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In a critical situation where minutes determine life or death, you may think emergency medical services offer your best chance of survival. However, a Johns Hopkins trauma surgeon doesn't think that's always the case.“If it were me, and I know a lot about trauma, drive me to the trauma center as fast as you can,” said Dr. Elliott Haut, associate professor of surgery and emergency medicine at the Johns Hopkins University School of Medicine and senior author of a new study that evaluates emergency transport for shooting and stabbing victims.Haut and colleagues examined data from trauma centers within the 100 most populous U.S. metro areas and compared ambulance versus private vehicle transportation and the relationship between transport-mode and in-hospital mortality. He was not surprised by what he saw.“Patients who are injured with penetrating trauma — so stab wounds and gunshot wounds, in urban settings, so these are in the City — have improved outcomes and improved mortality if they're brought to the trauma center by private vehicle compared to emergency medical services, EMS,” Haut said.The keyword is trauma center; not all hospitals are equipped to handle walk-in patients with these kinds of injuries. And they are injuries that require immediate surgery. The study does not cover cardiac arrest where the most important thing is CPR and a defibrillator.“When we control for all those things, the rapid transport of patients by private vehicle makes a big difference,” Haut said.According to the study, 62 percent of patients are less likely to die when transported by private vehicle compared to EMS.Dr. Gabe Kelen has seen many of these walk-in patients at the Johns Hopkins Hospital emergency department.“You're waiting, waiting, waiting, the ambulance people get there, they do certain things, very skilled, it's all being done out there. Then they load you up, drive through traffic, they get here, that can take twice as long. It sometimes really is better to get you here, let us start doing our more definitive thing that we can do only in the emergency department,” said Kelen, director of the emergency department.He agrees time is of the essence, but also cautions that this is one study.“If you get multiple people being dropped off at one of the smaller hospitals, they may not have the staff to do everything that a place like ours can do so let the system work,” Kelen said.The current standard of care in Maryland is to wait for EMS to arrive. Dr. Richard Alcorta, acting co-executive director of the Maryland Institute for Emergency Medical Services System (MIEMSS), does not support changing the standard.He says not everyone knows where a trauma center is located and EMS can perform certain life-saving procedures that may be crucial before transport. A spokeswoman with the Baltimore Police Department said they do not have a position on the study’s findings and that “preservation of life is paramount." She added that a victim's decision to leave a crime scene "has little if any bearing on the outcome of the investigation. Thanks to video surveillance, CCTV cameras and our crime scene technicians it all seems to work out in the end.” For more information on the study, click here. 3283

In a news conference Wednesday afternoon, officials released new information about the seventh-grade student who shot himself at Jackson Memorial Medical School near Akron, Ohio.The shooting 203

In 2018, @CISAKrebs (@C_C_Krebs) spoke about elections, cybersecurity, and disinformation at the @AtlanticCouncil."The overall purpose of an election is to convince the loser they lost…so this peaceful transition of power [can occur]."Thank you for serving, Chris. pic.twitter.com/G6j3ytN2uc— Graham Brookie (@GrahamBrookie) November 18, 2020 350

Hurricane Willa has made landfall near Isla Del Bosque, Sinaloa, on the western coast of Mexico, approximately 50 miles south of Mazatlán.The storm will quickly weaken over the next 24 hours as it makes its way across the Sierra Madre range and becomes a rainmaker for northern Mexico and Texas on Wednesday.When Willa made landfall Tuesday evening, it had top winds of 120 MPH. The Category 3 storm, while still a major hurricane, has weakened since peaking as a Category 5 hurricane on Monday. Willa has been a danger for forecasters as well. An aircraft with the Air Force Reserve's Hurricane Hunters was forced to turn around Monday over concerns for its onboard equipment after a lightning bolt from one of Willa's outer rain bands blasted it, according to the National Hurricane Center.In a tweet Monday, Mexican President Enrique Pe?a Nieto said he has asked the National System of Civil Protection to take all steps necessary to protect those in the hurricane's path as well as those affected by Tropical Storm Vicente, a weaker system tracking south of Willa that's also primed to make landfall Tuesday. Vicente likely will be a tropical depression by the time it comes ashore, the hurricane center said.Airlines have started moving out of Willa's path. Southwest Airlines has canceled all flights at the international airport in Puerto Vallarta, a resort city in Jalisco state. American Airlines has canceled its flights in Mazatlán, about 275 miles to the north.Willa's landfall comes three years to the day after the strongest hurricane to hit the Pacific coast, Patricia, a Category 5 storm, made landfall in Jalisco.The back-to-back systems of Willa and Vicente have helped make the 2018 hurricane season in the northeast Pacific one for the record books.The season is now the most active hurricane season on record using a measurement called accumulated cyclone energy, which combines the number of storms and their intensity through their lifetimes to give an overall measurement of tropical activity in a given region. 2048

Humans haven’t been to the moon in decades, but when mankind returns, they’ll be welcomed with cellphone technology not currently available in some reaches of the US.Nokia announced this week a partnership with NASA to construct a 4G network on the moon. The network will assist NASA's Artemis program, which is intended to send people back to the moon by 2024.Nokia says that its 4G moon network will allow for NASA to operate rovers and stream high-definition video.“Reliable, resilient and high-capacity communications networks will be key to supporting sustainable human presence on the lunar surface. By building the first high performance wireless network solution on the moon, Nokia Bell Labs is once again planting the flag for pioneering innovation beyond the conventional limits,” said Marcus Weldon, Chief Technology Officer at Nokia.On Wednesday, NASA said it will “announce an exciting new discovery” about the moon next week. NASA said that returning humans to the moon could support allowing humans to reach Mars by the 2030s. 1049