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Quebec teen’s hospital death from morphine ‘highly preventable,’ coroner finds – Montreal

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When Jimmy Lee Durocher, a 17-year-old in otherwise perfect health, went into the operating room Jan. 14 at a hospital in St-Charles-Borromée, Que., his family expected it would be a routine appendix removal. But less than four hours later, Durocher was in cardiac arrest, and he would never recover.

In a report to be made public Tuesday, the investigating coroner says the death was “highly preventable,” the result of a failure by hospital staff to provide proper follow-up care after Durocher was given morphine to treat post-operative pain.

Dr. Louis Normandin, the coroner, concluded staff failed to identify his worsening condition after the morphine until it was too late.

READ MORE: Multiple Quebec nurses suspended over fentanyl theft over last 10 years

Durocher went into cardiopulmonary arrest. Efforts were made to resuscitate him, and his heart resumed beating, but after transfer to a Montreal hospital it was determined that he was brain dead.

Normandin noted that the death was accidental, and no one could have predicted Durocher’s reaction to receiving a five milligram dose of morphine.

“Because he had not received morphine before, Mr. Durocher deserved competent, professional attention,” Normandin wrote.

“The nurse who administered the morphine did not respect the monitoring protocols.”

That nurse’s failure to follow procedure influenced two of her colleagues who neglected to independently verify Durocher’s condition, which included convulsions caused by a lack of oxygen to the brain.

The hospital staff also ignored a machine Durocher was hooked up to suggesting his vital signs and condition were worsening.

“So many signs warning of the catastrophe that were not noticed, except perhaps by his mother at his bedside, who twice reported the progressive slowing of her son’s heartbeat on the monitor,” Normandin wrote. She rang the bell to alert nurses but was told to wait during a midnight shift change.

READ MORE: Deal struck in 2012 case of Quebec City legionnaires’ disease outbreak that killed 14

A lawyer representing Durocher’s family said what happened to the teen, who began experiencing abdominal pain after a kick to the stomach during karate practice a few days before the operation, is rare.

“Usually those medications are provided following a protocol, and the protocol indicates what should be observed, what should be managed on the patient,” said Jean-Pierre Menard.

“This is well-established procedure in hospitals across Quebec.”

Normandin is recommending hospitals follow protocols for the administration of narcotics.

“The strict, systematic and generalized application to the entire health network of a surveillance protocol specifically designed to detect and reverse the adverse effects of narcotics is essential if we are to avoid the recurrence of such a tragedy,” Normandin wrote.

Menard said the young man’s parents want to ensure similar lapses don’t happen in the future.

READ MORE: Secret police study finds crime networks could have laundered over $1B through Vancouver homes in 2016

“The goal of the parents is to bring some change, to ensure everyone respects and complies with the protocols,” Menard said on Monday. “And to avoid a repetition of such a terrible event.”

The Lanaudiere regional health authority, which oversees the hospital, said numerous changes have been made since the death.

Spokeswoman Pascale Lamy said an internal investigation took place, shortcomings were identified and corrected and the health authority co-operated with the coroner’s investigation.

READ MORE: Forgotten babies in cars: Quebec coroner’s report says it could be avoided

There were disciplinary measures for three staff members — one of whom was fired.

“You will understand that because of the ongoing legal process, we can not comment further,” Lamy wrote in an email.

The family has made a formal demand seeking compensation, and Menard said they are working to settle the case.

“It’s a sad story because those things normally should not happen,” said Menard.

“It has happened here because the patient was not followed properly.”

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Anglais

Nostalgia and much more with Starburst XXXtreme

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Get a taste of adventure with Starburst XXXtreme based on the legendary NetEnt Game. The nostalgic themes are sure to capture fans of the classic version as they get treated to higher intensity, better visuals, and features. The most significant element of the game is its volatility. Patience will not be an essential virtue considering the insane gameplay, and there is a lot of win potential involved. It retains the original makeup of the previous game while adding a healthy dose of adrenaline. 

Starburst Visuals and Symbols

The game is definitely more conspicuous than before. The setting happens over a 5-reel, 3-row game grid with nine fixed win lines, which function if a succession from the left to the right reel is present. Only those players that that attain the highest win per bet line are paid. From a visual standpoint, the Starburst XXXtreme slots illustrates lightning effects behind the reels, which is not surprising as it is inherited from the original version. Available themes include Classic, Jewels, and Space. The game is also available in both desktop and mobile versions, which is advantageous for players considering the global pandemic. According to Techguide, American gamers are increasingly having more engaging gaming experiences to socialize to fill the gap of in-person interaction. Starburst XXXtreme allows them to fill the social void at a time when there is so much time to be had indoors. 

Starburst XXXTreme Features

Players get to alternate on three features which are Starburst Wilds, XXXtreme Spins, and Random Wilds. The first appears on reels 2,3, or 4. When these land, they expand to cover all positions while also calculating the wins. They are also locked for a respin. If a new one hits, it also becomes locked while awarding another respin. Starburst XXXtreme offers a choice between two scenarios for a higher stake. In one scenario with a ten times stake, the Starburst Wild is set on random on reels 2,3, or 4, and a multiplier starts the respin. The second scenario, which has a 95 times stake, starts with two guaranteed starburst wilds on reels 2,3, or 4. it also plays out using respin game sequence and features. The game also increases the potential with the Random Wilds feature to add Starburst Wilds to a vacant reel at the end of a spin. Every Starburst Wild gives a random multiplier with potential wins of x2, x3, x5, x10, x25, x50, x100, or even x150.

The new feature is sure to be a big hit with the gaming market as online gambling has shown significant growth during the lockdown. AdAge indicates the current casino customer base is an estimated one in five Americans, so Starburst XXXtreme’s additional features will achieve considerable popularity. 

What We Think About The Game

The gambling market has continued to diversify post-pandemic, so it is one of the most opportune times to release an online casino-based game. Thankfully Starburst XXXtreme features eye-catching visuals, including the jewels and space themes. These attract audience participation and make the gameplay inviting. The game also has a nostalgic edge. The previous NetEnt iteration featured similar visuals and gameplay, so the audience has some familiarity with it. The producers have revamped this version by tweaking the features to improve the volatility and engagement. 

That is characterized by the potential win cap of 200,000 times the bet. Starburst XXXtreme does not just give betting alternatives for players that want to go big. The increase of multipliers also provides a great experience. If the respins in the previous version were great, knowing that multipliers can go hundreds of times overtakes the game to a new level. 

Players should get excited about this offering. All of the features can be triggered within a single spin. Whether one plays the standard game or takes the XXXtreme spin route, it is possible to activate all of the features. Of course, the potential 200,000 times potential is a huge carrot. However, the bet size is probably going to be restricted and vary depending on the casino. It is also worth pointing out that a malfunction during the gameplay will void all of the payouts and progress. Overall, the game itself has been designed to provide a capped win of 200,000 times the original bet. 

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Anglais

‘We’re back’: Montreal festival promoters happy to return but looking to next year

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In downtown Montreal, it’s festival season.

In the city’s entertainment district, a musical act was conducting a sound check on stage Friday evening — the second day of the French-language version of the renowned Just For Laughs comedy festival. Tickets for many of the festival’s free outdoor shows — limited by COVID-19 regulations — were sold out.

Two blocks away, more than 100 people were watching an acoustic performance by the Isaac Neto Trio — part of the last weekend of the Festival International Nuits d’Afrique, a celebration of music from the African continent and the African diaspora.

With COVID-19 restrictions continuing to limit capacity, festival organizers say they’re glad to be back but looking forward to next year when they hope border restrictions and capacity limits won’t affect their plans.

Charles Décarie, Just For Laughs’ CEO and president, said this is a “transition year.”

“Even though we have major constraints from the public health group in Montreal, we’ve managed to design a festival that can navigate through those constraints,” Décarie said.

The French-language Juste pour rire festival began on July 15 and is followed by the English-language festival until July 31.

When planning began in February and March, Décarie said, organizers came up with a variety of scenarios for different crowd sizes, ranging from no spectators to 50 per cent of usual capacity.

“You’ve got to build scenarios,” he said. “You do have to plan a little bit more than usual because you have to have alternatives.”

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MELS new major movie studio to be built in Montreal

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MONTREAL — MELS Studios will build a new film studio in Montreal, filling some of the gap in supply to meet the demand of Hollywood productions.

MELS president Martin Carrier said on Friday that MELS 4 studio construction will begin « as soon as possible », either in the fall or winter of next year. The studio could host productions as early as spring 2023.

The total investment for the project is $76 million, with the Quebec government contributing a $25 million loan. The project will create 110 jobs, according to the company.

The TVA Group subsidiary’s project will enable it to stand out « even more » internationally, according to Quebecor president and CEO Pierre Karl Péladeau. In the past, MELS Studios has hosted several major productions, including chapters of the X-Men franchise. The next Transformers movie is shooting this summer in Montreal.

Péladeau insisted that local cultural productions would also benefit from the new facility, adding that the studio ensures foreign revenues and to showcase talent and maintain an industry of Quebec producers.

STUDIO SHORTAGE

The film industry is cramped in Montreal.

According to a report published last May by the Bureau du cinéma et de la télévision du Québec (BCTQ), there is a shortage of nearly 400,000 square feet of studio space.

With the addition of MELS 4, which will be 160,000 square feet, the company is filling part of the gap.

Carrier admitted that he has had to turn down contracts because of the lack of space, representing missed opportunities of « tens of millions of dollars, not only for MELS, but also for the Quebec economy. »

« Montreal’s expertise is in high demand, » said Montreal Mayor Valérie Plante, who was present at the announcement.

She said she received great testimonials from « Netflix, Disney, HBO and company » during an economic mission to Los Angeles in 2019.

« What stands out is that they love Montreal because of its expertise, knowledge and beauty. We need more space, like MELS 4, » she said.

There is still not enough capacity in Quebec, acknowledged Minister of Finance, the Economy and Innovation Eric Girard.

« It is certain that the government is concerned about fairness and balance, so if other requests come in, we will study them with the same seriousness as we have studied this one, » he said.

Grandé Studios is the second-largest player in the industry. Last May, the company said it had expansion plans that should begin in 2022. Investissement Québec and Bell are minority shareholders in the company.

For its part, MELS will have 400,000 square feet of production space once MELS 4 is completed. The company employs 450 people in Quebec and offers a range of services including studio and equipment rentals, image and sound postproduction, visual effects and a virtual production platform.

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