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Off-duty Ore. clinicians perform CPR for 15 minutes during cardiac arrest at Bruce Springsteen concert

In Portland, an off-duty cardiologist and former nurse practitioner provided about 15 minutes of CPR after a man collapsed, highlighting the challenges of emergency response in crowded venues

By Michael Russell
oregonlive.com

PORTLAND, Ore. 鈥 A Portland couple who jumped to aid a man having a at Bruce Springsteen鈥檚 Friday might have been the two people best positioned to help, despite what they describe as a 鈥渃haotic鈥 situation.

Joshua Roark, a cardiologist at Adventist Health鈥檚 Northwest Heart Center, and his wife, Jennifer Roark, a former nurse practitioner with nearly 20 years of experience, were sitting directly behind the man in near the middle of section 209 when he slumped over in his seat.

| MORE: Pump to the beat: Top songs for effective CPR compressions

鈥淚 saw him lean over, and the guy he was with was like, 鈥楬ey, are you OK? Are you OK?,鈥欌 Joshua Roark said.

The Roarks asked if the man was breathing, then checked for a pulse. Neither could feel one.

鈥溾極k, this guy鈥檚 dead,鈥欌 Jennifer Roark remembers thinking. 鈥溾橶e have to do something.鈥欌

Joshua Roark began performing chest compressions while the man was still seated, then the Roarks maneuvered him to the floor with the help of people nearby. They continued CPR while asking bystanders to call for help.

鈥淚t was probably the worst of all places to have a medical emergency,鈥 Jennifer Roark said. 鈥淚t was loud. It was dark. It鈥檚 a very small space.鈥

A spokesperson with the Portland Police Bureau said the man was taken to an area hospital but did not confirm whether the man had died. Portland Fire & Rescue directed questions to the Multnomah County Medical Examiner鈥檚 Office and to the Moda Center. Neither responded to calls and emails Saturday or Sunday.

Help arrives

Several minutes after the man collapsed, a Moda Center employee arrived with an automated external defibrillator, the Roarks said. But given the tight quarters, getting the device properly situated on the man鈥檚 chest presented a further challenge.

鈥淲hen you鈥檙e in a code situation, usually someone is in charge,鈥 Jennifer Roark said, referring to the response protocol when a patient is in life-threatening distress. Her husband was trying to be that person, she said, but 鈥渂ecause it was so loud, and there were so many people trying to do different tasks, it felt so chaotic.鈥

Springsteen and his E Street band apparently did not notice the commotion in the section behind the stage. The house lights stayed down and the band played on.

A Portland police officer arrived and helped Jennifer Roark with CPR, Joshua Roark said. Given the circumstances, it was impossible to keep track of time, but fans sitting nearby said the Roarks and others conducted chest compressions for about 15 minutes.

鈥淲hen you learn CPR, they teach you to pump the chest to 鈥楽taying Alive鈥 by the Bee Gees,鈥 Joshua Roark said. 鈥淚 don鈥檛 know if Bruce鈥檚 tempo is the same. I totally zoned out to all the songs.鈥

Eventually, emergency medical technicians arrived with a backboard, but the space between the seats was too tight to lift the man, so they had to slide him on the floor to the stairs, the Roarks said. The couple accompanied the man to the lobby, where Portland firefighters attached an automatic chest compression device.

The Roarks don鈥檛 know what became of the man, but Joshua Roark said it 鈥渨as not a good sign鈥 that he was without oxygen for so long or that he had 鈥渆rratic electric activity鈥 in his chest but no pulse.

Processing the experience

Eventually, the Roarks made their way back to their seats and caught the end of the show. On their way back, people thanked them for their quick thinking, they said.

鈥淚 actually was pretty blown away,鈥 Jennifer Roark said. 鈥淎 lady hugged me by the bathroom. I couldn鈥檛 believe that.鈥

Joshua Roark is familiar with the 鈥渨eird emotional comedown鈥 that sometimes follows an intense situation. Telling friends has been helpful to process, he said: 鈥淣ot because we felt like heroes ourselves, but because of how crazy is it that something like this happened to us in the middle of a show, and we happened to be the very people that could help him.鈥

The Roarks agree that everyone at the Moda Center 鈥渄id their best,鈥 but think additional training would be useful should this situation happen again.

After a code situation, medical workers typically conduct a debrief, they said. That鈥檚 something Joshua Roark would like to do with the Moda Center staff, he said.

A surprise turned serious

As it happens, Jennifer Roark is only a modest fan of The Boss.

Joshua Roark had asked her to arrange a babysitter to watch their kids Friday, then surprised her with tickets he had purchased that afternoon.

Her first response?

鈥淚 don鈥檛 want to do that.鈥

But she went, and ended up having 鈥渢he most insane experience I鈥檝e ever had.鈥

Joshua Roark echoed the thoughts of many after hearing about Friday鈥檚 incident.

鈥淚 just hope the guy was a big Bruce Springsteen fan,鈥 he said.

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