Patients are waiting outside Scarborough Hospital for a bed for hours, the GMB Union claims.
Some of the paramedics had responded to 999 calls hours ago, a GMB Union member claimed
Video filmed by Deanne Ferguson, from the GMB Union, showed a line of ambulances outside Scarborough Hospital on Monday evening.Yorkshire Ambulance Service said there were handover delays at hospitals while the hospital trust said it was under "extreme pressure". Targets for hospital trusts state handovers should take place within 60 minutes, with 95% taking place within 30 minutes, and 65% taking place within 15 minutes.
Nurses were seeing people in the back of the vehicles to decide who should be prioritised, it was claimed.York and Scarborough Teaching Hospitals NHS Foundation Trust said the "extreme pressure" at the hospitals was having an impact at A&E.
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Extracorporeal versus conventional cardiopulmonary resuscitation for refractory out-of-hospital cardiac arrest: a secondary analysis of the Prague OHCA trial - Critical CareBackground Survival rates in refractory out-of-hospital cardiac arrest (OHCA) remain low with conventional advanced cardiac life support (ACLS). Extracorporeal life support (ECLS) implantation during ongoing resuscitation, a method called extracorporeal cardiopulmonary resuscitation (ECPR), may increase survival. This study examined whether ECPR is associated with improved outcomes. Methods Prague OHCA trial enrolled adults with a witnessed refractory OHCA of presumed cardiac origin. In this secondary analysis, the effect of ECPR on 180-day survival using Kaplan–Meier estimates and Cox proportional hazard model was examined. Results Among 256 patients (median age 58 years, 83% male) with median duration of resuscitation 52.5 min (36.5–68), 83 (32%) patients achieved prehospital ROSC during ongoing conventional ACLS prehospitally, 81 (32%) patients did not achieve prehospital ROSC with prolonged conventional ACLS, and 92 (36%) patients did not achieve prehospital ROSC and received ECPR. The overall 180-day survival was 51/83 (61.5%) in patients with prehospital ROSC, 1/81 (1.2%) in patients without prehospital ROSC treated with conventional ACLS and 22/92 (23.9%) in patients without prehospital ROSC treated with ECPR (log-rank p | 0.001). After adjustment for covariates (age, sex, initial rhythm, prehospital ROSC status, time of emergency medical service arrival, resuscitation time, place of cardiac arrest, percutaneous coronary intervention status), ECPR was associated with a lower risk of 180-day death (HR 0.21, 95% CI 0.14–0.31; P | 0.001). Conclusions In this secondary analysis of the randomized refractory OHCA trial, ECPR was associated with improved 180-day survival in patients without prehospital ROSC. Trial registration: ClinicalTrials.gov Identifier: NCT01511666, Registered 19 January 2012.
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Outcome of autologous stem cell transplantation in patients with favorable-risk acute myeloid leukemia in first remission - Cancer Cell InternationalObjective To evaluate the efficacy of autologous hematopoietic stem cell transplantation (auto-HSCT) in patients with favorable-risk acute myeloid leukemia in first remission. Method Twenty patients who received auto-HSCT at our center between January 2014 and January 2021 were retrospectively reviewed. Results Until last follow-up, three patients in the cohort were dead due to relapse. The estimated 1-year and 5-year overall survival were 95.00% ± 4.87% and 83.82% ± 8.58%, respectively. The estimated 5-year RFS and CIR (cumulative incidence of relapse) were 85.00% ± 7.98% and 15.00% ±7.98%, respectively. Conclusion The outcome of auto-HSCT in patients with favorable-risk acute myeloid leukemia in first remission was excellent and auto-HSCT could be an effective treatment for these patients.
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We have no choice but to do this for our patients, says nurses supporting strike actionNurses have branded the Government's pay rise offer 'disrespectful' and say it has left them with no option but to strike
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Thousands of bipolar patients attempting suicide due to 10 year diagnosis delay, study findsUK healthcare system failing the millions of people affected by the condition, a severe mental illness characterised by extreme mood swings and changes in energy levels, according to the Bipolar Commission Report.
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