Ryan Newman doesn’t recall much, if anything, from the Daytona 500.He obviously knows he was involved in a last-lap wreck while battling for the lead. He has seen the replay videos.Other than that, most of the season-opening race is still missing from Newman’s memory. When the time is right, he’ll watch it over from start to finish.“That’s the part, for me, that makes me feel how special it really was – the miracle part of it,” Newman said Thursday in a Zoom teleconference. “Because I don’t remember anything about being in the hospital. I couldn’t tell you who came to visit me. I couldn’t tell you who was in the room. But I do remember putting my arms around my daughter’s chests and walking out and holding their hands as I did that. And that tells me that God was involved, that tells me that I was blessed in more ways than one. … I feel like a complete walking miracle.”RELATED: Newman medically cleared | Newman receives playoff waiverNewman was treated and released from Halifax Medical Center in Daytona Beach, Florida, within two days. The season opener took place Feb. 17. News of his departure came Feb. 19.Thankfully for Newman, he did not sustain any internal organ damage or broken bones despite the severity of the crash. He did have a head injury. Some doctors told him it was a concussion; others thought it was not.So, Newman self-diagnosed the injury as a “brain bruise.”“The reality is you need to give time for a bruise to heal, and what I needed was time for my brain to heal,” Newman said. “I’ve really felt completely normal since, I guess in the last eight weeks. No problem, no question. That doesn’t mean that I was, and that’s why when it comes time to having a bruise heal, especially one you can’t see, you have to be extra careful.”And he was – still is.Before NASCAR’s COVID-19 competition pause back in March, Newman actually did a private test at Darlington Raceway. The run ended up being about 30 laps total at speed. It was Newman’s first time behind the wheel of a race car on track since Daytona International Speedway.“I was so excited and ready to go and just kind of prove myself that I actually had to slow myself down and make sure that I didn’t go out there and fence it on the first lap by trying too hard,” Newman said. “So I never felt like I had to be apprehensive towards it, other than the fact that I wanted to make sure that I didn’t mess up my own test. I was there to prove that I was valid in the seat again.”RELATED: Newman’s history at Darlington | Newman’s path to playoffsNASCAR medically cleared Newman three weeks ago – just three days before the sanctioning body released its return-to-racing schedule. Newman, along with the Cup Series as a whole, will make an official comeback in Sunday’s The Real Heroes 400 at Darlington (3:30 p.m. ET on FOX, MRN and SiriusXM NASCAR Radio).The 42-year-old could not be more excited to get back inside his No. 6 Roush Fenway Racing Ford.“I’m hoping to do every lap,” Newman said, “and then one more after that.”
LOS ANGELES — People who suffer cardiac arrest are more likely to survive if they are in a casino or airport than if they are in a hospital, researchers said today. Excluding patients who were undergoing surgery or other procedures, as well as those with implanted defibrillators, researchers identified 6,789 patients who were candidates for defibrillation. Doctors already knew that more than half of those who suffer such attacks in airports and casinos survive. But a new study shows that only a third of victims in hospitals survive — primarily because patients do not receive life-saving defibrillation within the recommended two minutes. For reasons that are not clear, black patients were less likely to receive the treatment within the two-minute window. Patients who were not attached to a heart monitor and those admitted for conditions not involving heart disease were also less likely to receive the quickest treatment. The odds of survival are even lower in hospitals with fewer than 250 beds, and on nights and weekends, according to the study by Dr. Paul S. Chan of Saint Luke’s Mid-America Heart Institute in Kansas City, Mo., and Dr. Brahmajee K. Nallamothu of the University of Michigan. Nearly 40% of hospital patients who received defibrillation within two minutes survived, compared with 22% of those for whom the response took longer, researchers reported in the New England Journal of Medicine. Defibrillation is used when patients suffer either ventricular fibrillation or ventricular tachycardia. In the first case, the heart beats abnormally or intermittently; in the second, it beats extremely rapidly. In both cases, the result is the same: an inability to pump blood through the body effectively. At least part of the apparent discrepancy arises because hospital patients are sicker to begin with, whereas those who suffer attacks in airports and casinos generally don’t have underlying illnesses or symptoms, said UCLA cardiologist Gregg C. Fonarow, who was not involved in the study. To obtain such data, they used information from the National Registry of Cardiopulmonary Resuscitation, a voluntary registry in which 369 U.S. hospitals — about 15% of the total — report all attempts at in-hospital resuscitation and their outcomes. Several things can be done to improve the chances of a good outcome, experts said. Wider use of automated external defibrillators in hospitals, for instance, would allow nurses to begin the procedure rather than waiting for physicians, Saxon said. Increased use of wireless heart telemetry would also speed up detection of attacks. Applying a shock to the heart often restores normal heart rhythm. Devices found in public places, called automated external defibrillators, can be used by trained laypeople to quickly treat the condition. Some cures may be even simpler, Fonarow said, such as storing defibrillators in more accessible locations and reconfiguring hospital rooms so the devices can be more readily used.—[email protected] As many as 750,000 people suffer such attacks in hospitals every year in the United States, and a quarter of a million suffer them outside hospitals. The problem may actually be understated, researchers added, because only the best hospitals are likely to be participating in the registry. Nonetheless, he said, hospitals can do more to shorten the time before defibrillation is administered. In addition to the size of the hospital and time of day, patient characteristics played a role. “We found that delayed defibrillation was common, and that rapid defibrillation was associated with sizable survival gains in these high-risk patients,” Chan said. People who suffer cardiac arrest in the middle of an airport or casino — where defibrillators are widely available — are typically noticed immediately, whereas a lone patient suffering an attack in a hospital room may not be noticed for much of the crucial window of opportunity during which defibrillation is most effective. Guidelines developed by major heart organizations call for defibrillation within two minutes after the onset of an attack, but there is little hard data to support the need for a rapid response, the authors wrote. About half received defibrillation within one minute, but a full 30% of cases took at least two minutes, with some patients going as long as six minutes before receiving treatment. The longer the time that elapsed before treatment, the less likely the patient was to survive, they reported. “It is probably fair to say that most patients assume — unfortunately, incorrectly — that a hospital would be the best place to survive a cardiac arrest,” USC cardiologist Leslie Saxon wrote in an editorial accompanying the report.