Walter Snitzer is a 54-year-old chef from Goodhue, Minnesota. In January, Snitzer collapsed outside of a grocery store. He was in full cardiac arrest. Fortunately, two volunteer firefighters happened to be at a gas station nearby and they immediately began CPR.
Soon, more than two-dozen local police, firemen and rescuers joined in to help Mr. Snitzer. What makes this story interesting is that Snitzer went 96 minutes without a pulse. Ninety-six minutes. For most of us, we would just shake our heads and wonder why they didn’t give it up long before then. What kind of life could a guy like that have even if he did “survive”?
As it turns out, Walter Snitzer is a bit of a miracle. He made a full recovery. As he puts it, “I’m a regular guy. I happened to die at the right place, at the right time.”
But what made the difference in this case? Good CPR, and possibly end tidal CO2 monitoring (ETCO2).
CO2 apparently is a good indicator for how likely a patient is to survive resuscitation. Research shows that if CO2 is less than 14 mmHg, resuscitation is likely futile. But a CO2 in the mid-20s is encouraging and providers should continue CPR.
Mr. Snitzer’s initial CO2 was in the low 30s, which was encouraging. Twelve shocks and countless anti-arrhythmia drugs later, his pulse came back. We all recognize that technology often can make our jobs easier, but sometimes, like in the case of Mr. Snitzer, it’s literally the difference between life and death.
(Thanks to Allan Goldman M.D. who brought this article to our attention via The Society for Airway Management).