Dr. Cathal de Buitléir

Yes, so basically what happened was, so we'd walked up to the gym and I'd say, we must have just missed Brian coming off the bike because we walked past where it happened.

And I went into the gym and she stayed outside to make a phone call.

And then, so I was in the gym and she rings me and says, there's a guy getting CPR outside, so I should come up.

So I came out straight away, went across the road and just introduced myself to Dublin Fire Brigade, who had just arrived, asked if there was anything I could do to help.

And there was actually, so there was, as well as the first two, Laura and the first of the doctors, there was also, there was a second, there was a male, like a younger junior doctor who was at this stage performing CPR.

No, he wasn't.

He was just a bystander as well.

So at that stage, CPR was kind of well in check.

So

I offered to take over Brian's airway.

So I took over initially just using the bag mask and then I put an airway into Brian's throat just so that we could kind of deliver him breaths a bit more effectively while CPR was ongoing.

And at that stage, obviously Dublin Fire Brigade are a very well-oiled machine and they had everything under control, but they always have to be thinking of the next link in the chain of survival.

So they always need to be thinking of extrication and transportation from the scene.

for us as the bystanders to be able to take over the basic interventions allows them to sort of get planning on the diagnostics so in this case an ECG which would determine whether Brian was going to go to St Vincent's the closest hospital or potentially St James's which is the on-call cardiac centre so they were able to get those investigations done get IV access get the defibrillator set up and luckily Brian responded to the defibrillator and we got his pulse back

After just after the first shock.

Yeah, yeah.

So once Brian was relatively stable or stable enough for transfer, it was clear he was going to St.

Vincent's.

contacted a friend of mine who works there and just as a kind of a did you were you were in work today were you aware of a guy who came in after having suffered cardiac arrest and in just a kind of a great example of um you know how essential communication is at every at every step in this process um when the open fire brigade pre-alerted the emergency department so essentially kind of a back phone a red phone that they ring ahead to say if something

If someone very unwell is coming in, when they pre-alerted the emergency department, the emergency medicine team, then rang the cardiac cath lab because it was getting close to sort of when that would be closing and tell them, you know, we have a patient in ROSC coming in, so if you could stay open.