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Insights from coronial recommendations for preventing natural deaths in sport and recreation in Québec, Canada

Bibliographic Data

ID22084337
AuthorsPhilippe Richard (0009-0000-7271-1352, Ministry of Education, Recreation and Sports, corresponding author), Paul-André Perron, Jérémie Sylvain-Morneau (Institut National de Santé Publique du Québec), Paul Poirier (0000-0003-4252-9677, Institut universitaire de cardiologie et de pneumologie de Québec)
Year2024
Volume12
Pages1389675-1389675
Publication date2024-07-31
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2024.1389675
PMID39145173
OpenAlexW4401172505
LanguageEN
References cited48

Introduction: This descriptive retrospective study analyzed coronial recommendations for natural deaths in sport and recreation from January 2006 to December 2019 using data from the Bureau du coroner du Québec. Methods: Reports with recommendations were analyzed by sex, age group, cause of death, context, and activity. The nature of recommendations was assessed using a public health-based model. Thematic analysis was conducted following a four-phase approach in which themes developed were emphasized and further connected with existing literature. Results: Reports involving individuals aged 18-24 and reports related to ice hockey were significantly more likely to contain recommendations. Reports related to individuals ≥45 years old, or related to cycling or hunting had higher death frequencies, but relatively low recommendation rates. Most recommendations aligned with the public health-based model but specifying implementation time frames was rare (11.7%). Nearly 60% of coroner's recommendations focused on automated external defibrillator implementation, delivery and training. Discussion: Mitigation of sudden cardiac arrest risk for individuals ≥45 years old, timely treatment of life-threatening arrhythmias especially for activity practiced in remote regions and specifying implementation time frames were identified as improvement areas. The multi-faceted approach to enhancing public access defibrillation developed by the International Liaison Committee on Resuscitation in 2022 addresses recurrent themes covered by coroners and holds the potential to inform evidence-based decision making

Coroner · Environmental health · Geography · Injury prevention · Medical emergency · Poison control · Political science · Recreation · Autopsy Techniques and Outcomes · Cardiac Arrest and Resuscitation · Cardiovascular Effects of Exercise · Law · Medicine

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