06-24-2018  3:49 pm      •     
The Skanner Report
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NEWS BRIEFS

AG Rosenblum Seeks Info from Oregonians

Oregon Attorney General seeks information on children separated from families at border ...

Community Forum: How Does Law Enforcement Interact With Vulnerable Populations?

Forum will focus on public safety and examine mental health and addiction issues ...

King County Council Recognizes Juneteenth

The Metropolitan King County Council recognizes a true 'freedom day' in the United States ...

Unite Oregon Hosts ‘Mourn Pray Love, and Take Action’ June 20

Community is invited to gather at Terry Schrunk Plaza at 6 p.m. on World Refugee Day ...

MRG Foundation Announces Spring 2018 Grantees

Recipients include Oregon DACA Coalition, Kúkátónón Children’s African Dance Troupe, Komemma Cultural Protection Association ...

18-year-old driver dies after colliding with log truck

PORTLAND, Ore. (AP) — Oregon State Police say an 18-year-old girl has died after colliding with a log truck on Highway 101 near Beaver.Law enforcement officials say Mikayla Michelle Howard was driving a 2003 Saab when it crossed into the other lane for an unknown reason on Friday morning....

Marion County deputies investigating suspicious death

LYONS, Ore. (AP) — Law enforcement officials are investigating after a man was found dead in a pond near his home in Lyons.The Marion County Sheriff's Office says deputies were called to the scene Saturday afternoon after the body was found. Detectives also responded to the scene because the...

New Mexico residents to testify on atomic bomb fallout

ALBUQUERQUE, N.M. (AP) — Residents of a New Mexico Hispanic village near the site of the world's first atomic bomb test say they were long ignored about the lingering health effects and were expected to share their stories with Congress.The Tularosa Basin Downwinders Consortium plans to...

Small plane hits car after missing runway near Snohomish

SNOHOMISH, Wash. (AP) — A small plane hit a car after overshooting the runway at an airfield near Snohomish.The Seattle Times reports that three people, including a child, were in a single-engine plane when it was approaching the Harvey Air Field on Saturday.Lt. Rick Hawkins of the Snohomish...

OPINION

How Washington’s 'School Achievement Index' Became School Spending Index

New assessment categorizes schools not by quality of education, but level of funding officials believe they should receive ...

Black Mamas Are Dying. We Can Stop It.

Congresswoman Robin Kelly plans to improve access to culturally-competent care with the MOMMA Act ...

Hey, Elected Officials: No More Chicken Dinners...We Need Policy

Jeffrey Boney says many elected officials who visit the Black community only during the election season get a pass for doing nothing ...

Juneteenth: Freedom's Promise Still Denied

Juneteenth is a celebration of the de facto end of slavery, but the proliferation of incarceration keeps liberation unfulfilled ...

AFRICAN AMERICANS IN THE NEWS

Authorities investigating fatal Minneapolis police shooting

MINNEAPOLIS (AP) — Minnesota state authorities are investigating after Minneapolis police shot and killed a black man they say was firing a handgun as he walked outside.People gathered for a Sunday afternoon protest at a police station and a vigil near the north Minneapolis shooting scene...

Jews, Muslims in Berlin team up on bike rides against hatred

BERLIN (AP) — Some 25 Jews and Muslims rode tandem bicycles through the German capital on Sunday in a protest against growing anti-Semitism and attacks on Muslims in the country.Some were rabbis and imams, others included women in headscarves and Jewish community members donning skullcaps...

Association removes Laura Ingalls Wilder's name from award

CHICAGO (AP) — A division of the American Library Association has voted to remove Laura Ingalls Wilder's name from a major children's book award over concerns with how the early-to-mid 20th century author portrayed blacks and Native Americans.The Association for Library Service to Children's...

ENTERTAINMENT

Brigitte Nielsen, 54, has given birth to her fifth child

LOS ANGELES (AP) — Brigitte Nielsen says she has given birth at age 54.The model, actress and reality star and her 39-year-old husband Mattia Dessi released a statement to People magazine Saturday saying their daughter Frida was born Friday in Los Angeles and weighed 5 pounds, 9 ounces (2.3...

Association removes Laura Ingalls Wilder's name from award

CHICAGO (AP) — A division of the American Library Association has voted to remove Laura Ingalls Wilder's name from a major children's book award over concerns with how the early-to-mid 20th century author portrayed blacks and Native Americans.The Association for Library Service to Children's...

'Jurassic World' sequel stomps its way to 0 million debut

NEW YORK (AP) — The dinosaurs still rule the box office."Jurassic World: Fallen Kingdom" surpassed expectations to open with 0 million in ticket sales in U.S. and Canada theaters over the weekend, according to studio estimates Sunday. While that total didn't approach the record-breaking...

U.S. & WORLD NEWS

US restaurants host refugee chefs who offer a taste of home

SAN FRANCISCO (AP) — At San Francisco's Tawla restaurant, Muna Anaee powdered her hands with flour and...

UK euroskeptics urge PM May to prepare for 'no deal' Brexit

LONDON (AP) — Pro-Brexit politicians and business figures have urged British Prime Minister Theresa May to...

Roseanne Barr in interview: 'I made myself a hate magnet'

NEW YORK (AP) — In an emotional interview, Roseanne Barr said she definitely feels remorse for the racist...

Switzerland awaits FIFA judgment on 'provocative' gestures

MOSCOW (AP) — Despite goal celebrations seen as inflaming political tensions with Serbia, the head of...

Sweden player condemns racist abuse after World Cup loss

KRASNODAR, Russia (AP) — Sweden midfielder Jimmy Durmaz says the racist abuse aimed at him over social...

DJ Calvin Harris stoked by Harry Kane nod to 'One Kiss'

NIZHNY NOVGOROD, Russia (AP) — Harry Kane led England into the round of 16 at the World Cup then gave a nod...

Lauran Neergaard AP Medical Writer

WASHINGTON (AP) -- Suspended animation may not be just for sci-fi movies anymore: Trauma surgeons soon will try plunging some critically injured people into a deep chill - cooling their body temperatures as low as 50 degrees - in hopes of saving their lives.

Many trauma patients have injuries that should be fixable but they bleed to death before doctors can patch them up. The new theory: Putting them into extreme hypothermia just might allow them to survive without brain damage for about an hour so surgeons can do their work.

In a high-stakes experiment funded by the Defense Department, the University of Pittsburgh Medical Center is preparing to test that strategy on a handful of trauma victims who are bleeding so badly from gunshots, stab wounds or similar injuries that their hearts stop beating. Today when that happens, a mere 7 percent of patients survive.

Get cold enough and "you do OK with no blood for a while," says lead researcher Dr. Samuel Tisherman, a University of Pittsburgh critical care specialist. "We think we can buy time. We think it's better than anything else we have at the moment, and could have a significant impact in saving a bunch of patients."

Tisherman calls the rescue attempt "emergency preservation and resuscitation," EPR instead of CPR. His team plans to begin testing it early next year in Pittsburgh and then expanding the study to the University of Maryland in Baltimore.

If the dramatic approach works, it will spur some rethinking about that line between life and death, says Dr. Arthur Caplan, a University of Pennsylvania bioethicist who is watching the research.

But before the first candidates get chilled, the scientists face a hurdle: The law requires that patients consent to be part of medical experiments after they're told the pros and cons. That's impossible when the person is bleeding to death. There won't even be time to seek a relative's permission.

So starting Tuesday, the Pittsburgh team is beginning a campaign required by the Food and Drug Administration to educate area residents about the study instead - with signs on city buses, video on YouTube, a web site and two town-hall meetings next month. Residents worried about possible risks, such as brain damage, could sign a list saying they'd opt out if they ever were severely injured.

Go even a few minutes without oxygen and the brain in particular can suffer significant damage. Doctors have long sought to use hypothermia in medicine since discovering that cooling can slow the metabolism of the brain and other organs, meaning they can go without oxygen for longer periods. Donated organs are chilled to preserve them, for example. And people whose hearts are shocked back into beating after what's called cardiac arrest often are iced down to about 90 or 91 degrees, mild hypothermia that allows the brain to recover from damage that began in those moments between their collapse and revival.

But the CPR that buys time during more routine cardiac arrest doesn't help trauma patients who've already lost massive amounts of blood. Injuries are the nation's fifth-leading killer, and hemorrhage is one of the main reasons, says Dr. Hasan Alam of Massachusetts General Hospital, who is collaborating with the Pitt study.

Enter deep hypothermia, dropping body temperature to around 50 degrees. It has worked in dogs and pigs, animals considered a model for human trauma, in experiments over the past decade conducted by Tisherman, Alam and a few other research groups.

The animals were sedated and bled until their hearts stopped. Ice-cold fluids were flushed through the body's largest artery, deep-chilling first the brain and heart and then the rest of the body. After more than two hours in this limbo, they were sewn up, gradually warmed and put on a heart-lung machine to restart blood flow. Most survived what should have been a lethal injury and most appeared to be cognitively fine, Tisherman and Alam say.

Hypothermia is counterintuitive for trauma because the cold inhibits blood clotting, something to watch while rewarming people in the planned study. Still, humans can get that cold and fare well, says Tisherman, who is co-author of a pending patent for emergency-preservation methods. He points to rare cases of people who fall through ice and instead of drowning are rewarmed and wake up, as well as deep-chilling that happens during certain heart operations that require completely stopping blood flow for a short time.

"Nothing is magical. Everything has got its limitations," cautions Alam. He says the big question is whether deep hypothermia can help in the chaos of real-life trauma when "the blood has already been lost and you're trying to do catch-up."

Bioethicist Caplan says one concern is that some people might survive but with enough brain damage that they'd have preferred death. He says the "informed community" procedure designed for studies of emergency treatments cannot adequately cover that scenario.

"Most people are going to say, `Yes I would like you to try and save my dad,'" says Caplan, who calls emergency preservation promising. But, he says, "we continue to ignore the 900-pound gorilla of who's going to manage the bad outcome."

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EDITOR'S NOTE - Lauran Neergaard covers health and medical issues for The Associated Press.

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