everyone to learn CPR and you can save a life.
I am living proof.
- [Tane] I mean that is a very powerful story.
That is amazing.
Thank you for that.
(audience applause)
One of the other, I wanted to touch on one of the other
challenges or hurdles 'cause CPR we've established,
generally kind of scary but then there's also,
we have research in studies that show
women are less likely to get CPR than men
if they are going into cardiac arrest,
and I'm wondering if anyone can sort of jump.
Why?
Do we have some theories as to why that happens?
Then maybe how we can start to think about closing that gap.
- Well I think it's generally scarier on a woman
just because you have to potentially remove clothing,
and those are some of the hurdles that people will hesitate.
I think the other thing is that often when we look at
who is getting trained in CPR,
we see a lot of women attending CPR classes
primarily because they're caring for the children
or it may be something in their job
that they need to get training and so with a large portion
of cardiac arrests happening in a private home,
often the person who's trained in CPR,
if it's the woman when she collapses,
nobody else knows what to do.
- [Tane] Can we..
I'm just gonna call this out and underscore this,
because you're being very nice and polite about it
saying like, "oh women are more likely
to go and get the CPR training."
Another way of putting that is like,
men are crappin' out here
and not doing, (laughs)
not pulling their weight.
They aren't going and getting the CPR training,
they're just leaving it to the women to do it,
which is lame to say the least.
Yeah.
That seems like part of it
is to try and close some of that gap
that if you are a man who's in the audience,
you should be going and getting CPR.
If you know a man,
you should tell that person to go get CPR.
If you don't know any men, wow.
(laughs)
- But it can also be your children,
your other family members.
I mean children obviously know,
can learn CPR and have performed it and saved many lives.
- This is actually, we heard just a bit about this
but you helped, am I correct?
You helped work on this bill that made it so
all high schoolers in Minnesota now learn CPR.
Is that correct?
- Yes, there is mandate that requires CPR training
for all students at least one time
between grade seven and 12
in Minnesota high schools, which is really training
a whole generation of life savers
that will impact some of those statistics.
- [Tane] That is very cool.
That is a very powerful thing.
(audience applause)
At some point everyone's gonna get it.
Yet, you learn it in high school
and I imagine a lot of us,
probably maybe took CPR class once,
maybe we thought about it once and then I don't know,
we just let it go, we dropped it.
We didn't pick it back up or we learned it in a different
way than it used to be.
So I'm wondering, and I'll come down to the end.
If we're in that space where we're like.
"oh I remember I'm supposed to do something,
I'm supposed to step on the chest
and I'm supposed to slap the person, I don't know.
What am I supposed to do?"
- The good news is if you do dial 9-1-1 the dispatchers
will take you through every step of the way
including providing emotional support, coaching you.
So, if you don't have your CPR training,
emergency medical dispatchers will take you through
chest compressions until first responders get there.
So no fear that you're doing it the wrong way.
- This is a really important piece
that as a program were talking about today,
you are trained in talking folks through CPR
as a dispatcher, and a lot of dispatcher are,
but not all of them because it's not mandated.
- Right, right.
We are working in Minnesota towards legislations
to have all public safety answering portance,
all 9-1-1 centers have a protocol in place
to be able to provide CPR.
So, that is in the works right now
and it's exciting times to do that.
- We are specifically asking folks here in this room,
and there is in the resource center behind us,
the expo that's there,
a way to contact your legislators and say
"this is something we want.
We think that every 9-1-1 dispatcher,
every EMS dispatcher,
should know how to talk people through this.
- Right.
So we're looking at different ways
where can make that happen.
Whether it's those center themselves becoming
certified to do it or transfer into a center
who is already providing medical dispatch.
- I wanted to come back over here.
Again, we've established this is really important.
It really does, it can double or even triple
the chance of survival for someone
if you are doing CPR.
We've established some of the reasons
why it's sort of scary.
I guess as sort of a closing piece,
I just ask each of you,
we're talking about legislation,
we're talking about people should do this,
but how do we actually start?
Hopefully folks here are feeling very motivated.
They're thinking yeah, I get it, this is important.
What do we do?
What do you do from here?
- I think if you don't know how to do CPR on somebody
you should learn and if you do know,
then you need to spread the word.
Then the most important thing as an emergency physician
I see this time and time again,
when a crisis happens, people are stuck in the moment.
They're scared, they're not realizing what's happening,
and you have to not be afraid.
You have to just do it.
If someone's not breathing and they're not responsive,
just start CPR.
You're not gonna hurt them.
- What if you start doing it and then it turns
out that they were just like hangin' out?
- Yeah, they'll wake up.
(laughs)
- I work down the street in the emergency department
and we have a lot of types of patients who come in,
and people are out laying on the sidewalk intoxicated
or sleeping or whatever they're doing.
Often they'll wake up and say stop doing that.
Perfect.
You're not in cardiac arrest.
(audience laughs)
No harm done.
Sometimes those people are really sick
from another reason and when I'm seeing them
in the emergency department,
the issue of "I got CPR and my ribs broken
or my chest hurts" it doesn't come up.
I would not be afraid that you're gonna hurt somebody,
but the most important thing is if you do CPR on somebody,
and you save their life, wow.
The benefit is so much greater than the risk there.
- That's beautif..
So be brave, step one. - Yeah, be brave.
What else?
Again, folks here are paying attention,
they're motivated, they've got a lunch in their stomach,
they're like I want to do something.
What should we be asking them or pushing them to do?
- Well I think there's lots of opportunities to learn CPR.
If you don't have that opportunity
or you haven't come across the opportunity,
there's a lot of online resources
that have short videos on how to do CPR.
There's even some fun CPR videos
that The American Heart Association has of
that really just show those basic steps
and if you feel like you need a refresher,
or you're unsure, watch those videos
because honestly doing something
is always better than doing nothing.
- We're in a world now where we do hands free,
or hands free CPR.
(laughs) Yeah where you just throw your whole body at it.
No, hands only CPR.
Right?
- Right. - Yep.
Wait, can we just..
Why..
'Cause when I learned CPR originally,
I was a lifeguard and you had to do two breaths,
15 compressions, two breaths 15 compressions.
Now we're saying just do the hands part?
Is that a fair characterization?
- Right.
Studies have shown that increase survival rates
happen when you can do continuous compressions.
Our EMDs, our medical dispatchers are providing
continuous compressions for long periods of time
because that blood that's within the circulatory system
is circulating throughout the body
and it's increasing survival rate.
So starting early, continuous compressions
is really important.
- Maybe this is just a quick moment to pause
and say what is happening when we are doing that CPR?
'Cause if we're only doing the hands part,
what are we actually doing there?
How is actually helping someone?
- Cardiac arrest is a disease state
where literally your heart is not working.
It's not pumping, it's not providing blood pressure
or perfusion to the rest of your body.
The most important part
that it's not perfusing is your brain.
So when you're pumping on somebody's chest,
you're providing blood flow to the whole body,
including the brain.
You're functioning as that persons heart.
- [Tane] Okay, so we've got be brave.
We are going to learn CPR to be someones heart
and do we have two last?
What should folks do when they're done here today?
- I would like each of you to go home
and talk to your loved one.
Your Mom, your Dad, your Brother, your Sister,
your neighbor, the person behind you at Target,
anyone, and just say, "do you know CPR?"
If you don't, or if you don't yourself
or maybe you haven't done it since you took it high school,
you need to learn it and you need to be confident
and you need to spread the word and talk about it
because trust me, you want to surround yourself
with people that can save your life.
Chances are, if you had a cardiac arrest,
it will not be in the hospital.
So, you want people around you and you want
every single person you know
to be able to do this fairly easy skill.
- Lastly, I just want to add
often times we don't recognize
those symptoms of that precede cardiac arrest event,
so it's really important to make awareness.
Especially in women too,
that can present a little bit differently.
Upper back, jaw, neck, shoulder,
not only the chest discomfort.
So recognizing those symptoms
and dialing 9-1-1 early is really important.
- On that note on these four amazing women
who have shared both their own stories
and really valuable and important information,
please can we do a tremendous round of applause.
(audience applause)
Jan Althoff, Alicia Bravo, Kim Harkins, Dr. Johanna Moore,
thank you so much!
They have absolutely been wonderful.
We are gonna trade places here.
They are here.
So, what happens now?
I am gonna turn this stage over
to the cast of the Theater of Public Policy
who's been listening to that entire conversation
all about the importance of CPR
and some of the challenges and struggles with it.
Their job is to turn that all into entirely
unscripted improv comedy theater.
Everything they do is entirely made up,
on the spot, off the top of their heads.
Be generous.
Make a big round of applause
for The Theater of Public Policy.
(audience applause)
- Oh.
- Uh oh.
- Uh.
- Can I touch you?
- Ah.
I feel conflicted
'cause I'm a man.
- I know and (audience laughs)
I'm a little weird 'cause I'm gay
and I just feel like - Ah.
They didn't teach me this in football class.
Though they really should've.
- They really should have.
Maybe..
I know.
I learn it but here.
Whoa!
- That's 30 seconds!
- Oh! - Oh um..
- Wait, I feel conflicted.
You seem fine
but maybe I just
don't know the signs. - Okay time out!
Alright both of you fail!
We're gonna have to go to study hall.
- No! - Thank you Mrs. Thompson.
- You're welcome. - Excellent demonstration.
- [Female Performer] More training!
- [Man] I have football practice!
- I'm sorry.
I'm sorry, this is mandatory for all high schoolers.
You can't just let your teacher lay there on the floor.
- Ms. Smith I just feel really uncomfortable!
I was like, I don't know.
Do I take her shirt off? - [Man] I don't know.
She's my English teacher.
Should I tell her a sonnet?
- No!
- Maybe she thinks I'm makin' a move.
I'm not makin' a move! - You're not making a move!
No one's thinking that.
She's on the floor.
- Well what if..
- You had good instincts.
You kneeled down next to her.
- [Man] I squatted! - You!
No you didn't.
That is not helpful.
- Isn't it appropriate to ask for consent in this situation?
- I just feel like- - You know,
that is a great question.
- It's a big conversation.
- I think it's safe to assume.
You know what, not assume if someone's on the floor lifeless
they want your help.
- But what if I break her ribs with my man muscles?
- Oh Thomas I have to tell you
that you don't have your man muscles yet.
- What?
- 'Cause if you did you'd know to just take care
of someone who needs help!
- [Man] Oh. - Why don't you know that?
- Yeah.
- Linda.
- Yeah.
- Jennifer.
I've made a decision.
- Great.
Cool.
- If there's every a time where I need CPR,
- Yes.
- I would like Jennifer to do it.
- Oh, ah.
- Because I feel like, you know I thought about the time
you helped me run for student council
and you stood up on my side at my wedding,
even though you weren't a groomsman
and we've had some good times but,
if I want someone to save my life,
- Oh.
- I feel like you're- - I want it to be
my best friend.
- Yeah, you're breaking up with me aren't you?
- No no! - This is how
you want to tell me.
- Don't get me wrong.
I still want you to save my life if Jennifer's not around.
It's just if you're both there,
you can get the AED.
Huh?
That's still fun right?
- That's like silver to gold, right?
I'm supposed to be
happy with this. - And you can call 9-1-1.
You could talk to the dispatcher.
- Okay.
- I don't really feel like I'm winning a prize here.
- This is an honor.
- I mean Chad, I enjoy being your best friend
but you're puttin' a lot on me.
What if you go into the mens room and something happens?
I can't go in there.
- [Lady] I'll go in.
- I'll go in. - See?
- If you fall down in the mens room, I'm not afraid.
- I didn't think about that.
- Or what if you were at work?
I am not an accountant.
I work at the zoo.
- Oh no.
I've go to get some more best friends.
Everywhere I'm at.
- I don't have time for this, I don't have time for this.
I'm just gonna do it myself.
(audience laughs) I'm just gonna do it myself.
- [Man] It's okay.
- Nope you're stressin' me out Darryl and I just feel like
I'm havin' like the palpitations and the things
and Imma' die 'cause you didn't even take the class.
You don't listen to me, you don't respect
I'm just gonna'..
I don't think this is enough pressure.
(audience laughs)
I'm feelin' a little woozy and it's just like the men
(laughs) in this family
just expect me to do every..
Oh you think this is a joke?
- No no, the King of Queens is on.
It's a show that's been running forever.
- You know what.
- Usually I only see it at the gym.
- Okay.
- What?
You said you had it handled.
- No, well I had it handled because I feel like
maybe you're not stepping up,
and I've taken the initiative to take the CPR classes,
to maybe potentially save your life,
save the children's life, and obviously my own,
(whimpers)
and I feel hurt right now.
- See you're doin' it right now.
I'm so conflicted. (light piano tune)
Because I want to be there for you.
I remember our wedding vows.
'Til death do us part. - Do us part.
Yeah.
- I thought this was you sayin' like, peace.
(audience laughs)
But I understand that you want to be in this,
and I want to be in this too.
So why don't you help me?
What do I do?
- Put your hand on my heart.
Extend your arms.
Lock your elbows. - Woo!
- Geez be gentle!
(laughs)
It's like our honeymoon all over again.
(laughs)
- Acapulco!
- Put this hand over the other and just keep pushing.
♪ I'll keep pushing ♪
♪ Just keep pushing ♪
♪ Just keep pushing ♪
♪ Don't forget to lock your elbows ♪
♪ You're not doing it right ♪
♪ Okay lock my elbows ♪
♪ Lock my elbows ♪ ♪ Lock your elbows ♪
♪ Then how am I supposed to move to do the compression? ♪
♪ You use your body weight ♪
♪ Watch my chest ♪
♪ Body weight ♪
♪ Watch your chest ♪
♪ Give the blood to my brain ♪
♪ So that I make better decisions ♪
♪ When picking a partner ♪
(audience laughs)
- I still love you.
- [Woman] Extra!
Extra!
Read all about it!
Tops news!
Tops news of the day!
Everybody Tweet this out!
Instagram this out!
One piece of news!
CPR!
Three letters.
CPR, just tell everybody about it!
Everybody!
Tweet it out!
Tweet it!
Tweet it!
(chuckles)
- But there's no hashtag or any clear-
- We don't need it!
It's just three letters!
- How's it gonna go viral?
- It's, don't worry!
People will care.
- Is it a new music genre?
- Yeah!
- Like country for aggressive rap.
- No it's just taking care of each other!
- Oh.
- It's a skill you should know. I know it.
- [Man] Okay.
Hey, here's a dollar.
CPR!
- Nice! (laughs)
- Yeah?
- Here's a promotion!
CPR!
- CPR!
- Spread it around like a virus!
- Hey, you look great today!
CPR!
- Yes!
- Hey here's a hug!
- CPR! - CPR!
- That's right!
- Okay.
Okay I know what to do.
Hands free.
Hands free CPR.
- Okay.
- Okay get on the ground.
- Uh huh.
- Uh yeah.
- Okay hands free.
I can do two at once.
Uh no mouth to mouth, that's not necessary.
We just got to keep the heart pumpin'
and I think maybe Debbie,
if I just uh..
- [Man] Alright, no, no, no!
- What?
- You got this.
But be smart about this. - You got this.
- You got it.
- Also, time is ticking away
and the simulation will be over in 45 seconds.
- Okay um..
- Hey, hey!
Not the peoples elbow.
You are not Dwayne "The Rock" Johnson.
- Oh Kevin how do I do hands free CPR
if I can't do mouth to mouth?
- [Man] Follow your heart.
♪ Be my heart ♪
- I get it. ♪ With your hands ♪
- Put my hands on my heart and my heart to your heart.
♪ Be my heart ♪
Okay.
Hands free.
(laughs)
♪ Heart to heart ♪
(laughs)
♪ Heart to heart ♪
I don't think this is gonna work.
(laughs)
♪ Heart to heart ♪
I want to..
(laughs)
save..
♪ What about me? ♪
(Laughs)
♪ Heart to heart ♪
I still feel like this is not exactly
what the course was saying.
- [Woman] I think it means just like-
- I'm confused.
- You got to use your hands.
♪ Me too ♪
- You got to.
- I think if there's one thing to learn
from this entire course,
is that CPR while it is hard to learn,
it's very important to learn,
and sometimes it really is
the more you know.
(laughs)
♪ Be my heart ♪
(laughs)
- [Tane] A big round of applause for
The Theater of Public Policy, yeah!
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