Latest news with #cardiacarrest
Medscape
a day ago
- Health
- Medscape
Rapid Sequence Intubation Boosts First-Pass Success
TOPLINE: In a US study of patients without cardiac arrest who required prehospital intubation, rapid sequence intubation (RSI), involving the use of a sedative and paralytic, was associated with increased odds of first-pass success compared with intubation without medication. METHODOLOGY: Researchers performed a retrospective observational analysis using the 2022 Emergency Services Organization Data Collaborative dataset containing records from emergency medical services (EMS) agencies in the US. The analysis included 12,713 patients (median age, 60 years; 58.4% men; 24.2% traumatic cases) who underwent at least one intubation attempt during a 911 response. Patients in cardiac arrest were excluded. The researchers categorized drug-assisted airway management approaches on the basis of medications administered before the initial endotracheal intubation attempt: RSI (including both a sedative and a paralytic; 51.2%), sedative-only intubation (17.9%), paralytic-only intubation (1.3%), and no-medication intubation (29.6%). The primary outcome was first-pass intubation success. TAKEAWAY: The overall first-pass success rate was 75.1%. The adjusted odds of achieving first-pass success were higher with RSI (adjusted odds ratio [aOR], 2.23; 95% CI, 2.00-2.50) and paralytic-only intubation (aOR, 2.11; 95% CI, 1.38-3.24) than with no-medication intubation. RSI showed increased odds of first-pass success compared with sedation-only intubation (aOR, 2.14; 95% CI, 1.88-2.43). Sedation-only intubation showed success rates similar to those of no-medication intubation. IN PRACTICE: "In this analysis of a large national EMS dataset of noncardiac arrest patients undergoing endotracheal intubation, rapid sequence intubation was associated with twofold higher odds of first-pass success compared with sedation-only or no-medication approaches," the authors wrote. SOURCE: The study was led by Jeffrey L. Jarvis, MD, MS, EMT-P, Burnett College of Medicine, Texas Christian University, Fort Worth, Texas. It was published online on June 04, 2025, in the Annals of Emergency Medicine. LIMITATIONS: The study focused solely on the association between drug combination and first-pass success, without evaluating causation, procedure indication appropriateness, adverse events, or clinical outcomes. EMS treatment protocols were not uniform across agencies, and the dataset lacked information on clinician experience with intubation. Variability in EMS protocols and clinician experience, potential data entry or documentation errors (including reliance on self-reported data), and a small sample size for paralytic-only intubations were additional limitations. DISCLOSURES: Funding information was not provided for the study. One author reported serving as an unpaid board member for the National Emergency Medical Service Quality Alliance, the National Association of Emergency Medical Technicians, and the Prehospital Guidelines Consortium, unrelated to this study. He also reported receiving unrestricted honoraria for speaking on various topics at EMS-related conferences. This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.
BBC News
2 days ago
- Health
- BBC News
Inquest into death of Shropshire chief nurse opened and adjourned
An inquest has been formally opened and adjourned into the death of a chief Young, 58, was declared dead at a farm near her home in Baschurch, Shropshire, on 19 June after emergency services were called to reports of a woman in cardiac arrest, a coroner was Westerman, assistant coroner for Shropshire, Telford and Wrekin, heard that despite the best efforts of medics on scene Ms Young did not respond to Young was the interim chief nursing officer at the Robert Jones and Agnes Hunt Orthopaedic Hospital (RJAH), near Oswestry. Hospital staff said they were "truly saddened" to confirm the hospital's chief executive, Stacey Keegan, said the news had "come as a huge shock to colleagues across the organisation."She was an excellent and supportive colleague, and was proud of the work we do here and of the colleagues that deliver such exceptional care."She was held in extremely high regard by everyone at RJAH thanks to her excellent clinical knowledge, her absolute dedication to patient care, but most notably the quality of her character. She was a kind, fun and compassionate person. We will miss her enormously."The inquest was adjourned until 2 October. Follow BBC Shropshire on BBC Sounds, Facebook, X and Instagram.
BBC News
2 days ago
- Entertainment
- BBC News
'We saved The Christians drummer's life in front of thousands'
First aiders who raced to help a musician who suffered a cardiac arrest on stage have spoken about saving his life in front of thousands of Lionel Duke, 58, fell ill during a performance by his band The Christians at Liverpool's On The Waterfront festival on Sunday. He was given CPR on stage by medics from the Merseyside Water Rescue (MWR) charity and members of the crowd before being taken to Liverpool Heart & Chest Hospital, where he was put into an induced coma. His bandmates shared a photograph of him in hospital on Tuesday, smiling next to lead singer Garry Christian, with the caption "miracles do happen". Lewis Bridson, medical lead at MWR, told BBC Radio Merseyside he was in the vicinity of the stage when Duke fell ill, but did not immediately appreciate what was happening. "It looked to me personally that Lionel was doing some sort of sound check because he's quite far back at the stage drumming", he said. "Garry himself went over to check what was going on and we saw the panic happening, and Garry literally screaming out for medics. "We knew that it was actually quite serious."Mr Bridson, who works as a trainee nurse in his day job, rushed into action. He said: "It's not my first rodeo, we'll say, but it was definitely my first rodeo in front of a live audience. "It was very difficult to get to Lionel, there was hundreds of people in front of us, barriers we had to climb over and we literally had to leap up the stage to get to him." Mr Bridson began performing chest compressions and was joined by his colleague Steve Alcock, deputy operations manager at MWR. "There was lots of people involved all working for Lionel, but the crowd itself were very respectful," Mr Bridson said."No-one was shouting, and I don't think there was any videos of what was happening, which is really, really good. We kept his dignity in mind."Mr Alcock said the medical emergency highlighted the importance of learning CPR. "I think the more people who know how to do the basics of CPR, the better, he said. "It does save lives. Myself and Lewis have proven that this weekend in front of the best stage we can. It was literally on stage. "We've seen this gentleman who, if people hadn't have been there, would not have survived." Listen to the best of BBC Radio Merseyside on BBC Sounds and follow BBC Merseyside on Facebook, X, and Instagram, and watch BBC North West Tonight on BBC iPlayer.
Yahoo
3 days ago
- Entertainment
- Yahoo
Pop-rock band's drummer collapses on stage from cardiac arrest
The drummer of a popular English band was rushed to the hospital after experiencing an onstage medical incident. Lionel Duke, of The Christians, collapsed from cardiac arrest at On The Waterfront Liverpool Sunday night as the band was opening for Sting. The drummer 'was treated by the amazing OTWF team and medics within the audience onstage following @ plea for help," the band wrote on Instagram Monday. 'He remains in ICU in an induced ventilated coma and is being described as 'stable' currently,' The Christians continued. 'Our thanks also to @theofficialsting for his concern and beautiful tribute to Lionel." The band updated fans on Duke's condition Tuesday morning by posting a photo on Facebook of the drummer smiling from his hospital bed. 'Miracles do happen,' the post read. 'Look who I found in Intensive Care. Lionel, we love you man.' The Christians are band from Liverpool, England that incorporates the genres of soul, pop and rock. The group achieved its greatest success in the late 1980s with the hit singles 'Forgotten Town,' 'Hooverville (And They Promised Us the World),' 'When the Fingers Point,' 'Ideal World,' and 'Born Again,' which were all off The Christians' 1987 self-titled debut album. The Christians achieved some commercial success in the '90s. Their sophomore album 'Colour' topped the U.K. albums chart while the tracks 'Words,' 'I Found Out,' and 'Greenbank Drive' all charted on the U.K. singles chart. The group disbanded in 1995 before reuniting after founding member Roger Christian died from a brain tumor in 1998. The Christians put out three more studio albums — 'Prodigal Sons' (2003) 'Speed of Life' (2012) and 'We' (2015) — in addition to re-releasing their first two albums as 25th anniversary editions. The Christians have numerous shows lined up for the rest of the summer, and into the fall and winter. The group's next scheduled performance is Saturday. Country singer Cole Swindell to headline The Big E Arena for fall 2025 90s R&B icons announce co-headling tour Iconic country band gives surprise performance at Mass. wedding 'My heart just hit the ground': Legendary rock guitarist, dead at 81 Reneé Rapp announces 2025 tour, here's how to buy tickets Read the original article on MassLive.
BBC News
3 days ago
- Health
- BBC News
Heart surgery delay 'contributed to man's death', coroner says
A delay in surgery contributed to a heart patient's death, a coroner has William Oldcorn, known as Bill, went to his local hospital in Preston on 1 August 2024 suffering from chest pain and a shortness of breath. After he was transferred to Blackpool Victoria Hospital about a month later, the 77-year-old suffered a cardiac arrest on 19 Margaret Taylor concluded Mr Oldcorn had died "whilst awaiting delayed cardiac MRI investigation and coronary bypass surgery" and that the hospital's "inability to perform surgery within the national standard target times" had been a contributory hospital trust said it was taking the coroner's report "very seriously". 'Inadequate resources' The inquest heard that retired security officer Mr Oldcorn, from Broughton in Lancashire, was transferred to Blackpool Victoria Hospital on 4 revealed heart disease and he was referred for urgent in-patient surgery and further 10 September Mr Oldcorn was reviewed by the consultant cardiac surgeon and a provisional date for surgery of 20 September was inquest at Blackpool Town Hall heard this "did not meet the national standard which recommends that in-patients awaiting surgery are treated within seven days of coronary angiography".During the delay Mr Oldcorn's heart health deteriorated and he was pronounced dead on 19 September. 'Prevention of future deaths' In a Prevention of Future Deaths Report, the coroner said evidence heard at the inquest in May had "revealed matters giving rise to concern"."In my opinion there is a risk that future deaths will occur unless action is taken," Ms Taylor said."Despite national targets of seven days from angiography to surgery, at the time of his death the waiting time for surgery was 14 days, and that has since risen to 17 days."Ms Taylor warned there were "inadequate resources to meet the national target" at Blackpool Victoria Hospital."On the balance of probabilities, had it been possible to perform cardiac surgery within the national standard target of seven days, Bill would not have died as a consequence of a cardiac arrest when he did," the coroner Hartly-Smith, chief medical officer at Blackpool Teaching Hospitals, said: "I'd like to firstly offer our sincere condolences to the family of Mr Oldcorn and anyone affected by his passing."We have received the report from the coroner which we take very seriously, and would like to offer reassurance that we will be working through it to take any action needed in order to respond to the concerns raised."The hospital has until 31 July to take action. Listen to the best of BBC Radio Lancashire on BBC Sounds and follow BBC Lancashire on Facebook, X and Instagram and watch BBC North West Tonight on BBC iPlayer.
