Basic care increases odds when headed to the hospital

first_img May 2015: Harvard Horizons Symposium, featuring Prachi Sanghavi, a Ph.D. candidate in health policy, on “Is doing more, doing better? Basic versus advanced life support ambulances for medical emergencies” Patients with trauma, stroke, heart attack, and respiratory failure who were transported by basic life support (BLS) ambulances had a better chance of survival than patients who were transported by advanced life support (ALS) ambulances, a study of Medicare patients in urban counties nationwide found.“We studied conditions that were representative of the major causes of death where we thought we were most likely to see a benefit from the kinds of services that ALS provides,” said Prachi Sanghavi, a visiting research fellow in health care policy at Harvard Medical School (HMS) and an assistant professor in the Department of Public Health Sciences in the Biological Sciences Division of the University of Chicago. “But what we found was that basic life support patients were more likely to survive and more likely to have better non-survival outcomes, like neurological functioning.”The results are published in Annals of Internal Medicine.Advanced life support ambulances are responsible for 65 percent of emergency care for Medicare patients in the United States and are dispatched preferentially for patients with life-threatening conditions.The study analyzed outcomes for nearly 400,000 emergency patients from a 20 percent random sample of traditional Medicare beneficiaries from non-rural counties between 2006 and 2011. The research was conducted at Harvard Medical School with co-authors Anupam Jena, HMS associate professor of health care policy; Joseph Newhouse, John D. MacArthur Professor of Health Policy and Management at Harvard University; and Alan Zaslavsky, professor of health care policy at HMS.The researchers studied survival differences between patients who received advanced life support transport in counties that use more ALS ambulances and patients who received basic life support transport in counties that use fewer ALS ambulances. They found that heart attack patients were 5.9 percent points more likely to survive for 90 days after their ambulance transport if they were transported in a BLS rather than ALS ambulance.Patients with stroke who were transported in BLS ambulances had a 4.3 percent point greater chance of surviving for 90 days (with overall stroke survival in the sample at 71 percent), and BLS-transported patients with critical major trauma had a 12.5 percent point greater chance of surviving for 90 days than ALS-transported patients with the same conditions.In addition to improved outcomes, greater use of BLS ambulances would also save money, the researchers said. Using 2011 reimbursement levels of advanced life support and basic life support transport, they found that Medicare would have spent $322 million less on ambulance services in 2011 if all ground emergency rides had been BLS.“This study demonstrates that in medicine costlier isn’t always better; simply transporting the patient to the hospital as soon as possible appears to have a high payoff,” Newhouse said.Advanced life support ambulances, staffed by paramedics, are equipped to perform more invasive procedures than BLS ambulances, which are staffed by emergency medical technicians. Faced with a patient in respiratory distress, an ALS crew might intubate the patient; a BLS crew in the same situation would use a bag-mask respirator. The ALS approach — known as “stay and play” — takes longer to deliver patients to the hospital than the BLS “scoop and run” methodology.There is scant evidence for the benefits of ALS transport, the researchers said, and some evidence that it is harmful to patients, including a study last year by the same team that showed better survival rates following BLS transport for patients with cardiac arrest.Prachi Sanghavi | Harvard Horizons Symposium <a href=”https://www.youtube.com/watch?v=E_LdhI-UXPU” rel=”nofollow” target=”_blank”> <img src=”https://img.youtube.com/vi/E_LdhI-UXPU/0.jpg” alt=”0″ title=”How To Choose The Correct Channel Type For Your Video Content ” /> </a>last_img read more

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Video: Ichthys LNG FPSO leaves for Australia

first_imgImage courtesy of InpexIchthys Venturer, the floating production, storage and offloading facility for the Ichthys LNG project, sailed away from the Daewoo Shipbuilding & Marine Engineering yard in South Korea en route to Australia.The sail away follows the completion of commissioning and preparation work, Inpex said on Wednesday.The 336-metre long ship-shaped, offshore facility began the 5,600-kilometer voyage that will take approximately one month to complete, towards its ultimate destination in the Browse Basinkilometers kilometres off the north coast of Western Australia.Ichthys LNG project managing director, Louis Bon noted the facility has the capacity of 1.12 million barrels of condensate and will have a continuous operating life of 40 years.The facility will be permanently moored in 250 meter deep waters, where it will undergo hook-up and commissioning, along with the Ichthys Explorer central processing facility (CPF), located 3.5 kilometers away.When operational, the FPSO will process and store condensate delivered from the Ichthys LNG Project’s CPF before periodically offloading this condensate to export carrier vessels.Ichthys LNG’s central processing facility (CPF), the Ichthys Explorer, had been storm-safe moored in the Ichthys field off Western Australia last month.The CPF is the central hub for initial offshore processing of all the well fluids delivered from a 130-kilometre network of subsea well infrastructure.Gas from the facility will be sent through an 890-kilometre subsea pipeline to the onshore LNG plant, at Bladin Point, near Darwin for processing.First LNG from the project is now expected by March 31 next year.The Ichthys project is expected to produce 8.9 million tons of LNG and 1.6 million tons of LPG each year, along with more than 100,000 barrels of condensate per day at peak.The project is a joint venture between Inpex, major partner Total, Taiwan’s CPC Corporation and the Australian subsidiaries of Tokyo Gas, Osaka Gas, Kansai Electric, Chubu Electric Power and Toho Gas.last_img read more

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Crusaders claim Little 4

first_imgJasa Sisemore had 19 points and the St. Bernard’s Crusaders girls’ basketball team finished off its fifth consecutive Little 4 Conference title, beating the visiting Hoopa Warriors 69-59 Thursday night at St. Bernard’s High.“(Hoopa) came to play with great energy and we had to push ourselves to compete at their level,” Crusaders head coach Mark Garner said in a text to the Times-Standard following the win.Although St. Bernard’s (6-0, 18-5) may have ended the night the better team, Hoopa …last_img

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Lights, camera and eventually action as Raiders go camping with `Hard Knocks’ watching

first_imgNAPA — The lights and camera phase of the Raiders’ 2019 season are underway, courtesy of the HBO Series “Hard Knocks.”In terms of action, we’ll get our first peek at the new-look Raiders Saturday during their first training camp practice on the grounds of Redwood Middle School behind the Napa Valley Marriott.Rookies and selected veterans report Tuesday, with the full squad arriving Friday. Coach Jon Gruden will talk that day, having already dealt with the presence of NFL Films, which helps …last_img

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Three in a row for McGregor in Drak

first_img23 January 2012Hank McGregor paddled his way into the history books on Sunday by becoming the first canoeist to win three back-to-back K1 titles in the Drakensberg Challenge, one of South Africa’s premier canoeing marathons.The two-day event takes place annually from Castleburn, near Underberg in the KwaZulu-Natal Drakensberg, to Early Mist Farm, not far from the Coleford Eco Estate and Lodge.McGregor held off a spirited challenge from Len Jenkins, with whom he will team up in The Unlimited Dusi, while Robyn Kime finally bagged the women’s title that had seemed fated to elude her.McGregor and Jenkins raced the majority of the 70km of the race side by side, until world marathon champ McGregor powered his way to the front on the final corner to claim his third victory in as many years at the event.A colossal battleThe duo finished the first stage together, with the tussle resumed on day two, and it wasn’t long before things turned to into a colossal battle with neither willing to give an inch on the water nor, the slightest of psychological advantages.With strong rains having arrived on Saturday afternoon and continued throughout the night, the mighty Umzimkulu River rose to the occasion and provided the perfect setting for the spectacle which developed between some of the country’s top river paddlers.“It was just superb out there today! It’s always great to win the Drak, especially with it being the first major race of the season, so I’m really chuffed with the good start to the year, and to have become the first person ever to have won three titles in a row in a K1,” said McGregor.“Len (Jenkins) and I had a great race and spent a lot of time together on the water.‘Really chuffed’“I always thought it would come down to an end sprint, so I just tried to keep my nose in front as much as I could today, and then, fortunately, I managed to get the jump on him over the last bit and get home first, which I’m really chuffed about,” he added.Judging by the pair’s performance in the Drak Challenge, they’re going to be tough to beat in The Unlimited Dusi.“Len’s a phenomenal competitor and it was great to be able to battle it out with him for the past two days. It was great to paddle through the valley with some company today and we definitely push each other throughout,” McGregor said.“We’re both in great shape and this weekend just reinforced how strong our paddling is at the moment, and it was a huge confidence for us to have finished first and second.“It just shows how similar our standard is and hopefully that can lead to good things at the Dusi.”Second step on the podiumHaving dropped Jenkins on the compulsory portage at Mineshaft Weir, McGregor then held the lead for 30 minutes before Jenkins managed to claw his way back at the leader. It just wasn’t enough and last year’s runner-up once again had to settle for the second step on the podium.“I couldn’t have hoped for too much coming into this race. I’ve been doing loads of running recently and Hank just had a really good one today, so I’m not too disappointed,” said Jenkins.“Hank put in a little further down than I did after the portage and he managed to get ahead. I then managed to close the gap and tried to take it away at the end. but I was in the wrong position coming into the end sprint,” he added.“We’re both feeling good at the moment, though, so hopefully now we can just have a good Dusi together.”Stormer of a second dayHaving suffered in low conditions on the opening day, Team Best 4 Kayak Centre’s Grant van der Walt had a stormer of a second day. After starting in fifth position, he powered his way to third place overall and in the process broke his own day two record time.“I had a really had a bad day yesterday, but the water was just perfect for me today. I did my best not to worry too much about the guys behind me and just tried to focus on catching the guys in front of me,” said van der Walt.“I knew there was no point in trying to just finish third, so I went out there trying to catch Hank and Len and I just put my head down and went for it.“I managed to catch Ant (Stott) and then my brother (Brandon van der Walt), but the top two were just too strong,” he added.Kime’s first winBrandon van der Walt crossed the line shortly after his older brother and completed another excellent day for the newly formed Team Best 4 Kayak Cent. They claimed all four top positions in the men’s race before leading lady and fellow team member Robyn Kime claimed her first Drak victory.Kime, after starting the day with a lead of over seven minutes, set her about her business early on and stretched her lead over her nearest rival by a further minute to finally broke her Drak hoodoo which had seen her finish second for the past three years.“It’s always really great to win a race for the first time and the Drak is one of my favourite races, so to have won today really is fantastic!” said Kime. “Hopefully it is a sign of things to come this year.‘Everything went so smoothly’“Everything went so smoothly for me today. I didn’t make any mistakes, which was great, and it was nice to be able to race against and work with the men.“The guys work really hard and put in some really tough intervals over the flats, so I certainly had to work a lot harder than usual, but it was nice for things to be competitive and I definitely think I went a lot faster.”One of the performances of the day belonged to women’s defending champ Abby Adie, another member of the powerful Team Best 4 Kayak Centre outfit. She managed to lift herself after a disappointing first day and work her way into a solid second place behind Kime.‘A great start’“I had a great start today and just worked with the guys around me early, which helped me catch Abbey (Ulansky) at the first weir,” said Adie.“Once I caught Jen (Hodson), I just tried to race my own race and, besides a stupid swim right at the very end, which fortunately didn’t cost me anything, I was very happy with how everything went.“Yesterday was very disappointing,” she continued, “but at the start of the weekend I was hoping for a podium finish, so I’m still very happy.”In the junior boys’ section it was Emile Theunissen from Gauteng who managed to get ahead of KZN-based Murray Starr and Murray Haw, whilst in the junior girls’ it was Brittany Petersen who claimed the victory ahead of Jordan Peek and Bianca Haw.RESULTSMenHank McGregor 3:56.11Len Jenkins 3:56.22Grant van der Walt (u23) 3:58.21Brandon van der Walt (u23) 3:59.26Greg Louw 4:06.17Ant Stott 4:06.18Shaun Griffin 4:06.27Jacques Theron 4:08.45Jeffrey Smith 4:08.46Andrew Birkett (u23) 4:11.06WomenRobyn Kime (u23) 4:19.05Abby Adie (u23) 4:28.40Jen Hodson 4:30.30Abbey Ulansky 4:36.13Brittany Petersen (u18) 4:41.47SAinfo reporterWould you like to use this article in your publication or on your website? See: Using SAinfo materiallast_img read more

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Aguilar asks Seigle for his jersey after Ginebra win over TNT

first_imgPBA IMAGESGinebra and TNT engaged in a tension-filled battle in the semifinals, but the intense competition still couldn’t take away the respect Japeth Aguilar has for veteran TNT forwards Danny Seigle and Kelly Williams.After the Gin Kings’ tough 115-105 Game 4 win to eliminate the KaTropa, the reedy forward went to as far as asking veteran Danny Seigle for his jersey.ADVERTISEMENT BSP sees higher prices in November, but expects stronger peso, low rice costs to put up fight MOST READ “Can I have one of your jerseys please? You are my childhood idol. Forgot to ask you a while ago,” Aguilar wrote on his Twitter account (@japethaguilar35) late Sunday night.Luckily for him, the 41-year-old Seigle was quick to respond and “Of course! Thank you & I’m flattered you asked. So nice to see you develop into one of the Superstars of PBA and Gilas. Good luck in the finals!”FEATURED STORIESSPORTSWATCH: Drones light up sky in final leg of SEA Games torch runSPORTSSEA Games: Philippines picks up 1st win in men’s water poloSPORTSMalditas save PH from shutout View comments Brace for potentially devastating typhoon approaching PH – NDRRMC “You are an inspiration, man,” he tweeted.You are an inspiration, man @KelWilliams21 https://t.co/9bBoiRJdjR— Japeth Aguilar (@japethaguilar35) October 8, 2017Aguilar’s comments weren’t reserved on Seigle alone, as he also praised TNT forward and former PBA MVP Williams.“You are an inspiration, man,” he tweeted.Aguilar averaged 9.5 points, 6.8 rebounds, and 2.3 blocks in the semis series. Read Next Nonong Araneta re-elected as PFF president No surprise as Mbala leads UAAP MVP race Trending Articles PLAY LIST 00:50Trending Articles00:50Trending Articles00:50Trending Articles01:37Protesters burn down Iran consulate in Najaf01:47Panelo casts doubts on Robredo’s drug war ‘discoveries’01:29Police teams find crossbows, bows in HK university01:35Panelo suggests discounted SEA Games tickets for students02:49Robredo: True leaders perform well despite having ‘uninspiring’ boss02:42PH underwater hockey team aims to make waves in SEA Gamescenter_img Kammuri turning to super typhoon less likely but possible — Pagasa LATEST STORIES LOOK: Loisa Andalio, Ronnie Alonte unwind in Amanpulo for 3rd anniversary Frontrow holds fun run to raise funds for young cancer patients  Don’t miss out on the latest news and information. Wow that’s awesome! I really never opened up to you about it but since I was a kid, I’d try to copy your game.🙈 Thanks, man!✔ https://t.co/DgDCp7glOI— Japeth Aguilar (@japethaguilar35) October 8, 2017Aguilar’s comments weren’t reserved on Seigle alone, as he also praised former PBA MVP Kelly Williams for the tremendous battle they had in the series.ADVERTISEMENT Fire hits houses in Mandaluyong City Of course! thank you & im flattered you asked. So nice to see you develop into one of the Superstars of PBA & Gilas.Good luck in the finals!— Danny Seigle (@dannyseigle42) October 8, 2017 Typhoon Kammuri accelerates, gains strength en route to PHlast_img read more

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a month ago​Man Utd hero Ince: Solskjaer has nobody that excites

first_img​Man Utd hero Ince: Solskjaer has nobody that excitesby Freddie Taylora month agoSend to a friendShare the loveFormer Manchester United and Liverpool player Paul Ince believes that Ole Gunnar Solskjaer does not have enough exciting players in his squad.Ince, who has often served as a vocal critic of Solskjaer and the club’s management structure, believes the team does not have a squad good enough to challenge at the top end.United are struggling at the start of the season, losing their most recent Premier League game to West Ham United.”I said last year – and got ridiculed for it – that Ole shouldn’t have got the Manchester United job at the stage he did. I stand totally by that comment,” Ince told Paddy Power.”Everyone got sucked into the start he’d made, without looking at the fixtures they had. It’s a result-based business, and that’s fine, but you can’t ignore performances.”Now, though, having decided he’s the man, giving him a long-term project and buying into his vision, they have to stick with him.”Irrespective of whether they win or lose at the weekend, he’s their man. There are no two ways about it, they’ve made their bed, and right now they’re lying in it.”They can’t be sacking their manager and abandoning the strategy, based on a few results. United will win games, people will get excited again, then they’ll lose and it’ll be back to crisis mode.”They’re the biggest team in the world, they’ll be on the back pages no matter what. That’s what comes with being a Manchester United player or manager.”But they no longer have that presence in terms of intimidating opponents. Teams know they can get something from them now, even at Old Trafford. Right now, United are vulnerable.”Chelsea already have a clearer vision. I think of Ole in the same way as I do Frank Lampard. Two young managers lacking experience, who have been thrown into two massive clubs.”But, if you gave me the choice of who I’d rather be watching this season, it’d be Chelsea all day long – and that hurts me as a former United captain.”Can anybody tell me what United are trying to do? Because I have no idea”They’re so reliant on the young lad Daniel James – who is brilliant, but was in the Championship with Swansea last season – it’s crazy.”There’s nobody there that excites me.” About the authorFreddie TaylorShare the loveHave your saylast_img read more

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4 days agoMan Utd chief Woodward: I’m not here to be famous

first_imgAbout the authorPaul VegasShare the loveHave your say Man Utd chief Woodward: I’m not here to be famousby Paul Vegas4 days agoSend to a friendShare the loveManchester United executive vice-chairman Ed Woodward insists he doesn’t care about being famous. Woodward has the bore of the brunt of criticism from the United faithful over his recruitment decisions in recent seasons.But Woodward says he is committed to turning the club into a successful on and off the field.”I understand the scrutiny; it’s part of the job. And I don’t want to be famous and can’t be mates with the players,” he said. “But we have to do everything we possibly can to get back to winning the Premier League. We are not successful until we do. Second is not success – we have to win the Premier League.” last_img read more

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What The College Football Top 25 Poll Will Look Like At The End Of The Season

first_imgESPN College Football promotion.TennesseeTennessee will finish the 2016 regular season ranked No. 1 in the country, according to an acclaimed prediction model. McIllece Sports, which attempts to predict how the season will play out using 70,000 full season simulations, has released its top 25. This isn’t a preseason top 25, though. It’s a prediction of what the top 25 poll will look like at the end of the regular season. Here’s the top 10. Coming up! We’ll talk to the man behind this @mcillecesports poll that predicted Tennessee to finish the season #1 pic.twitter.com/jXCzhaKSSS— Paul Finebaum (@finebaum) July 1, 2016Here’s the full top 25:1. Tennessee 2. Alabama 3. Washington 4. Ohio State 5. Michigan 6. Oklahoma 7. Nebraska 8. Florida State 9. Notre Dame 10. UCLA 11. Clemson 12. LSU 13. Louisville 14. West Virginia 15. North Carolina 16. Houston 17. San Diego State 18. Iowa 19. Boise State 20. Florida 21. USC 22. Ole Miss 23. Oregon 24. Texas 25. Pittsburgh—–Who do you think is going to finish the regular season ranked No. 1?[McIllese Sports]last_img read more

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