New Orleans Officers Unable to Revive Handcuffed Man

NEW ORLEANS (AP) — A man stopped breathing shortly after he was handcuffed by New Orleans police officers who tried unsuccessfully to save him using CPR and an opioid-overdose antidote, authorities said Wednesday. The man died early Wednesday at a hospital, Police Chief Michael Harrison said. Speaking at a news conference, Harrison said three officers responded to calls Tuesday night about a screaming man and a break-in at a residence. Officers spotted the man in a driveway and repeatedly told him to drop a knife he was carrying, according to the chief. Harrison said the man complied but continued to approach officers, who noticed he appeared to be bleeding from his mouth. The man fell to the ground as the officers attempted to handcuff him and kicked at the officers, said Harrison. He said the man appeared to be under the influence of drugs. "The officers then tried to hold his legs together to prevent him from kicking," Harrison said. "The officers, using no force, except the application of handcuffs, were able to successfully restrain him." Harrison said that once the officers noticed the man had stopped breathing and one of them administered a drug to reverse a possible opioid overdose. They then tried to revive him using CPR, taking turns for about 10 minutes as they waited for an ambulance. They were aided by a nurse who lives in the area. Autopsy reports were pending. Harrison said body-worn camera video and witness statements indicated office...
Source: JEMS Patient Care - Category: Emergency Medicine Tags: Patient Care News Source Type: news

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The objective of this publication is to make practical suggestions for the perioperative management of NOACs as well as for their handling in overdoses and bleedings.Recommendations: In elective surgery and creatinine clearance ≥ 50 ml/min, a NOAC should be discontinued 24-36 h before the intervention, and even earlier in case of reduced kidney function. In emergency interventions that cannot be delayed, the management is dependent on the NOAC plasma levels. With levels ≤ 30 ng/ml, surgery can be performed. With levels>30 ng/ml, reversal agents should be considered. In low bleeding risk surgery, NOACs can be re-st...
Source: Transfusion Medicine and Hemotherapy - Category: Hematology Source Type: research
Conditions:   Peptic Ulcer Hemorrhage;   Peptic Ulcer, Acute With Hemorrhage;   Peptic Ulcer;   Proton Pump Inhibitor Overdose Intervention:   Drug: intermittent (40mg as a bolus injection daily for 72hours) Sponsor:   Samsung Changwon Hospital Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
This study examined the risks of a range of adverse events in a large cohort of patients prescribed long‐term opioids using the UK Clinical Practice Research Datalink.MethodsPatients with musculoskeletal conditions starting a new long ‐term opioid episode (defined as ≥3 opioid prescriptions within 90 days) between 2002‐2012 were included. Primary outcomes: major trauma and intentional overdose (any). Secondary outcomes: addiction (any), falls, accidental poisoning, attempted suicide/self‐harm, gastrointestinal pathology a nd bleeding, and iron deficiency anaemia. ‘Control’ outcomes (unrelated to opio...
Source: European Journal of Pain - Category: Anesthesiology Authors: Tags: Original Article Source Type: research
The consumer media has not been kind to the medical device industry this year. A consortium of journalists released an investigative report on the industry over the weekend that blames poorly regulated medical devices for millions of patient injuries and thousands of deaths. The report, which is based on a year-long investigation by the International Consortium of Investigative Journalists (ICIJ), is the latest in a series of scathing reviews that have highlighted the darker side of medtech. According to the ICIJ report, more than 1.7 million injuries and nearly 83,000 deaths linked to medical devices have been...
Source: MDDI - Category: Medical Devices Authors: Tags: Business Regulatory and Compliance Source Type: news
This study was performed by the MPN Quality of Life Study Group. A survey was designed by a team of MPN investigators experienced with MPN symptomatology. Patients completed the MPN-10, a 10 item survey of MPN symptoms completed on a 0 (absent) to 10 (worst imaginable) scale (Blood. 2011 Jul 14;118(2):401-8). Other surveyed tools included the Opioid Risk Tool (ORT) as well as DSMV criteria for Opioid Use Disorder (OUD). The survey was posted on high-traffic MPN-related webpages focused on patient education and advocacy (MPN Forum, MPN Net, MPN Research Foundation, MPN Voice)for a total of 28 days. Patients currently receiv...
Source: Blood - Category: Hematology Authors: Tags: 634. Myeloproliferative Syndromes: Clinical: Poster III Source Type: research
The recent emergence of ‘non-VKA’ oral anticoagulants may have led to some forgetting that vitamin K antagonists (VKA) are by far the most widely prescribed oral anticoagulants worldwide. Consequently, we decided to summarize the information available on them. This paper presents the problems facing emergency physicians confronted with patients on VKAs in 10 points, from pharmacological data to emergency management. Vitamin K antagonists remain preferable in many situations including in the elderly, in patients with extreme body weights, severe chronic kidney or liver disease or valvular heart disease, and in p...
Source: European Journal of Emergency Medicine - Category: Emergency Medicine Tags: REVIEW ARTICLE Source Type: research
AbstractA recent survey on the use of direct oral anticoagulants (DOACs) revealed that 43% of patients with atrial fibrillation and renal impairment were potentially overdosed and had a hazard ratio for major bleeding of 2.19. In this review, we analyse and discuss the effect of renal failure on the pharmacokinetics and pharmacodynamics of DOACs and of strategies proposed to adjust doses according to the level of renal dysfunction. The pharmacokinetic characteristics of available DOACs (dabigatran, rivaroxaban, apixaban, edoxaban, betrixaban) differ substantially as regards oral bioavailability, plasma protein binding and ...
Source: European Journal of Drug Metabolism and Pharmacokinetics - Category: Drugs & Pharmacology Source Type: research
Conclusions: Several comorbidities indicative of opioid use disorder and greater exposure to opioids and concomitant benzodiazepines were associated with unintentional prescription opioid overdose fatalities. Prescribers and state agencies should be aware of these addressable patient-level factors among the Medicaid population. Targeting these factors with appropriate policy interventions and education may prevent future deaths.
Source: Medical Care - Category: Health Management Tags: Original Articles Source Type: research
This study aims to evaluate frequency and risk factors of both bleeding and asymptomatic overdose in North African patients undergoing Vitamin K antagonist therapy.MethodsWe performed a cross-sectional study in patients undergoing Vitamin K antagonist therapy. A statistical analysis has been conducted to identify overdose and bleeding risk factors by using chi-square test (p 
Source: The Egyptian Heart Journal - Category: Cardiology Source Type: research
The objective of this study was to investigate the anaesthetic management of these patients in a reference medical centre as well as to identify possible ways for improvement. To this aim, the medical records of patients with a mechanical heart valve prosthesis having given birth at our center were analysed. In particular, the characteristics of patients and deliveries, the management of anticoagulation, as well as the type of anaesthesia performed, were collected and analysed. Eighteen cases were studied and compared to 36 controls. All studied cases were being administered anticoagulants. Five of these 8 patients deliver...
Source: Anaesthesia, Critical Care and Pain Medicine - Category: Anesthesiology Source Type: research
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