By Lisa Rapaport (Reuters Health) - - Letting family members watch while doctors work to bring a loved one back from the brink of death may not hurt patients' odds of survival, a new study suggests. "Hospitals that have been hesitant to set policies that allow families to be in the room during resuscitation should be encouraged that this didn't lead to worse outcomes or errors," said Dr. Zachary Goldberger, the study’s lead author from the University of Washington Harborview Medical Center in Seattle. "This is an important opportunity to enhance our end-of-life care for patients who are hospitalized,” he told Reuters Health. The study examined cardiac arrest outcomes for 41,568 patients treated at 252 U.S. hospitals from January 2007 through September 2010. Of those, 80 hospitals that treated 13,470 patients had policies allowing families to observe resuscitation. Overall, about 58 percent of patients had so-called spontaneous circulation restored, with a pulse returning for at least 20 minutes during the cardiac arrest, and roughly 18 percent survived until being discharged from the hospital, the authors reported in Circulation: Cardiovascular Quality and Outcomes. Hospital policies on family presence during resuscitation had no impact on whether patients survived to leave the hospital. And, after adjusting for hospital characteristics and differences in the patients, the policies also had no effect on restoring circulation. The study is limited by its lack of data linking results for individual patients to whether their family members were present during resuscitation, Goldberger said. The study also lacks specific details about the policies in place at individual hospitals, making it hard to draw conclusions about which provisions might have the biggest impact on outcomes. "The study doesn't show that family presence can effect outcomes, and more research is needed to fully understand the implications of this," Goldberger said. Resuscitation procedures can be quite violent, and more research is needed on how watching them might impact families and patients who survive the incident, said Lisa Salberg, founder and chief executive of the Hypertrophic Cardiomyopathy Association, a patient advocacy group. "I think you are opening a Pandora's box with this," said Salberg, who wasn't involved in the study. "Some families may want to see more and rather than sequester them it may make sense to let them in, but you are doing very aggressive things to their loved one – you are pounding on their chest and putting in IVs and maybe opening their chest – people may not want to see that." On the other hand, when there's time to explain the procedures to families and prepare them for what they may see, allowing them to stay may provide a certain amount of comfort and closure, said Dr. Steven Simpson, head of critical care at the University of Kansas Hospital in Kansas City. At his last job, where a family presence policy was in place, it often provided closure for families without distracting doctors from the task at hand, said Simpson, who wasn't involved in the study. Many times, when families saw exactly what was involved in resuscitation, they asked doctors to stop, bringing an early halt to a process that can often go on for 45 to 60 minutes, he said. In the emergency department at his Kansas hospital, families are allowed to observe and, often, nurses are assigned to stay with them to make sure they understand what they're seeing and help them cope with the way procedures may unfold, Simpson said. It's an opportunity for family members to close the loop. "If I see my loved one go down and there is a code blue and they usher me out and make me wait in the waiting room, and the next thing I know my loved one is dead, that leaves a gap that is hard to fill, like if you get a call out of the blue one afternoon that your son or daughter was killed in a car crash," said Simpson. "I have never had a family member say I wish I hadn't been there, and I have had numerous people say thanks." SOURCE: http://bit.ly/1HAB89r Circulation: Cardiovascular Quality and Outcomes, online March 24, 2015.
Actress Anne Heche has died. The 53-year-old actress was in a devastating car accident on Friday, August 5, that left her in a coma. Her family had issued a statement shortly before her death to inform the public that the “Six Days, Seven Nights” actress was not expected to survive after experiencing a catastrophic brain injury caused […]
- In The Know by Yahoo
TikTokers were shocked by what this mom uncovered in the toddler clothes section.
- The Hill
Republicans, including Greene, have repeatedly accused the Justice Department of going after Trump for political reasons.
- NBC News
A Texas man charged with five counts of child sexual assault died after a jury convicted him and he chugged a bottle of liquid in the courtroom, his lawyer said.
- Business Insider
Trump doesn't deny taking classified nuclear documents from the White House while baselessly accusing Obama of the same thing
Trump baselessly said Obama "kept 33 million pages of documents, much of them classified," suggesting that "lots" of them "pertained to nuclear."
- Rolling Stone
Republicans in Congress and the conservative media are plum out of talking points following the revelation that the FBI may have been searching for material pertaining to national security
"Alarm has grown when you talk to advisers of the former president," Washington Post reporter Josh Dawsey tells MSNBC.
- Rolling Stone
"Nuclear weapons issue is a Hoax, just like Russia, Russia, Russia was a Hoax," the former president raged on Truth Social
Trump baselessly bashed Obama for transferring records from the White House to Chicago. Here's why Obama was allowed while Trump is under scrutiny by the FBI.
The National Archives took it upon itself to dispel Trump's claims on Friday.
Some Republicans express concern about Trump reportedly taking documents about nuclear weapons to Mar-a-Lago, even as they bash the FBI
One House GOP lawmaker said the severity of what Trump may have done could depend as not all nuclear information is "highly, highly" classified.
Here’s the Real Reason Tom Brady Is Taking a Surprise Break from the Buccaneers & When He’s Coming Back
His first break since coming out of retirement.
- The Recount
Fox News' Steve Doocy to House GOP Chair Stefanik on nuclear documents reporting: "That's kind of a big deal!"
Fox News' Steve Doocy said to House GOP Chair Stefanik that reports the FBI were seeking to retrieve classified nuclear documents from Mar-a-Lago is: "kind of a big deal!". President Trump overnight said that he encouraged the judge who authorized the search to release both the warrant and the list of items sought in the search.
- E! News
After Tom Brady missed the Tampa Bay Buccaneers' team practice on Aug. 11, head coach Todd Bowles said the NFL quarterback will be taking time away from the team. Find out when he'll return.
- AZCentral | The Arizona Republic
Federal sources tell Newsweek what happened at Mar-a-Lago: The FBI truly thought this wasn't going to be a big deal. Whoops.
Republicans may have shot themselves in the foot by hammering the DOJ to release the Mar-a-Lago search warrant
Legal experts and political strategists speculate that Donald Trump's backers overplayed their hand and Merrick Garland called their bluff.
- Yahoo TV
Despite the fact that the image shown was credited to a Twitter handle run by a digital artist who creates memes, Kilmeade tried passing it off as real.
- The Daily Beast
Fox News/ScreenshotAs it becomes increasingly clear that Donald Trump may have violated the Espionage Act by storing “top secret” government documents at his private residence, the former president has turned to a familiar excuse: Obama did it too.“President Barack Hussein Obama kept 33 million pages of documents, much of them classified. How many of them pertained to nuclear? Word is, lots!” Trump posted on his social media platform Friday.But shortly after that, Fox News’ chief political ancho
- The Advocate
The actress had been declared brain dead, but she was kept on life support for a time for the purpose of organ donation.
Trump and his allies have attempted to distract Americans from an ongoing criminal investigation by pushing false claims about Obama. The facts reveal why the two presidents' actions aren't comparable
The Trump family was “actually able to see the whole thing,” attorney Christina Bobb said of the FBI search of Mar-a-Lago.