A coroner has pleaded with the HSE to review their protocols for ambulance turnaround times at hospitals across the country.It comes following an inquest into the death of Co Donegal mother-of-eight Margaret Callaghan who died in the early hours of January 9th, 2018. An inquest at Letterkenny Coroner’s Court heard today how it took an ambulance 71 minutes from Letterkenny University Hospital to reach Mrs Callaghan at her home just two kilometres away.Mrs Callaghan, aged 71, from Bracken Lea at Mountaintop in Letterkenny had only been released from hospital the previous day having undergone a non-emergency bone marrow biopsy.However, her daughter Caoimhe told the court that her mother gradually got worse as the day went on.She was tired and frail and at 5.20am the family called an ambulance as their concerns for their mother increased.They were forced to call the 999 service three times as the ambulance was delayed and the ambulance did not eventually arrive until 6.31am.The paramedics tried to work on Mrs Callaghan but she was later pronounced dead at the scene.The court was told that two ambulances parked at the hospital had been having off-load delay issues because of a capacity issue at the hospital and they could not release their patients into the care of hospital staff.One ambulance was queuing at the hospital for six and a half hours while the other had been there for three and half hours.An ambulance which had been in Dungloe which is 58 kilometres away was dispatched to attend Mrs Callaghan but that was stood down when one of the ambulances was eventually freed up.Professor Cathal O Domhnaill, Medical Director of the National Ambulance Service said the issue of off-load times with ambulance around the country was endemic.He added that these delays are a consequence of emergency department overcrowding and that overall hospital capacity is the issue.He further stated that the issue in his opinion has gotten worse in recent times.General Manager of Letterkenny University Hospital Mr Sean Murphy painted a grim picture of conditions at the hospital.He revealed that full capacity protocol at the hospital during 94% of the time during this past year.He described the situation as “horrendous” but paid tribute to his staff for the conditions in which they had to work on a daily basis.He said that even with the opening of an extra ten beds in the past year as well as a ‘discharge lounge’ they were still fighting over-crowding on a daily basis.He also described how himself and his Director of Nursing recently went around the hospital in the middle of the night looking for extra bed capacity because of overcrowding.Sean Magee, barrister for the Callaghan family asked if an extra trolley could be placed on an ambulance so that it could be used to prevent or relieve off-load delays.But Mr O Domhnaill said that this could not be possible for a number of reasons including the fact that ambulance simply could not fit it in.Mr Magee was also asked if it was ever advisable that the families of patients in extreme emergencies could drive them to hospital.Mr O Domhnaill said that they could not stop people from doing this but the HSE would never advise this for a number of reasons including the fact that the drivers could be under emotional stress and may cause an accident themselves.Summing up, coroner Dr Denis McCauley said he was returning a narrative verdict.He found that Mrs Callaghan had died as a result of haemorragic shock as a result of haemorrhage secondary to a bone marrow biopsy.However, he said among the important facts were the ambulance offload delays and the fact that Letterkenny University Hospital was at full capacity protocol where no additional measures were possible to hasten the release of ambulances back to the community.He then called on the HSE to review those protocols for the prevention of ambulance delays because the present ones are “insufficient and unworkable.”He expressed sympathy with the many members of the extended Callaghan family who were present for the inquest.The Callaghan family thanked the coroner and also Mr O’Domhnaill and Mr Murphy and the hospital staff for how they handled the inquest.Coroner demands review of ambulance turnaround times after tragic death was last modified: December 6th, 2019 by StephenShare this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window) Tags:coronerdeathdelayinquestletterkennyMargaret Callaghanturnaorund times
The Warriors’ Raili Makela defeated Mileena Maki, 6-2, 6-3 in the first singles match. Del Norte … McKinleyville and Del Norte earned early-season victories while the Eureka High School tennis team fell to Northcoast Prep.In other sports, Del Norte’s volleyball team is now 6-0 after a straight-set drubbing over Gold Beach (Oregon).Del Norte tennis sweeps St. Bernard’s 9-0The Del Norte Warriors won every match against the St. Bernard’s Crusaders on Tuesday at Del Norte High School.
ReadWriteBody is an ongoing series where ReadWrite covers networked fitness and the quantified self.I had an epiphany the other day in the gym: I haven’t been pushing myself as much as I could.This wasn’t some nebulous feeling of guilt or self-doubt. My personal trainer and I were looking at a chart that proved it to us—a chart of my heart rate.Tell It To My HeartHeart-rate monitoring isn’t a new technology. Polar Electro, a Finnish company, pioneered the first wireless heart-rate monitor in 1977 for that nation’s cross-country skiing team. But recently, the technology has spread beyond athletes to the masses, spurred by the popularity of wrist-based fitness trackers.Indeed, it’s become a baseline feature for smartwatches: Why take up wrist real estate if you’re not taking advantage of that proximity to the body? (One critique of Samsung’s new Galaxy Gear is that it lacks a heart-rate monitor.)There are a number of different technological approaches to heart-rate monitoring. The EB Sync Burn tracker I’ve been using detects the heart’s electrical impulses—but only intermittently, so it can’t output a continuous graph of your heart rate. A chest strap, like one I’ve been testing from Pear Sports, can provide continuous monitoring, but you have to be pretty devoted to wear it. Newer monitors like smartwatches from Mio and Basis use optical detection to essentially watch your pulse—at the cost of a shorter battery life.It’s safe to assume that the technology behind heart-rate monitoring will get cheaper, less power-intensive and more available, which could mean that it’s far easier to listen to your heart. And though there are some apps that can use optical techniques to measure your heart rate with a smartphone’s camera, like Azumio’s Instant Heart Rate, we’ll likely need some kind of wearable device for continuous heart-rate monitoring.Testing Myself At IntervalsFor weeks, I’ve been using Pear’s chest strap and companion smartphone app to measure my heart rate, with the goal of spiking it through high-intensity interval training, or HIIT. The theory behind HIIT is that elevating your heart rate through brief, intense exertion will bring you more physiological benefits than exercise that maintains your heart rate at a steady state.What I discovered is that after years of trotting around San Francisco’s Telegraph Hill with Ramona the Love Terrier, it’s pretty hard to jack up my heart rate unless I’m tearing up the Filbert Steps or a similar incline. Here’s a typical morning run:My heart rate during a morning run with intervals, captured by Pear Sports.Even with Pear’s coaching tools, I’ve found it hard to maintain a pace that keeps my heart rate up between intervals. (It doesn’t help that I’m keeping pace with an 11-pound terrier—without my dog, I might be able to go faster, but the whole point of my morning runs is to give her some exercise, too.)Contrast that to my experience at my gym, Fit Life Training Studio, earlier this week. It was an unusual situation: We were shooting video for an upcoming ReadWriteBody column, the results of which I hope to share with you soon. So I was in front of a camera—a high-pressure situation to begin with—and my trainer had designed a fast-paced workout so we could demonstrate lots of different exercises.Instead of the usual three-minute rest periods I take between exercises, we used my heart-rate monitor as a guide, waiting only as long as it took to get my heart rate down from the 150s to about 110. The result was an exhausting but exhilarating workout that, according to the numbers, was far more vigorous than running straight up from San Francisco’s waterfront up to Coit Tower at the top of Telegraph Hill. Here’s the chart:Here’s my heart rate during a vigorous gym workout.The PrescriptionSo what’s the takeaway? I’m not going to stop running intervals, since they’re fun, and I think I can make progress by trying to keep my heart rate up more while running. But I think I can get more overall fitness benefit—both strength and cardiovascular improvement—by going all-out at the gym. While I always liked to think I was working hard with the weights, I never had rigorous proof. Until now.How can heart-rate monitoring help you? That’s a very individual question, but it’s a good one to explore with your doctor, or your personal trainer if you have one. The interesting thing about the new generation of fitness trackers we’re getting is that we have far more data available to inform those conversations.Oh, and by the way, if your heart rate goes off the charts? Don’t troubleshoot your gadgets. Use your smartphone and call 911. What it Takes to Build a Highly Secure FinTech … The Rise and Rise of Mobile Payment Technology Related Posts Tags:#Body#exercise#fitness#fitness apps#fitness trackers#heart rate monitors#physiology#quantified self Role of Mobile App Analytics In-App Engagement Why IoT Apps are Eating Device Interfaces owen thomas
View comments In a post on his Twitter account, Ravena made the announcement short and sweet.“#PBADraft. Here we go,” he wrote.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 BSP sees higher prices in November, but expects stronger peso, low rice costs to put up fight Confusion looms as Owens survives Hell in a Cell Read Next The former Ateneo star last saw action for Chooks-to-Go Pilipinas in the 2017 Fiba Asia Champions cup where he averaged a team-best 20.6 points, 3.1 rebounds, 3.1 assists, and 1.3 steals in close to 30 minutes of play.He also had a memorable collegiate and amateur career going back to his days in the UAAP, where he netted 16.3 points, 5.2 rebounds, and 3.9 assists in five seasons.Ravena has had vast playing experience elsewhere. He even tested his luck in the NBA and was signed to contract in the NBA Developmental League with the Texas Legends, while also seeing action in numerous leagues with Mighty Sports and Alab Pilipinas.He has also won a record of four Southeast Asian Games gold medals while also representing the country in the 2017 Fiba 3×3 World Cup in Nantes, France.ADVERTISEMENT Don’t miss out on the latest news and information. 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 Games #PBADraft2017 Here we go. 🙏🏽— Kiefer Ravena (@kieferravena) October 9, 2017 Frontrow holds fun run to raise funds for young cancer patients Fire hits houses in Mandaluyong City Nonong Araneta re-elected as PFF president Photo from Fiba.comKiefer Ravena has finally made the jump to the pros.The two-time UAAP Most Valuable Player has decided to face a new challenge as he declared himself eligible for the 2017 PBA Rookie Draft.ADVERTISEMENT MOST READ LOOK: Loisa Andalio, Ronnie Alonte unwind in Amanpulo for 3rd anniversary LATEST STORIES Brace for potentially devastating typhoon approaching PH – NDRRMC Typhoon Kammuri accelerates, gains strength en route to PH Kammuri turning to super typhoon less likely but possible — Pagasa The 23-year-old’s inclusion further bolsters the depth of this year’s pool where Ravena is expected to be a sure-fire top two selection.He joins an already loaded cast which features Fil-German big man Christian Standhardinger, La Salle swingman Jeron Teng, and FEU bruiser Raymar Jose.
TagsTransfersAbout the authorPaul VegasShare the loveHave your say West Ham offer terms to Samir Nasriby Paul Vegas10 months agoSend to a friendShare the loveWest Ham are offering terms to Samir Nasri.The Mirror says they have offered Nasri a six-month contract worth £80,000-a-week.The Irons have backed boss Manuel Pellegrini by handing the 31-year-old French midfielder a heavily-incentivised deal until the end of the season.It means the pair are reunited after Nasri lifted the title under Pellegrini at Manchester City four years ago.It also comes with Pellegrini hit by the loss of striker Javier Hernandez and defender Fabian Balbuena.Balbuena suffered a knee injury against Watford on Saturday and striker Hernandez came off with back and hamstring problems.Should Nasri impress, West Ham will have an option to keep him beyond next summer.
Everton defender Keane says they should buy in Januaryby Paul Vegas10 days agoSend to a friendShare the loveEverton defender Michael Keane says they should buy in January.A new addition would place Keane’s starting role under threat at Goodison Park but the former Burnley centre-back believes a new signing would only improve his performances.”I think competition is always healthy and it pushes you on no-matter what position you are on the pitch,” Keane told the Liverpool Echo.”It just keeps you on your toes. We’ve got competition here but the more the merrier, really.”It keeps things fresh, makes you work that bit harder and you have to prove yourself every single game and you can’t let it slip or you will lose your place in the team.” TagsTransfersAbout the authorPaul VegasShare the loveHave your say
OSU junior defensive end Tyquan Lewis (59) takes his position during their game on Nov. 19, 2016 at Spartan Stadium. The Buckeyes won 17-16. Credit: Lantern File PhotoIt’s rarely a bad thing to have too much depth at one position.That can most certainly be said of Ohio State’s defensive end group. With reigning Big Ten Defensive Lineman of the Year Tyquan Lewis returning for a fifth year to join senior Jalyn Holmes, sophomore Nick Bosa and redshirt junior Sam Hubbard, the Buckeyes boast arguably the most dominant quartet of defensive ends in college football.“Is it possible to have too many?” Ohio State coach Urban Meyer asked, sarcastically. “On defense, I’ve never thought about it. On offense it happened here. Every time I walk into a press conference, ‘Why did he only have four touches? What about this, what about that?’ Once again, I rather have that conversation than say we don’t have anybody.”With the defensive end talent, it can make the whole defense better, regardless of the set. Redshirt senior linebacker Chris Worley said the ability for the Buckeyes’ defensive linemen to put tons of pressure on the quarterback — even if the pressure does not result in a sack — makes the job of everyone else on the defensive side of the ball easier.“All those interceptions that Malik (Hooker) had and other guys, Marshon (Lattimore), a lot of times it’s, ‘Oh, did you see the Marshon play?’” Worley said. “But what you didn’t see was, down one through two or the two drives before that, the quarterback was probably hit six times upside the head and he was just trying to get the ball out and guys are making plays now.”With that depth on the roster, it could be challenging to fully maximize the talent. During the spring, the concept of a line that featured the four defensive ends with redshirt sophomore defensive tackle Dre’Mont Jones in a heavy-loaded front five surfaced as a possibility in 2017.“Coaches like to say that we have to hold the checkers,” Meyer said on April 6. “You got five really good checkers right there, play them all at once.”Three months later, Meyer and his team are still toying with the idea of using all those playing pieces at the same time.“We have five like we have right now. I’ve kind of tapped them on the shoulder and say all those five guys are playing,” Meyer said. “It’s fun to have checkers like that, move them around.”A key aspect of the plan involves standing Hubbard up and possibly play a few steps behind the linemen. He might be built like a defensive lineman, standing at 6-foot-5, 265 pounds, but he still has the athleticism to play a unique form of defensive lineman.“I’ve never had this situation and it remains to be seen and I think (defensive line coach) Larry Johnson and (defensive coordinator) Greg Schiano know how to handle it or have had conversations that I’ve been involved into,” Meyer said. “I wouldn’t call (Hubbard) a linebacker but he might be something like that. Get him on the field.”Lewis believes that even though the team will not always be able to get all four defensive ends on the field at one time, there is nothing that separates those on the field from those who have to step off.“We don’t consider them backups,” Lewis said. “They’re just another asset to the starting lineup. That’s why they’re always featured in it. With a line this deep, it’s always fresh. Fresh rotation, nobody’s afraid of anything.”It is certain the team will not always utilize all four defensive ends at the same time. There’s even a chance it is just an idea that might not come to fruition. But Meyer has seemed adamant that with all that talent, there has to be some way to maximize those players.“You look at our four D-ends right now — that doesn’t include Chase Young or Jonathon Cooper — so we have four, and unfortunately we’ll probably lose three of them (to the NFL Draft),” Meyer said. “Bosa, Jalyn Holmes is in that same category, and Sam Hubbard. We have to find a way … to get them on the field.”
Ohio State redshirt junior wide receiver K.J. Hill (14) runs the ball in for a touchdown in the fourth quarter of the game against Penn State on Sept. 29. Ohio State won 27-26. Credit: Casey Cascaldo | Photo EditorAfter a 27-26 road win against then-No. 9 Penn State, Ohio State head coach Urban Meyer was asked about many of his players in Tuesday’s Big Ten Coaches Teleconference.Though redshirt sophomore quarterback Dwayne Haskins didn’t have his greatest game on Saturday, throwing for 270 yards, three touchdowns and an interception against the Nittany Lions, Meyer said he was impressed by how relaxed Haskins has been all season.“Very collected player,” Meyer said Tuesday. “The guys around him have belief in him.”Meyer also complimented redshirt junior wide receiver K.J. Hill, saying he is a “tough, tough guy,” and tough guys survive in situations like Saturday’s victory in Happy Valley.Hill scored the game-winning touchdown on a screen from Haskins against Penn State, and leads the Buckeyes with 27 receptions this season.Though Meyer said redshirt junior defensive tackle Robert Landers struggled at times against Penn State, he said that was due to a lingering injury that he has not fully recovered from.Still, Meyer said Landers is a “spark plug” and “an energy guy that everyone loves to death.”In the secondary, Meyer said sophomore cornerback Jeffrey Okudah is a great player, but can still get better.“He’s a better person than a player and he’s a great player,” Meyer said. “He has made a few mistakes, but he’s been very good.”Preparing for IndianaAfter a big win last weekend, the Buckeyes return home for a matchup against Indiana.Meyer compared Penn State redshirt senior quarterback Trace McSorley to Indiana’s starting quarterback, redshirt sophomore Peyton Ramsey.McSorley broke the Penn State record with 461 all-purpose yards against Ohio State, and Meyer said Ramsey shows a lot of the same ways to extend plays.“The guy we just played is one of the best we’ve gone against,” Meyer said, and he sees a lot of that in Ramsey.This season, Ramsey has completed 71 percent of his passes, racking up 1,039 yards through the air and 170 yards on the ground across 51 carries. He has scored eight passing touchdowns and two rushing. Ramsey also has five interceptions.Meyer also said the Ohio State defense had a “heck of a time” with the Indiana offense last year, and that they are very well coached on defense. Last year, Ohio State gave up 420 passing yards to Indiana, but held them to just 17 rushing yards in the team’s 49-21 season-opening win against the Hoosiers.No update on Brian SneadMeyer was asked for an update on freshman running back Brian Snead, and he said he has no updates on his availability.Snead has missed the past three games due to undisclosed disciplinary action due to a violation of team rules.
Facebook Twitter Google+LinkedInPinterestWhatsApp Related Items: Facebook Twitter Google+LinkedInPinterestWhatsAppJamaica, June 22, 2017 – Montego Bay – The Ministry of Tourism, Environment, Culture & Gaming, senior official, Michelle Fulford Gardiner along with Wayne Higgs and Damion Seymour, staff members from the Gaming Inspectorate Department, returned to the TCI last weekend after attending the 7th Caribbean Annual Gaming Show & Summit, 14th – 15th June, 2017, and held in Montego Bay, Jamaica at the Convention Centre.The event was hosted by the Betting Gaming & Lotteries Commission of Jamaica, with international sponsors such as Aristocrat, Spin Inc., Golden Race and Signature Gaming. Participants hailed from 12 countries representing regulatory agencies, gaming operations, and technologies laboratories. The Summit comprised of formal presentations, plenary sessions dealing with trending issues within the region. Topics included:De-RiskingAnti- Money LaunderingSecurity & FraudEsports/IGamingResponsible GamingCasino Protection and SurveillanceThe highlight of the summit was a break-out session – “The Caribbean Regulators Forum”, which brought together regulators from the region in a common forum, focusing on core issues, related to constraints and challenges experienced by regulatory agencies.The timeliness of this Summit cannot be understated as it is a precursor to the Turks & Caicos Islands Government plans to implement legislation and policy for the establishments of a Gaming Commission.Minister of Gaming, Hon. Ralph Higgs stated; “The ministry in its preparatory phase to usher in a new Gaming Commission with increased compliance and monitoring of the sector, ensuring that the Commission is well resourced to deal with issues of non-compliance and illegal gaming. The sector, no doubt, has emerged into an area providing business investment and employment opportunities for locals, however, equally important is our efforts to incorporate “responsible gaming” as a critical aspect of the industry.”The event also provided an elaborate exhibit space, where participants got first hand exposure to new games & technology, whilst networking with supplier and distributors. The TCI delegates agreed that the summit underscores the research, growth and development in this industry and such exposure will go a long way in efforts being made to provide the TCI Gaming industry.Press Release: TCIG