Cardiac, Health and Rescue Training

🚨 The First 20 Minutes: 

What to Do Before Help Arrives

A Real-Life Guide for Staying Calm & Acting Confidently in a Medical Emergency

By Lisa Friedenstab, Critical Care Paramedic


💔 When Every Second Feels Like Forever...

What would you do if your loved one collapsed in front of you?
 No ambulance. No sirens yet. Just 
you… and those critical first 20 minutes.
Let’s be honest.
 Most people panic.
 Your body freezes. Your brain blanks. Your hands shake.
I know — because I’ve lived it.
 And I’ve seen what happens when someone isn’t ready.
 But I’ve also seen what happens when they 
are.
 The difference is night and day.
 The difference… is this guide.


❤️ Why I Created This

I’ve been a critical care flight paramedic for over 25 years.
 I’ve seen car wrecks, heart attacks, and chaotic scenes where lives hang in the balance.
But the scariest emergency I’ve ever been in?
Was my dad.
 He stopped breathing in the front seat beside me.
 And for a heartbeat… even with all my training… I froze.
That moment changed me.
 Because I realized something most people don’t know:
Even trained responders can freeze.
 But confidence isn’t magic. It’s 
muscle memory.
 And it starts with 
knowing the first right step.


🧠 What This Guide Teaches You

You don’t need a medical degree.
 You need a plan you can 
actually remember when your brain goes blank.

Inside this 5-part guide, you’ll learn:

✅ The CALM Reset — a 5-second tool to steady your body and mind
 ✅ What to 
do during the 10–20 minutes before help arrives
 ✅ The 5 most common 911 emergencies — and what you can do in each
 ✅ Exactly what to say when you call 911
 ✅ The 3 essentials to keep in your “First 20 Toolkit”
You’ll walk away feeling grounded, capable, and ready to help your person — when it matters most.


📘 What’s Inside

PART 1: CALM Comes First
 A powerful grounding technique to quiet panic and focus on action.
PART 2: Why the First 20 Minutes Matter
 The truth about EMS response times — and what that means for you.
PART 3: Common Emergencies + What to Do
 Clear, step-by-step actions for stroke, chest pain, breathing trouble, and more.
PART 4: Calling 911 with Confidence
 How to communicate clearly, even under pressure.
PART 5: Your First 20 Toolkit
 What to have on hand — and where to keep it — so you’re never caught off guard.


🙌 This Is for You If…

  • You’ve ever worried: “What would I do in an emergency?”

  • You live in a rural area, or know help could take time to arrive

  • You care for kids, aging parents, or anyone with health concerns

  • You want to feel calm and capable — not helpless — when it counts

You don’t need to be a hero.
 You just need to be 
prepared.


🎁 Grab Your Copy Now — It’s FREE

📥 Get instant access to “The First 20 Minutes” now — no cost.
 Because when your loved one needs you most, you deserve to feel ready.