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A second autopsy on the in-custody death of Adrian Ingram-Lopez concludes the way three Tucson Police Officers restrained him contributed to his death.An earlier autopsy by the Pima County Medical Examiner attributed Ingram-Lopez's death to cocaine intoxication and a heart condition.An autopsy commissioned by Eduardo Coronado, the attorney for Ingram-Lopez family concluded those conditions alone were not enough to have killed the man. It concluded officers continuing to hold Ingram-Lopez face down, handcuffed, and with officers putting their weight on his back led to “positional asphyxia”---inability to breathe because of body position.Police were about to fire Officers Jonathan Jackson, Samuel Routledge, and Ryan Starbuck when the three resigned.RELATED: TIMELINE: What happened after a man died while in TPD custodyThe TPD report which recommended firing the officers noted Ryan Starbuck had more extensive medical training than the other two. He is a licensed Emergency Medical Technician. The Arizona Health Department shows an EMT license for a Ryan Starbuck still active. TPD says Starbuck has been an EMT for 14 years.Police body cameras show, when other officers arrived, they recognized Ingram-Lopez was in medical distress and had him re-positioned to allow better breathing. Officers called an ambulance and administered an antidote for opioid overdose but that drug does not work on cocaine. Ambulance EMT’s pronounced Ingram Lopez dead.The family’s attorney hired a former Maricopa County Medical Examiner to do an independent autopsy. It conflicts with the Pima County Medical Examiner’s ruling on death.The Pima County report basically attributes the death to cocaine and a heart condition and mentions how Ingram-Lopez was restrained. It says, in part:“...the cause of death is ascribed to sudden cardiac arrest in the setting of acute cocaine intoxication and physical restraint with cardiac left ventricular hypertrophy as a significant contributing condition.”The alternative report says the cocaine and the heart condition were not serious enough to have killed by themselves. It puts more blame on how the officers restrained Ingram-Lopez and say, “his death is most consistent with asphyxia due to compromised airway which is best explained by a facedown position restricting his breathing.”Attorney Eduardo Coronado says instead of putting their weight on Ingram-Lopez back, officers should have realized he was co-operating and let him sit up and breathe.“What I can say is that there was a complete lack of empathy, a complete lack of humanity, a total disregard for his needs and just indifference, complete indifference.”Now the family says it wants a thorough criminal investigation of what the three former officers did and it’s considering a civil lawsuit.Report details TPD officer misconduct in death of Carlos Ingram-LopezKGUN's Craig Smith first reported this story. 2918

A subject coughing in a cyclic incident. Top view of airborne droplet transmission with and without wearing a surgical mask. The top and bottom figures show the results at 4 s and 5 s, respectively. We consider a surgical mask that exhibits an initial efficiency of ～91%. The cover does not prevent the transport of the saliva droplets entirely away from the subject. Many droplets penetrate the mask shield and some saliva droplet disease-carrier particles can travel more than 1.2 m. For visualization, the droplets were scaled by a factor of 600 compared to their actual size. The environmental conditions are zero wind speed, ambient temperature 20 °C, pressure 1 atm, and relative humidity 50%. The mouth temperature is 34 °C, and the face skin temperature is 32 °C. 779

A University of Michigan student says he got stuck with nightmare roommates. He says they urinated in his dog’s water bowl, destroyed his property, and then he felt they tormented him after he came out as gay.Thursday he asked a judge to force one to stay away from him.Matthew Mansour says he leased a student apartment through the company Landmark. They rent apartments like dorms - so he got three roommates he didn’t know. 434

A simulation program to train nurses is gaining in popularity. Shadow Health is using virtual patients to train real people in hopes of quickly bringing those real students into the workforce.From pediatrics to maternal health, the future of nursing school is happening now.“The technology is so good, you’ll get an answer. You might not get the answer you’re looking for; you’ll have to rephrase and that’s the way it is in real life too,” said Lorrie Rilko, an assistant professor at George Washington University’s School of Nursing.She was a nurse practitioner for 30 years and then decided it was time to help the next generation of nurses.“My greatest responsibility is to prepare future nurse practitioners in the art of accurate history taking and skilled physical exam and then putting all of the pieces of the puzzle together to come up with a clinical diagnosis,” Rilko said.She says George Washington University was already using this simulated technology when the pandemic hit. The pandemic put the program in the perfect position to continue training new medical professionals and it allows them to learn, practice and fail on computers rather than on real live patients.“It's kind of like telehealth,” Rilko said. “We’ve had telehealth and until we had to really rely on telehealth, there were a lot of barriers to overcome."Brent Gordon is the managing director for Elsevier's nursing and health education business, which recently acquired Shadow Health.“One of the challenges in higher education institutions, specifically in the United States and this is true worldwide, is that they have challenges meeting the demand, they have capacity constraints,” Gordon said. “One example is shortage of clinical space. Digital simulations help solve that problem.”He says one of the real problems that the virtual education solves is that of communication, which he says can be at the root of medical malpractice claims.“Nurses are increasingly graduating, passing the (National Council Licensure Examination) NCLEX but not entering practice with the clinical reasoning skills they need to be successful on day one," said Gordon.Rilko said her students enjoy the virtual interaction, and they like training on their own time. Some are currently working on the front lines and taking the course in their spare time. 2330

A school bus driver's camera recorded the scary moment when another driver stopped in the middle of the Massachusetts Pike, exited his car and climbed onto the hood of the bus.Video recorded Tuesday shows a man forcing the bus to stop in the middle of the highway, then climb onto the vehicle's hood.The man got out right in the middle of the highway and he goes to the door of the bus.The bus driver does not let him in. So, he then goes back to the front and jumps right on the hood.The bus driver says the man was screaming that the windows on the bus were too dark."A man jumped on my bus going on the Mass. Turnpike, pulled me over in the middle lane and stopped the bus," said the bus driver."What did he say to you?" asked WCVB reporter John Atwater."His words were, 'Why are your windows dark?' I had the same reaction! I've got tons of stuff that shows people going through my bus, going through the red lights, and I think it's good to have it," said the driver.State police say they have identified the man who climbed onto the hood.No charges have been filed at this time.Courtesy of WCVB via CNN Newsource 1161

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