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A new study by local academics and emergency medical services found Baltimore City bystanders are less likely to provide CPR than those in Maryland and the rest of the country. The study was a “rapid retrospective analysis of out-of-hospital cardiac arrest (OHCA) cases from Baltimore City between January 2020 and December 2022, using data from the Cardiac Arrest Registry to Enhance Survival.” The study was published in the Dove Medical Press and is credited as collaboration between Johns Hopkins University, Baltimore City Community College, the University of Maryland, and the Baltimore City Fire Department. What it found was not encouraging, the study concludes. “The findings of this preliminary analysis reveal that, as of 2022, individuals experiencing non-traumatic OHCA in Baltimore City were approximately 45% less likely to receive BCPR compared to both state and national averages,” the study’s authors wrote. “This stark disparity persists despite the implementation of dispatch-assisted CPR protocols and targeted community education programs,” they wrote. “These results underscore the pressing need to explore and address the underlying barriers that contribute to the alarmingly low BCPR rates in Baltimore City.” According to Hopkins, cardiac arrest is when the heart stops beating suddenly, and the lack of blood flow to the brain and other organs can cause a person to lose consciousness, become disabled or die if not treated immediately. The study found 4,113 cases of out-of-hospital cardiac arrest from 2020 to 2022 in Baltimore City with a bystander CPR rate that decreased from 29.6% in 2020 to 27.4% in 2022. During the same period, the bystander CPR rate in Maryland ranged from 40.7% to 42.4% compared to around 40% nationally. In 2022, nearly 71% of cases happened at homes or residences and victims had an average age of about 59. About 59% of cases were males and nearly 75% were African-Americans, according to the study. The study found out of 1,282 cases of out-of-hospital cardiac arrest in Baltimore in 2022, a bystander performed CPR in 27.4% of them, compared to over 40% in Maryland and nationwide. “Addressing these disparities may necessitate a health equity-focused investigation into public awareness, CPR training access, and sociocultural factors,” the study says. There are nearly half a million cases of out-of-hospital cardiac arrest each year in the United States, according to the study, and less than 10% of victims survive to hospital discharge. “Immediate intervention has been identified as a key determinant of both survival and favorable neurological outcomes,” the study says. The study defines bystander CPR as any resuscitative effort provided by a layperson or non-medical professional prior to EMS arrival. “These results underscore the pressing need to explore and address the underlying barriers that contribute to the alarmingly low [bystander CPR] rates in Baltimore City,” the study says. “Socioeconomic factors, including race/ethnicity, income inequality and education, have been linked to lower bystander CPR rates in underserved populations.”
Former U.S. President Jimmy Carter has died. He was 100 years old and had spent more than a year in hospice care. The Georgia peanut farmer served one turbulent term in the White House before building a reputation as a global humanitarian and champion of democracy. He defeated President Gerald Ford in 1976 promising to restore trust in government but lost to Ronald Reagan four years later amid soaring inflation, gas station lines and the Iran hostage crisis. He and his wife, Rosalynn Carter, then formed The Carter Center, and he earned a Nobel Peace Prize while making himself the most active and internationally engaged of former presidents. The Carter Center said the former president died Sunday afternoon in Plains, Georgia.
AP News in Brief at 6:09 p.m. ESTWASHINGTON (AP) — President Joe Biden is weighing whether to issue sweeping pardons for officials and allies who the White House fears could be unjustly targeted by President-elect Donald Trump’s administration, a preemptive move that would be a novel and risky use of the president’s extraordinary constitutional power. The deliberations so far are largely at the level of White House lawyers. But Biden himself has discussed the topic with some senior aides, according to two people familiar with the matter who spoke on condition of anonymity Thursday to discuss the sensitive subject. No decisions have been made, the people said, and it is possible Biden opts to do nothing at all. Pardons are historically afforded to those accused of specific crimes – and usually those who have already been convicted of an offense — but Biden’s team is considering issuing them for those who have not even been investigated, let alone charged. They fear that Trump and his allies, who have boasted of enemies lists and exacting “retribution,” could launch investigations that would be reputationally and financially costly for their targets even if they don’t result in prosecutions. While the president’s pardon power is absolute, Biden’s use in this fashion would mark a significant expansion of how they are deployed, and some Biden aides fear it could lay the groundwork for an even more drastic usage by Trump. They also worry that issuing pardons would feed into claims by Trump and his allies that the individuals committed acts that necessitated immunity. Recipients could include infectious-disease specialist Dr. Anthony Fauci, who was instrumental in combating the coronavirus pandemic and who has become a pariah to conservatives angry about mask mandates and vaccines. Others include witnesses in Trump’s criminal or civil trials and Biden administration officials who have drawn the ire of the incoming president and his allies. Some fearful former officials have reached out to the Biden White House preemptively seeking some sort of protection from the future Trump administration, one of the people said. It follows Biden’s decision to pardon his son Hunter — not just for his convictions on federal gun and tax violations, but for any potential federal offense committed over an 11-year period, as the president feared that Trump allies would seek to prosecute his son for other offenses. That could serve as a model for other pardons Biden might issue to those who could find themselves in legal jeopardy under Trump. Biden is not the first to consider such pardons — Trump aides considered them for him and his supporters involved in his failed efforts to overturn the 2020 presidential election that culminated in a violent riot at the Capitol on Jan. 6, 2021. But he could be the first to issue them since Trump’s pardons never materialized before he left office nearly four years ago. Gerald Ford granted a “full, free, and absolute pardon” in 1974 to his predecessor, Richard Nixon, over the Watergate scandal. He believed a potential trial would “cause prolonged and divisive debate over the propriety of exposing to further punishment and degradation a man who has already paid the unprecedented penalty of relinquishing the highest elective office of the United States," as written in the pardon proclamation. Politico was first to report that Biden was studying the use of preemptive pardons. On the campaign trail, Trump made no secret of his desire to seek revenge on those who prosecuted him or crossed him. Trump has talked about “enemies from within" and circulated social media posts that call for the jailing of Biden, Vice President Kamala Harris, former Vice President Mike Pence and Sens. Mitch McConnell and Chuck Schumer. He also zeroed in on former Rep. Liz Cheney, a conservative Republican who campaigned for Harris and helped investigate Jan. 6, and he promoted a social media post that suggested he wanted military tribunals for supposed treason. Kash Patel, whom Trump has announced as his nominee to be director of the FBI, has listed dozens of former government officials he wanted to “come after.” Richard Painter, a Trump critic who served as the top White House ethics lawyer under President George W. Bush, said he was reluctantly in support of having Biden issue sweeping pardons to people who could be targeted by Trump's administration. He said he hoped that would “clean the slate” for the incoming president and encourage him to focus on governing, not on punishing his political allies. “It’s not an ideal situation at all,” Painter said. “We have a whole lot of bad options confronting us at this point.” While the Supreme Court this year ruled that the president enjoys broad immunity from prosecution for what could be considered official acts, his aides and allies enjoy no such shield. Some fear that Trump could use the promise of a blanket pardon to encourage his allies to take actions they might otherwise resist for fear of running afoul of the law. “There could be blatant illegal conduct over the next four years, and he can go out and pardon his people before he leaves office,” Painter said. "But if he’s going to do that, he’s going to do that anyway regardless of what Biden does." More conventional pardons from Biden, such as those for sentencing disparities for people convicted of federal crimes, are expected before the end of the year, the White House said.
Will Kirill Kaprizov Score a Goal Against the Jets on November 25?The eighth annual South Wales Health and Care Awards will be taking place on Wednesday, December 4. The ceremony at Rodney Parade will celebrate the health and care providers across South Wales, and the finalists have been revealed. Here are the finalists for GP of the Year, sponsored by Tovey Brothers Dr Okafor joined the Gwent UPC 24/7 service just over a year ago following completion of her GP training. Since joining she has worked tirelessly to ensure each patient contact is of the highest possible standard while maintaining a happy and friendly approach to all patients and colleagues. Her joyous attitude is contagious within her working environment and her positive and professional attitude is welcomed at all times. One nominee said: "When I was in a bad way Dr Edwards tried always to get me help with services that were required. She would phone me daily then as I got better weekly. This was often after the surgery closed and she really cared. If it wasn't for her, I wouldn't be alive now." Dr Annabelle Holtam Dr Annabelle Holtam works at Mount Pleasant in Chepstow and is also the South Monmouthshire Neighbourhood Care Network lead. She has initiated holistic reviews for patients, including a group meeting to discuss with other GPs and professional in the south of Monmouthshire more difficult cases. This approach ensures that the treatment provided is for the whole patient, taking into account mental and social factors, rather than just the symptoms of an illness.
Jimmy Carter, the 39th US president, has died at 100None
Percentages: FG .519, FT .868. Javascript is required for you to be able to read premium content. Please enable it in your browser settings.The customary Christmas tree delivery on Nov. 25, 2024, to the Kansas governor's mansion from Fontana marked the beginning of the holiday season. (Anna Kaminski/Kansas Reflector) CEDAR CREST — About a year ago, Ed Bartoszek’s mother could ride a tractor through the rows of pines on the family tree farm in Fontana. His mother, Faye, now sits in a wheelchair after suffering a stroke in October of last year, but she was able to witness Monday a tree grown at her ’60s-era tree farm tucked into a corner at the governor’s mansion at Cedar Crest. “Getting her up here was most important,” Bartoszek said. It’s the first Christmas tree the Bartoszek family has been able to donate to Kansas Gov. Laura Kelly from their farm, Fontana Pines, south of Kansas City. As it was delivered in a horse-drawn carriage and carried by the teen-aged members of the family into the mansion, Ed Bartoszek said he was filled with emotion. “I’m feeling overwhelmed. It’s a nice feeling,” he said. The tree was a 9-foot scotch pine, and Ed Bartoszek wandered the four fields of trees on his property to find the right one for Kelly. Members of the Kansas Forest Service, the Kansas Christmas Tree Growers Association and the horses’ current and former owners welcomed the tree Monday alongside Kelly to mark the beginning of the holiday season. The same pair of horses have delivered a Christmas tree to the governor’s mansion off and on for more than a decade. Cecil and Robert Carter, the horse’s former owners, have been a part of the ceremonious delivery during those years, and this year will likely be their last as they sold the business. The horses will carry on with new owners. “It’s a relief,” Cecil Carter said. “The thing that we miss most is being out in the public.” The Carters talked Monday on their drive to Cedar Crest about the politics, or lack thereof, in their business, Cecil said. Each governor is different. Former Gov. Sam Brownback used to like to get into the carriage and hold the reigns, he said. “When I do a job, there’s no political feelings whatsoever,” Cecil Carter said. Race, gender, political beliefs don’t matter to him, he said. Kelly visited with Faye Bartoszek and the rest of the family and posed for photos in her home. She advised Kansans preparing for potentially opinionated holiday gatherings “to do exactly what I’m going to do — and that’s steer away from conversations that are divisive.”
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