Selsey has 9 Community First Responders (CFRs) who are here to respond to emergency
ambulance calls of the most urgent nature. We can often be at the scene well before the ambulance has fought its way from Chichester to get here.

As well as these volunteers, we have, through the generosity of Selsey residents, funded over 24 Public Access Defibrillators (PADs) which you may recognise as the yellow box attached to buildings. That makes us possibly the best-served town in the country per head of population. These PADs enable residents to step in and help those in cardiac arrest – a time-critical emergency.

A challenge we have, is to enable people to feel confident about using them.
On Saturday 17th February, Selsey Community First Responders carried out the first
‘Start a Heart day’. 60 residents signed up to attend this event – and 60 residents
came.

Each person was given a card with the essential steps of CPR (Cardio Pulmonary
Resuscitation) and went through a demonstration and explanation of the core actions to take in the event of finding someone in Cardiac Arrest. Then everyone got to have a go, with an expert CFR to guide them on how well they were carrying out the procedure.

This interactive session, where each person watched or participated a number of times, should serve to give them the confidence to ‘step forward’ should they discover an unconscious patient on the street – something that MOST people experience during their lifetime.

The fundraising team of Jean and Audrey kindly provided refreshments on the day,
Gary, our chairman, welcomed people to the event, Malcolm represented Secamb, the South East Coast Ambulance Service and Nigel facilitated the sessions supported by: Frank, Phil, Kerry, Michelle, Mark, Dave and Dani – just some of the CFR team.

The overwhelming response to the day was that it really helped people to feel confident in an emergency. Some volunteered to have a PAD on their house and hopefully there may be some people who will apply to become a CFR as a result of the day.

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Rings and watch off, uniform on, scrubbed up and ready to go.

Check the van and start her to make sure she’ll go when the first call comes in. Check the equipment, PPE, defibrillator and materials – masks, oxygen, pulse oximeter, bandages and medicines pouch. It’s dark, so check the torch. A cup of coffee and then hit the ‘On Duty’ button on the airwave radio. A minute later the siren wails to confirm that I’m connected to the computerised despatch system and a quick call to the Emergency Operations Control to confirm the types of call and the length of the shift and I’m ready to respond.

We’re all here for the Cardiac Arrest – the highest priority and the call that will activate the quickest response of all. Time is precious here – every second counts. I’ve been on call for 420 hours since we were re-tasked on the 5^th June post the initial lockdown. I’ve responded to 24 calls in that time. So yes, we do sit and wait a lot, but everything changes when the radio bursts into life again.

Adrenaline pumps through your system as you hurriedly scroll through the incoming text. What priority is the call? what is the background? and then what’s the postcode and house number?. Enter the code into the satnav and off into the cool morning air. I push the button to indicate I’m mobile on the call within 30 seconds, van warm and setting out. I put on the windshield light to show I’m on a call and head for the patient. There’s no breaking the speed limit allowed, so I rely on people’s courtesy and awareness to give way when needed. The frustration of not being able to help the patient whilst driving, and potential scenarios going through my mind. I imagine the ‘process’ to go through, what the house will be like, what are the priorities for the patient.

I’m at the postcode, and a torch beam normally finds the house number. Sometimes you rely on a code for a key safe to gain access, sometimes the door is left open. Now I don PPE to protect the patient and myself before entering the house. If the call is a Cardiac Arrest, speed is of the essence. The key is to assess any dangers and then to treat the patient as fast as possible using the defibrillator which we all carry whilst maintaining chest compressions (Cardio Pulmonary Resuscitation). In addition we communicate with the Emergency Operator to update them with the status of the patient. The ambulance will be on the way as fast as possible and the ‘A’ team will be on scene very soon, however our local presence means that even with the highest level alert, I have been ‘on scene’ up to 12 minutes before the ambulance – vital time to improve the likely outcome for the patient.

If the call is not a Cardiac Arrest, I might say ‘Hi, I’m Nigel and I’m a First Responder. I’ll look after you until the ambulance gets here’. People are naturally scared – the patient and their loved ones. There are often dogs to be reassured, narrow entrances, small spaces, lights to be put on, TV to switch off. If the patient is conscious, the key is to complete observations to support the ambulance crew when they arrive. If Control isn’t sure of the situation you may call to update them on the seriousness of the patient so they can in turn brief the ambulance crew what to expect.

After the initial concern and taking observations there’s often time to chat and reassure the patient and their relatives. The fact that someone is there in a time of crisis with the expertise to help if things take a turn for the worse is comforting for everyone.

The ambulance arrives and I give the crew a handover of the patient’s condition, history and any medications they may be taking or other relevant information, plus the actions I’ve taken in support of the patient and hand over to them for further observations and action. Where possible, I’ll ask the crew if I’ve done the right thing and ask for any feedback, then I’m back to the van and home again to swab equipment and get ready for the next alert. I log the call and then think through how it went, building experience as every second counts and every patient is unique. At 1430 after 8 hours, the shift ends, I log off and get changed for the rest of the day.

If anyone feels like they would want to join our team, we would love to have more CFR’s (please contact info@selseyfirstresponders.org in the first instance). We’re here to save lives – every second counts.

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