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.