Feature Article:

How Distance and Open Learning has Changed my Life
When I was approached to write a piece on open and distance learning education, I came up with this piece. After reading it through, I have come to the conclusion that my life has changed completely because of it. I didn't realise how much until I...
...Read More


The Retail Cardiac Chain of Survival; or, How to Survive a Heart Attack at the Mall


What if your customer suddenly clutched his chest and passed out in front of you? Do you know what to do?

The federal Cardiac Arrest Survival Act (CASA) states that "A successful chain of survival requires the first person on the scene to take rapid and simple initial steps to care for the patient and assure that the patient promptly enters the emergency medical services system. These steps include--

  • Recognize an emergency and activate EMS;
  • Begin CPR; and
  • Use an automated external defibrillator (AED) if one is available at the scene."

    While most bystanders in the USA and Mexico are not required to get involved, one would hope that the common dictate of humanity, to help our fellow human beings, would prevail over any other concerns. Standard precautions are enough to prevent the transmission of most diseases and the Good Samaritan Laws protect us from being sued, as long as there is no gross negligence. In fact, both State and Federal laws protect all parties involved, including the rescuers, the trainers, the facilities, etc. According to the National Center for Early Defibrillation, "...organizations that carefully adopt and implement early defibrillation programs face a lower legal liability risk than those that do not." So, let's explore this cardiac chain of survival and how a savvy mall rat could use it to land their next job or promotion.

    Recognize the Emergency

    Pay attention to your customers. If one doesn't look well, ask how he feels and if you may be of assistance. Know the signals of a heart attack:

  • Sweating, difficulty breathing
  • Persistent pressure in the chest, side or back

    If he does not look well, but does not want your help, keep an eye from a distance. Don't forget about him. Just watch. If you are still concerned, call 9-1-1. It is better to be safe than sorry.

    Activate EMS, the Emergency Medical System

    If he goes unconscious, send someone immediately to call 9-1-1. In a mall, you are rarely by yourself, so use the others to your advanage. Send someone to call security to bring the AED and yet another to fetch a First Aid kit.

    Begin the ABCs of CPR

  • Open the Airway (head tilt, chin lift).
  • Give two Breaths.
  • Check for signs of Circulation.

    If there is no coughing when you give breaths and they're pale, limp and lifeless, they are probably in cardiac arrest. This means their heart is no longer beating well enough to stay alive. Without CPR until the AED arrives, this person will not survive. The optimum chance he has for survival is if you, the person standing next to him, know what to do.

    Use an Automated External Defibrillator (AED) if Available

    An AED is an electrical device which helps to "re-boot" a person's heart when it is out of rhythm. Every minute an AED is delayed decreases a person's chance of survival by 10%. You may have noticed the push to make these easy to use, life saving devices widely available, from the FDA's recent approval of the first in-home AED without a prescription, to local television commercials seeking to make AEDs as common as pay phones.

    When the American Heart Association studied giving immediate CPR alone vs. both CPR & AED before paramedics arrive, those receiving the electrical shocks from an AED were twice as likely to survive. Even more dramatically, when the casinos in Las Vegas acquired AEDs, survival from cardiac arrest went from 10% to 54%!

    AEDs in the Malls!?

    While most do not, only the largest malls now have AEDs, but not always. Talk to management to ask if and where they're located. Show that you care for humanity. Learn how to save a life and put it on your resume! It will make you a more attentive sales person with excellent management potential.


  • California Good Samaritan Law: http://www.swc.cc.ca.us/~kjacobs/goodsam.htm

  • The Cardiac Arrest Survival Act (CASA): http://www.suite101.com/article.cfm/8954/67328

  • Public Access Defibrillation (PAD) Study Results: http://depts.washington.edu/padctc/results.htm

  • Understanding Legal Issues by Richard Lazar, EMS, Esq.

    About the Author

    Copyright by Don Ross, CEO of OptiWell, the Optimum in Wellness Training, who began in retail management in the 1980s. Call (619) 204-3838 or visit OptiWell-inc.com for First Aid & CPR/AED certification in San Diego County.


    More Reading:


    How To Stop Forelosure

    The Imposter Syndrome Do you feel like a fraud

    Is An Online Business Degree Right For You

    Printable Guitar Diagram from guitarmetal com

    Parental Involvement In Learning

    Trendy Food Manufacturing

    Should You Make A Career Decision Based Upon A Career Quiz

    The Perils Of Employment Are You About To Be Let Go

    Holistic Junctions Featured School of the Week Oriental Healing Arts Institute in Colorado


    Business Search 


    Additional Reading

    Abstract: Modern science has drifted too far from the common sense in a domain of paradoxes. The result is incomplete picture of big bang created universe from exploding singularity that makes seen as elementary particles to fly away from each other...
    ...Read More

    How To Stop Forelosure
    A loss of a job,death in family, medical expenses and other life-altering situations can happen to anyone, causing us to fall behind in our mortgage loan payments. If we neglect paying our credit cards it hurts our credit rating; if we neglect...
    ...Read More

    The Imposter Syndrome - Do you feel like a fraud?
    The Impostor Syndrome - Do you feel like a fraud? There is a disquieting trend emerging among women particularly - that of feeling like a fraud at work, along with the accompanying fear and anxiety about being "found out". The Scientific Evidence ...
    ...Read More

    Is An Online Business Degree Right For You?
    Deciding if an online business degree is right for you is an easy task. With the wide selection of programs, flexibility and personalized formatting, an online business degree is a great choice for any one new to the business world or those that are...
    ...Read More

    Printable Guitar Diagram from guitarmetal.com
    Machine Heads / Tuning Pegs - Used for tuning individual strings up or down in pitch. Nut - Used to anchor the strings over the frets. Strings - From left to right, or lowest to highest pitch. Low E-A-D-G-B-High E Frets - Used...
    ...Read More