Doctors and Nurses Treat Gunshot Wounds All the Time. Now They ’re Preparing for Active Shootings at Their Own Hospitals

A shooting at Chicago’s Mercy Hospital, quickly followed by a false alarm at Maryland’s Walter Reed National Military Medical Center, sent shockwaves through the medical community this month — and exposed the reality that hospitals, the institutions tasked with caring for the victims of violent incidents, are also at risk of enduring them. The FBI defines an active shooter incident as “one or more individuals actively engaged in killing or attempting to kill people in a populated area.” Of the 50 such events that took place in 2016 and 2017, according to FBI data, only four occurred in healthcare settings, compared to 17 in “areas of commerce” and seven in schools. But the attack at Mercy Hospital, which left a doctor, a pharmacy resident, a police officer and the gunman dead, served as a stark reminder that medical centers must also prepare for the grim possibility of mass violence. Hospital shootings, while still rare, have become more common over the last two decades, rising from just a handful in 2000 to more than 20 in 2015, according to research from Brown University; a 2012 Annals of Internal Medicine study identified 154 between 2000 and 2011. (Many hospitals shootings are the result of mental instability and suicides or escape attempts, according to the Brown data, which may not fit the FBI’s definition of an active shooter incident.) To keep up, hospitals and researchers are intensifying their efforts to prepare for a...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized healthytime hospitals onetime Source Type: news

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This study was carried out in accordance with the recommendations of the ethics standards defined by the EU legislation on the use of experimental animals (2010/63/EU) and Czech animal welfare act. The protocol was approved by the Institute of Microbiology animal care and use committee (approval ID: 85/2015 and 108/2016). Diets and Experimental Design In most experiments, shortly after weaning, the mice were switched either to animal protein-based diet—control (aCD, 176 g/kg crude protein; Cat# C1000) and high-protein diet (aHPD, 514 g/kg crude protein; Cat# C1001) or plant protein-based diet—control (pCD, 17...
Source: Frontiers in Immunology - Category: Allergy & Immunology Source Type: research
Zoe M. Tapp, Jonathan P. Godbout and Olga N. Kokiko-Cochran* Department of Neuroscience, Institute for Behavioral Medicine Research, College of Medicine, The Ohio State University, Columbus, OH, United States Each year approximately 1.7 million people sustain a traumatic brain injury (TBI) in the US alone. Associated with these head injuries is a high prevalence of neuropsychiatric symptoms including irritability, depression, and anxiety. Neuroinflammation, due in part to microglia, can worsen or even cause neuropsychiatric disorders after TBI. For example, mounting evidence demonstrates that microglia become &ld...
Source: Frontiers in Neurology - Category: Neurology Source Type: research
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
We report adverse events that occurred or persisted beyond 90 days after the last CAR-T cell infusion, excluding events related to disease progression.Median age at CAR-T cell infusion was 60 years (range, 34-73). There were 42 (71%) pts with NHL and 17 (29%) with CLL. The median number of prior lines of treatment was 4 (range, 1-8). 23 (39%) pts had received prior autologous (auto) hematopoietic cell transplantation (HCT), and 9 (15%) pts had received prior allogeneic (allo) HCT. 35 (59%) pts received one CAR-T cell infusion, 22 (37%) pts received 2 infusions, and 2 (3%) pts received 3 infusions. 3 (5%) pts received a max...
Source: Blood - Category: Hematology Authors: Tags: 626. Aggressive Lymphoma (Diffuse Large B-Cell and Other Aggressive B-Cell Non-Hodgkin Lymphomas)-Results from Prospective Clinical Trials: Immunotherapy Source Type: research
Anticoagulation requires a careful balance to achieve antithrombotic efficacy without disrupting normal hemostasis. Although current generation direct oral anticoagulants (DOACs) offer advantages over traditional warfarin or heparin therapy they still carry a bleeding risk, highlighting an unmet need for novel anticoagulants with improved therapeutic indices. DOACs such as apixaban and dabigatran bind to the active sites of their target proteases thereby inhibiting proteolysis of all substrates. In contrast, the recombinant antibody JNJ-64179375 (JNJ-9375) specifically binds to the exosite I region of thrombin without inhi...
Source: Blood - Category: Hematology Authors: Tags: 321. Blood Coagulation and Fibrinolytic Factors: Structural Biology of Coagulation Proteins Source Type: research
Conclusion: Response to acalabrutinib remained consistent during long-term (>24-month) follow-up, including high response rates, median PFS of 19.5 months, and a median OS that has not yet been reached, confirming efficacy in patients with relapsed/refractory MCL. The AE profile was largely similar to earlier reporting, with limited additional safety events observed with an additional year of follow-up.DisclosuresWang: Celgene: Honoraria, Membership on an entity's Board of Directors or advisory committees, Research Funding; Dava Oncology: Honoraria; AstraZeneca: Consultancy, Research Funding; Pharmacyclics: Honoraria, R...
Source: Blood - Category: Hematology Authors: Tags: 623. Mantle Cell, Follicular, and Other Indolent B-Cell Lymphoma-Clinical Studies: Poster II Source Type: research
This report exposes the value of SNIIRAM/SNDS enrichment by external databases, and the linkage issues. It is illustrated by examples: the well-known population-based cohort CONSTANCES created to answer to epidemiological research questions with a specific interest on occupational and social factors, chronic diseases, and aging; the CANARI study, a regional-based study that collected Gleason score in all pathology laboratories in Brittany and then, linked pathology results to an ad hoc extraction from SNIIRAM database; the goal was to investigate the risk of high grade prostate cancer in patients treated by 5-alpha-reducta...
Source: Therapie - Category: Psychiatry & Psychology Authors: Tags: Therapie Source Type: research
Omega-3 fatty acids are found primarily in fish oil and certain marine algae. Because depression appears less common in nations where people eat large amounts of fish, scientists have investigated whether fish oils may prevent and/or treat depression and other mood disorders. Two omega-3 fatty acids — eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) — are thought to have the most potential to benefit people with mood disorders. How might omega-3s improve depression? Different mechanisms of action have been proposed. For example, omega-3s can easily travel through the brain cell membrane and interact w...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Anxiety and Depression Behavioral Health Drugs and Supplements Mental Health Source Type: blogs
Dr. Ignác Semmelweis, a Hungarian medical doctor, or ‘the savior of mothers’ suggested that hand sanitizing could save new mothers from “childbed fever”. However, the reflex reaction of his colleagues was rejection. For years, he strove for the introduction of handwashing in hospitals in vain. Being ostracized from the medical community, he died in a psychiatric ward from internal bleeding. Members of the staff beat him up. He was born 200 years ago. What if he could have shared his ideas via social media or peer-reviewed research? Could the power of online communities have saved him? The tra...
Source: The Medical Futurist - Category: Information Technology Authors: Tags: Bioethics Social media in Healthcare history online community research research community Semmelweis Source Type: blogs
By Tharanga YakupitiyageUNITED NATIONS, Mar 9 2018 (IPS)The United Nations Headquarters and Brooklyn Bridge were lit up on Thursday night not to help tourists navigate the major landmarks but to bring attention to a key issue that many women and girls face today: period poverty. In commemoration of International Women’s Day, the innovative menstruation-proof underwear company THINX shed the light on period poverty and urged world leaders to ensure that menstrual equity exists around the world.“Today of all days on Women’s Day, we want to come together and light the path forward for greater equality,&rdquo...
Source: IPS Inter Press Service - Health - Category: International Medicine & Public Health Authors: Tags: Aid Financial Crisis Gender Global Headlines Health Inequity Labour Poverty & SDGs TerraViva United Nations Women's Health Source Type: news
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