吉林包皮包茎费用是多少(吉林割包皮前前后后要多少钱) (今日更新中)

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

IMPERIAL BEACH, Calif. — A suspected drunk driver nearly hit several beach-goers Sunday before his SUV ended up in the ocean.The driver, identified as 50-year-old Jorge Mosti, was driving in the 1600 block of Seacoast Dr. just after 6:30 p.m. local time when witnesses say his SUV left the roadway and went onto the beach, according to San Diego Sheriff's Department.As he continued onto the beach, SDSO said Mosti nearly hit several people as he drove about a mile down the beach. His vehicle came eventually came to a stop when it partially submerged in the ocean.Mosti reportedly then jumped out of the vehicle and started walking toward Tijuana, Mexico. He made it about half a mile before deputies caught up to him. Deputies said Mosti was holding an open beer can as they took him into custody.Imperial Beach Lifeguards also responded to help pull the SUV from the water.Witnesses at the beach identified Mosti in a curbside lineup, SDSO said. He was arrested on charges of reckless driving and driving under the influence of alcohol. 1078

In a statement released Wednesday, Fox News president Jay Wallace says the network supports CNN's lawsuit to restore one of its reporters "hard" press passes.Wallace also said the network would file an amicus brief on behalf of CNN today."FOX News supports CNN in its legal effort to regain its White House reporter's press credential. We intend to file an amicus brief with the U.S. District Court. Secret Service passes for working White House journalists should not be weaponized. While we don't condone the antagonistic tone by both the President and the press at recent media avails, we do support a free press, access and open exchanges for the American people," Wallace's statement read.Fox News joins the Associated Press, Bloomberg, CBS News, First Look Media, Gannett, NBC News, The New York Times, POLITICO and the Washington Post. The E.W. Scripps Company, this station's parent company, also joined in filing an amicus brief on CNN's behalf."Whether the news of the day concerns national security, the economy, or the environment, reporters covering the White House must remain free to ask questions. It is imperative that independent journalists have access to the President and his activities, and that journalists are not barred for arbitrary reasons. Our news organizations support the fundamental constitutional right to question this President, or any President. We will be filing friend-of-the-court briefs to support CNN's and Jim Acosta's lawsuit based on these principals," E.W. Scripps said in a statement.ABC News also released a statement saying that the organization "stand(s) with CNN in believing that Jim Acosta should have his White House pass reinstated," though it's unclear if it also filed an amicus briefing. The White House pulled CNN reporter Jim Acosta's hard pass last week after an incident at a press conference in which a White House staffer tried to forcefully grab a microphone while Acosta attempted to ask President Trump follow-up question. Trump had repeatedly told Acosta he was moving on to another reporter.Though the White House maintains that it was simply revoking his "hard" pass and that Acosta could continually apply for daily passes, he has been denied daily passes multiple times since the incident.On Tuesday, CNN filed a lawsuit against the White House, seeking the restoration of Acosta's hard pass on First and Fifth Amendment grounds. It's also seeking a preliminary injunction to allow Acosta to immediately resume covering the White House.A hearing on the lawsuit is scheduled for 3:30 ET Wednesday.  2596

IMPERIAL BEACH, Calif. (KGTV) - Police investigated Wednesday the discovery of a body at Border Field State Park in Imperial Beach.The remains were found about 11:15 a.m. at the beachfront park in South San Diego County.Details on the deceased person's identity, including gender and approximate age, were not immediately available, Lt. Michelle Craig said.There were no immediate indications of any suspicious circumstances related to the death.City News Service contributed to this report. 501

In a joint status update filed in federal court, Special Counsel Robert Mueller's team claimed that former Trump campaign head Paul Manafort had lied to investigators after promising to cooperate with Mueller as part of a plea agreement. On Sept. 14, Manafort pleaded guilty on charges of conspiracy to defraud the United States and witness tampering. Manafort has remained in prison awaiting sentencing. Part of the update reads: "The plea agreement provides that if the defendant fails to fulfill completely “each and every one” of his obligations under this agreement, or “engages in any criminal activity prior to sentencing,” the defendant will be in breach of the agreement. A breach relieves the government of any obligations it has under the agreement, including its agreement to a reduction in the Sentencing Guidelines for acceptance of responsibility, but leaves intact all the obligations of the defendant as well as his guilty pleas."Manafort's counsel disputed the FBI's claims. The report states, "After signing the plea agreement, Manafort met with the government on numerous occasions and answered the government’s questions. Manafort has provided information to the government in an effort to live up to his cooperation obligations. He believes he has provided truthful information and does not agree with the government’s characterization or that he has breached the agreement. Given the conflict in the parties’ positions, there is no reason to delay the sentencing herein, and he asks the Court to set a sentencing date in this matter." 1595

来源：资阳报