Air Medical Journal 29:1 On a dreary November morning in 2008, Todd Van de Bussche awoke with a long list of things to do. He called a few coworkers, made note of errands he needed to complete, and decided he would work from home that day. As he prepared himself for the busy day ahead, Van de Bussche did not anticipate the life-changing event that would face him in the upcoming hours. As the clinical educator for LifeEvac Virginia and a lifelong critical care provider, Van de Bussche spends his day developing and overseeing initial and recurrent continuing education training for the medical crewmembers and conducting research in the air medical transport environment. He worked with LifeEvac’s medical director, Dr. Harinder Dhindsa, along with Dr. Mary Ann Peberdy, Professor of Internal Medicine and Emergency Medicine, Dr. Joseph P. Ornato, Chairman, Department of Emergency Medicine, and Dr. Michael Kurz, Director of Emergent Cardiac Care at the Virginia Commonwealth University Medical Center (VCU Medical Center), to implement a therapeutic hypothermia protocol. The protocol outlines the provision of hypothermic neuroprotection for adult, nontraumatic, nonhemorrhagic, post–cardiac arrest patients once return of spontaneous circulation is achieved. As he diligently worked to enhance the service available to individuals served by LifeEvac, Van de Bussche never dreamed he would need the neuroprotection provided by the hypothermia protocol. However, on November 4, 2008, Van de Bussche found himself in need of the same critical care services he provided for so many others throughout his career. Without warning, he experienced a sudden ventricular fibrillation cardiac arrest. Van de Bussche’s wife immediately phoned 911 and received cardiopulmonary resuscitation instructions over the telephone from the Stafford County E911 communications officer. On arrival of the Stafford County Fire Department, Van de Bussche was defibrillated at Photo by Melissa Gordon, Virginia Commonwealth University The Big Chill