A doctor, a nurse and a custodian at UPMC Memorial, and two other officers were shot and wounded in attack

A man armed with a pistol and carrying zip ties entered a Pennsylvania hospital’s intensive care unit Saturday and took staff members hostage before he was killed by police in a shootout that also left an officer dead, authorities said.

Three workers at UPMC Memorial hospital, including a doctor, a nurse and a custodian, and two other officers were shot and wounded in the attack, York county district attorney Tim Barker said. A fourth staffer was injured in a fall.

Guardian staff contributed reporting