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A report from the Tucson Police Department is revealing new details about the death of Carlos Adrian Ingram-Lopez while in TPD custody in April.The police department began its investigation into the incident hours after it happened on April 21. Nearly two months later, on June 19, the department finished its report and handed it off to TPD Chief Chris Magnus. After a news conference about the incident Wednesday, TPD released the full report to members of the news media.TIMELINE: What happened after Carlos Ingram-Lopez died while in TPD custodyThe report recommends termination for officers Samuel Routledge, Ryan Starbuck, and Jonathan Jackson, who had resigned the day before the investigation was completed.The discipline report focuses on how officers are supposed to treat someone in a state of “excited delirium," how it greatly increased the risk of dangerous physical distress and how the three officers failed to meet their standards and training.The report draws a number of conclusions about the officers involved in the incident. It says:The initial report of Ingram-Lopez's behavior should have prepared the officers to deal with excited delirium before they even saw him.Ingram-Lopez's behavior at the scene made excited delirium very clear.The report documents dates of when the officers had training on excited delirium at the academy and in other training sessions after that.Excited delirium and the likelihood of drug intake make overheating and rapid heartbeat something officers should anticipate.The fact that he was calling for water confirms they should have been more aware of his physical distress.The officers were trained on, and should have been alert to, signs of breathing trouble, like wheezing, and simply saying “I can’t breathe." Ingram-Lopez did both.The officers had been trained on the “recovery position” designed to reduce physical distress on a restrained suspect.One of the officers who arrived later said within 15 seconds, “Shouldn’t he be in the recovery position?” That officer is not being disciplined.The officers put a “spit sock” over Ingram-Lopez's face because of his choking and clearing his throat made them fear he would spit and spread COVID-19. The spit sock was available to officers even before the COVID outbreak.While officers did not use prohibited methods like neck holds, they noted Ingram-Lopez was a large man and one of the officers kneeled on his back for a sustained period.Officer Jonathan Jackson was Lead Police Officer -- slightly more senior than the other officers who first arrived at the scene. He was expected to take command and organize the other officers. The report says he failed to command adequately and organize the police response.Other officers either reacted appropriately or were with the grandmother, where they were not well aware of what was happening with Ingram-Lopez.Overall, the report concluded the officers ignored their training and were unaware or indifferent to Ingram-Lopez's situation and physical distress.Click here to read TPD's full report.KGUN's Craig Smith first reported this story. 3106

A study published this week takes a look at just how quickly Covid-19 test results are getting back, on average.Researchers surveyed more than 19,000 people across every state and the District of Columbia during the last two weeks of July. They asked how long people waited to get back test results.Most people, about 63 percent, are not getting their test results back within the one-to-two day window that is optimal for contact tracing.More than 30 percent of survey participants reported they received test results after four or more days.“Rapid turnaround of testing for COVID-19 infection is essential to containing the pandemic. Ideally, test results would be available the same day. Our findings indicate that the United States is not currently performing testing with nearly enough speed,” researchers said in the report of their findings.The average wait time nationwide was 4.1 days.However, there were disparities in wait times when looking at race. According to the study, Covid-19 test results wait times for Hispanics and Blacks are longer, at 4.6 days and 5 days respectively. Compared to wait times for white respondents, which was 3.9 days according to the study.Researchers said there is little sign the wait time for test results is speeding up. A similar survey conducted in April found that the national average wait time was 4.2 days.This study did not look into the causes of the delay in receiving test results. Other reporting has pointed to limited testing supplies, labs being overwhelmed with tests to run, and the time needed to contact everyone with results.On Monday, Florida’s Gov. Ron DeSantis called some Covid-19 test results “useless” because they are taking too long to come back. He announced his state is converting two testing locations to 15-minute rapid testing locations. 1823

A statement released on behalf of the Thompson Family pic.twitter.com/UKfVd4LPRP— Georgetown Hoops (@GeorgetownHoops) August 31, 2020 141

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 new lawsuit says a woman who tried on lipstick at a Sephora cosmetics store in Hollywood, California got herpes from the sample.The unidentified woman claims it happened at the store in October 2015, according to a report by TMZ. She ended up with herpes on her lip and says she never had it before the visit to the store.The documents say the store failed to clearly warn the woman of the risk of getting a disease from using samples of lipstick there.The lawsuit says the woman is suing over the emotional distress for getting an "incurable lifelong affliction." Sephora did not respond to the TMZ article, but a spokesperson for the retailer did respond to Fashionista, saying the health and safety of its customers is a priority. It did not comment on the lawsuit. 793