Helicopter pilot dead after he walks into rotor

From USA Today:

A helicopter pilot is dead after officials say he walked into the aircraft’s spinning rotor while giving rides at Pennsylvania’s largest fair.

Organizers say 69-year-old Carl Enlow died after being hit by the rotor Friday night at the Bloomsburg Fair.

The fair’s superintendent of police and parking says the helicopter was refueling when Enlow went back to speak to the pilot who relieved him. Bill Barratt says Enlow’s hat blew off his head and he was struck by the rotor when he reached for it.

Assessment of risk factors for post-rewarming “rebound hyperthermia” in cardiac arrest patients undergoing therapeutic hypothermia

From Resuscitation:

Introduction

The outcomes associated with therapeutic hypothermia (TH) after cardiac arrest, while overwhelmingly positive, may be associated with adverse events. The incidence of post-rewarming rebound hyperthermia (RH) has been relatively unstudied and may worsen survival and neurologic outcome. The purpose of this study was to determine the incidence and risk factors associated with RH as well as its relationship to mortality, neurologic morbidity, and hospital length of stay (LOS).

Methods

A retrospective, observational study was performed of adult patients who underwent therapeutic hypothermia after an out-of-hospital cardiac arrest. Data describing 17 potential risk factors for RH were collected. The primary outcome was the incidence of RH while the secondary outcomes were mortality, discharge neurologic status, and LOS.

Results

141 patients were included. All 17 risk factors for RH were analyzed and no potential risk factors were found to be significant at a univariate level. 40.4% of patients without RH experienced any cause of death during the initial hospitalization compared to 64.3% patients who experienced RH (OR: 2.66; 95% CI: 1.26–5.61; p=0.011). The presence of RH is not associated with an increase in LOS (10.67 days vs. 9.45 days; absolute risk increase=−1.21 days, 95% CI: −1.84 to 4.27; p=0.434). RH is associated with increased neurologic morbidity (p=0.011).

Conclusions

While no potential risk factors for RH were identified, RH is a marker for increased mortality and worsened neurologic morbidity in cardiac arrest patients who have underwent TH.

Emergency physician, a former clown, tapped to lead patient experience team

From Crain’s:

Sara Laskey, now an accomplished MetroHealth emergency room doctor, knows a few things about making people smile. Before a career in medicine, Dr. Laskey traveled the country as a clown with Ringling Bros. circus, even meeting her husband in the process.

 

So, when Dr. Akram Boutros, MetroHealth’s CEO, was looking for a leader of an initiative to improve the health system’s customer service and shatter negative perceptions patients might have of the hospital, he figured, “Who better than someone whose job it was to create joy?”

 

‘Navigator’ Helps ER Patients Who Don’t Need Emergency Care

From NPR:

Wendy Shindler, a nurse, works in the waiting room of New York City’s Montefiore Medical Center’s emergency department, where she identifies patients waiting for services who don’t actually need emergency room-level care. The program is an intervention aimed at improving care at the busy Bronx hospital while reducing costs.

“The ER was admitting everybody, and they weren’t getting paid — Medicare wasn’t paying them for everything,” Shindler tells NPR’s Rachel Martin. “And they said, we have to figure out a way to help the community so they can stay out of the hospital.” So, Shindler, who had ER and case management experience, became the hospital’s patient navigator.

Injured dog heads to the (human) ED

From the Ottawa Citizen:

It was from Josh Picknel, a medic with the Ottawa Paramedic Service. Despite several deep bites and a three-to-four-inch flap of skin torn from her back, Bella had managed to make her way through the corn field, cross six lanes of rush-hour traffic on Carling Avenue, and present herself at the Civic’s emergency department.

One-hand chest compression and hands-off time in single-lay rescuer CPR—a manikin study

From the Journal of Emergency Medicine:

Purpose

To evaluate the effect of one-hand chest compression while continuously maintaining an open airway (OCOA) on rescue breath-associated hands-off time (RAHO) during single-lay rescuer cardiopulmonary resuscitation (CPR).

Methods

In this study, 193 CPR/automated external defibrillator certified lay rescuers were randomly allocated into 2 groups and were tested in a standard scenario using a mannequin. In control group (group A), the participants provided standard CPR. In group B, OCOA was performed by placing the heel of the strong hand in the center of the mannequin’s chest while maintaining an open airway using the other hand.

Results

Mean RAHO was statistically significantly different between the two groups (group A: 8.38 ± 1.97 vs group B: 7.71 ± 2.43, P = .008). Only 13 (13.5%) group A and 25 (25.8%) group B providers ventilated the manikin with tidal volumes of 500 to 600 mL, while most participants caused hyperventilation. Although there were no significant differences in mean tidal volume between the groups, stomach inflation was greater in group A (< .001). Chest compressions were deeper in group A (P < .001), while chest recoil was significantly better in group B. In group B, there was a positive correlation between body mass index and compression depth (group A, P = .423; group B, P < .001).

Conclusions

In our study, OCOA resulted in shorter RAHO and less stomach inflation. Our results indicate that the airway should be maintained open during chest compressions, regardless of the technique. Larger studies are needed for the full clarification of OCOA.

Car crashes into hospital lobby

From the Morehead Press:

The Morehead Fire Department was dispatched at 8:44 a.m. Thursday in response to reports a car had struck the lobby of St. Claire Regional Medical Center.  Driver and passenger were moved to the St. Claire emergency room for treatment. Morehead police said the crash apparently happened when the driver had a seizure.