Working in my "home" hospital, I many times had to care for people I knew in the community. And this was the case when a man came into our ICU suffering a massive heart attack. He was in cardiogenic shock. His heart was so severely damaged that it could no longer pump effectively. I hung multiple intravenous drips and adjusted the medications as I repeatedly checked his blood pressure, pulse and monitor for response to the medications. These were the days before we had IV pumps and automatic blood pressure monitoring but we could continuously monitor his heart for changes. As I cared for him, I remembered how years before, his family was one of the few who built an underground bomb shelter. There was much fear at the time about the risk of a nuclear attack. Fortunately that bomb shelter was not needed; however, now, not even a bomb shelter could save his life. His heart was too badly damaged and in spite of drugs and monitoring he did not survive.