I wanted to share an experience from my own life in hopes it may give some one a different perspective and keep them from haveing a similar experience. My best friend had a lot of health problems, COPD (similar to emphazema), CHF (conjestive heart failure), and diabetes to name the top 3. The first part of this year he started haveing some irregular heart rythems and his DR had him admitted to the hospital. He was in for about 1 week and then on Feb. 2 this year they let us know he was ready to come home and could be treated with a couple new pills in his diet. I went to the city to the hospital to pick him up and we sat in his room chatting about the new shotgun I was planning to buy while they finished up his release papers then gathered up his things and headed for the truck. He was in a motorized wheel chair but able to transfer himself, which was good since he was a VERY large man. We went out the doors by where the truck was parked right under the edge of the life flight chopper pad and I backed the truck out so he could get in. As normal he took off his oxygen to transfer so the hose didnt try to pull his nose off and started to get into the truck. This day he was haveing a lot of trouble getting in, which wasnt unusual, so I went to the drivers side and took his hands so he could pull himself across then set up like we had several times in the past. He started to roll off the seat and caught himself then layed back to catch his breath and I went back to the passenger side to help from there. After a minute I asked if he needed his O2 and got no response, I tried for an anwser a couple more times as he sometimes wouldnt respond when out of breath, and he raised his head, gasped and layed back. I got his O2 and offered it to him with no response twice, so I patted him and asked for a response to no avail. I took hold of the lapels of his coat and raised him up and saw his eyes open but unfocused. I knew at this point we had a serious problem so looked back and saw someone comeing out the doors and knew there was a reception desk just inside so I screamed at him, "We need help out here, tell them a pacient is unresponsive here!" He ran in and a minute later came out and let me know he had told them, as he aproached I checked for a pulse and found he had none. I had been trying to get his O2 on him and flowing this whole time. I yelled to the guy, "tell them to send a crash cart, that he's flat line!" He RAN back in and told them. I havent ever had a CPR class and especialy with his conditions I wasnt sure what to do, with the elasticity of his lungs being poor will I rip them if I give breaths? With CHF and his size dose it change what you do for compressions, will I do more harm than good? It seemed obvious that since I didnt have the training and since I was less than 100 yards from the ER doors, and there was an empty ambulance setting at the ER then it seemed it would be better to just not take a chance on doing any damage, after all profesionals were just 100 yards away, they could casualy walk to him in less than 2 minites and surely they were just grabbing gear and would be RUNNING, so it was ok to wait for help, we were AT the hospital for gods sake! I looked around as I was still trying to get the guages on his O2 to let the air flow and no one was running, no one was speeding up in an ambulance, no one was comeing. I grabbed a cell phone from the glove box and called 911 and they anwsered, "911, hold please.".... A minute later they came back on 'whats your emergency' I let them know I was in the lot at the hospital (by name and which lot) and that my friend was unresponsive and had no pulse, she wanted to know a number where she could call me back, I explained quickly and calmly that I was on a cell phone with no service and there was no way of calling me back. She wouldnt get over a call back number and was more interested in that than anything else so after 3 or 4 times through this I repeated, "Im in the ----- lot of ------ hospital, my friend is flat line on the ground, send an ambulance NOW please." then droped the phone and went back to trying to be sure he was in a position where positional affixia would not be an issue and to administer O2. I finaly heard the sirens start in the ER lot on the ambulance and listened as they went around 3 sides of the block to avoid going out the entrance that would have cut the distance by about 90% then the ambulance, a security car filled with ER staff and a fire truck all arived in convoy. In the rush of information gathering that they needed one of the questions was, 'how long has he been down?' I was certian in the madness of haveing my best friend flat line in my arms that adrenaline had simply been pumping and makeing the seconds seem like minutesand informed her that I wasnt sure due to this fact, but I was sure it had been at least 5 to 10 minutes. In my mind I was sure it had been around 20 to 30 minutes, but that was IMPOSSIBLE, we were less than 1 block from the ER doors, you could see them, it had to just be the adrenaline...... I spoke to 2 other people who were dispationate (didnt know anyone involved and watched from windows) who had seen the entire thing from the windows of the hospital and had also called the operator, and they both confirmed......from the time they saw me raise him up untill the time help arived was aproximatly 25 MINUTES!!! 25 MINUTES TO GET 1 BLOCK!!! He was cremated 2 days later. The thing I hope you will understand from this, and YES, it is 100% true of what happened in my life on FEB 2, 2005, is that you CAN NOT COUNT ON HELP TO COME!!! If there is anyone in this world you care about or if you care for your fellow man in general, you owe it to them and to your self to get as much training as you can in emergency medical response and if some one is in front of you and needs help , dont wait, do what you can for them as 'the profesonals' amy not be in as much of a hurry as you would think even if they are just around the corner and if they are any distance away then even 5 miles at 60 is 5 minutes, 5 minutes flat line is a LONG time, so is 5 min with a major wound bleeding out I just hope others will get the training sooner than I did and do what needs to be done so maybe you wont have a story to match this one.