david half-asselhoff
Why doctors might 'fake' CPR

STAT/Alex Hogan
Loyal readers of this newsletter may remember a First Opinion essay from the summer that illuminated the practice of the "slow code," where doctors perform "a half-hearted attempt at CPR" to limit prolonged suffering for patients unlikely to survive and avoid conflict with grieving families. In the latest installment of STAT's instantly iconic STATus Report video series, host Alex Hogan talks with the authors more about this phenomenon, which they describe as both ethical and essential.
Part of why doctors might feel this way is that real-life CPR is nothing like it appears on TV and in movies. It can be a brutal, painful process that leaves patients with broken ribs or a cracked sternum. Watch the video to learn more about this under-discussed practice. Come for the insightful conversation with the experts, and stay for a long-overdue critique of the CPR on display in the '90s television series "Baywatch." As Alex says, if you want CPR to be effective, you can't "David Half-Asselhoff" chest compressions.
science
The long-term risks of spinal injuries
Healthy people who suffer traumatic spinal injuries are at significantly greater risk for long-term chronic health conditions like high blood pressure, high cholesterol, blood clots, diabetes, and other neurological and psychiatric conditions compared to their uninjured peers, according to a study published yesterday in JAMA Network Open.
Researchers analyzed almost 30 years of data from two hospital systems. They included more than 2,700 people who were healthy and without comorbidities before their injury, matching them with control group patients of the same age, sex, and race. People also had a higher risk of death after a spinal injury — especially if they had multiple chronic conditions including cardiac diseases, depression, substance misuse, and dementia. Long-term consequences like these are understudied, the authors write. The associations persisted across different demographic groups, which they believe indicates that traumatic spinal injuries independently influence chronic disease.
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