We’ve seen it so many times. A young, handsome man rushed into the emergency room with a gunshot wound. A flurry of white coats racing the clock: CPR, the heart zapper, the order for a scalpel. Stat! Then finally, the flatline.
This is Dr. Shoshana Ungerleider’s biggest pet peeve. Where are the TV scripts about the elderly grandmothers dying of heart failure at home? What about an episode on the daughter still grieving her father’s fatal lung cancer, ten years later?
“Acute, violent death is portrayed many, many, many times more than a natural death,” says Ungerleider, an internal medicine doctor and founder of End Well, a nonprofit focused on shifting the American conversation around death.
Don’t even get her started on all the miraculous CPR recoveries where people’s eyes flutter open and they pop out of the hospital the next day.
All these television tropes are causing real harm, she says, and ignore the complexity and choices people face at the end of life.
Yes, a stopped heart shows up as a flat line with no activity on an EKG. We don’t shock people when their hearts have completely stopped because it doesn’t do anything and can actually damage the heart. Defibrillators are named that because they’re intended to shock a heart that is in a chaotic electric rhythm called fibrillation where the heart is just kind of shivering instead of beating fully.
If a person has flatlined, you can do CPR and administer epinephrine, and if you’re extremely lucky get their heart to start fibrillating so a shock might have a chance of being effective at restoring a normal heart beat. This is why someone whose heart has stopped completely is 2-3 times less likely to survive CPR than a person experiencing fibrillation.
Thanks for the helpful info! Didn’t know about fibrillation so this was very educational. I previously assumed that defibrillators were for flatlined hearts 😳