CASE 2

A large man, having an asthmatic attack, again with similar faint hiccup like noises and no air entry into the lungs and no chest movement, was standing with both hands on the back of a settee. Both the operator’s arms were placed on the lower part of the chest only just being able to link the two hands because of the patient’s size. Chest compression was performed. The patient made an immediate respiratory gasp and was encouraged to slow these gasps so that chest compression allowed more prolonged expiration. The patient’s relief was immediate. Chest compression was continued until the patient’s wife had retrieved drugs and emergency oxygen from my car. This patient had a further attack two months later when no external pressure application was used and he died.