Rafael van der Vaart, a Spurs player, was the first to do so, and frantic signalling to the pitchside medical teams brought on the men in green. Spurs had five fully medically trained assistants pitchside that day, and there was, as ever, aid from the St John Ambulance unit.
It was a far cry from , when Chelsea goalkeeper Petr Cech fractured his skull playing against Reading. He had to crawl off the pitch by himself and wait for an ambulance: the resultant outcry saw standards of medical pitchside preparation improved to their current high standards. It's a great change because sometimes it takes only a few seconds to change a whole life and a whole career. Muamba began to get, if we can call it that, lucky.
Instantly given oxygen and professional CPR, his chances were already raised. The CPR is the main thing, although oxygen certainly helps, a priority recognised in the recent British Heart Foundation television advert featuring player-turned-actor Vinnie Jones, which makes a point of ignoring the kiss of life.
I asked the foundation why it had apparently changed its stance after school generations had been taught, on dummies, to both breathe and push. So push-down CPR is now the official priority, but do not kid yourself it is not hard work — you need to make thrusts of at least 5cm downwards, repeated at a rhythm of 80 a minute.
The Vinnie Jones advert features the Bee Gees' hit Staying Alive, which might be a dodgy record but is a perfect rhythmic touchstone. What was happening to Muamba at this time, according to Professor Sanjay Sharma, a cardiology specialist at St George's University Hospital, London, was "ventricular fibrillation.
Rapid chaotic electrical activity within the heart. It means the heart stops its usual pumping function; good oxygenated blood should be pumping from the left ventricle, coming back to the right, but suddenly it's not. Which, after a short while, is not usually compatible with life. As soon as he arrived on the pitch, Deaner "could see they were doing very good CPR. They had the defib ready. Muamba was given 15 defibrillation shocks in all: two on the pitch, one in the tunnel, 12 in the ambulance.
CPR is fine, apparently, for manually persuading the body to pump oxygen around for a bit, but the heart needs to be jump-started with a joule electric shock. In total, Muamba was to take 4, joules in those 78 minutes. As he entered the tunnel, the crowd finally fell silent. According to Lawrence, there had been "a groundswell, a primal roar, chanting Fabrice's name. The Tottenham fans joined in.
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