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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

If you are planning on getting on a plane for Thanksgiving travel, the TSA has reminders about what you can and cannot bring onboard.A mask is a must; several airlines require a face covering from ticket check-in, to the gate and onboard the plane.A few must nots include cooking spray, cooking fuel, lighter fluid, butane, propane, lighters, alcohol over 140 proof, British Christmas crackers, party poppers and other firecrackers or fireworks.What about those delicious Thanksgiving foods and treats? It depends.“If it’s a solid item, then it can go through a checkpoint. However, if you can spill it, spread it, spray it, pump it or pour it, and it’s larger than 3.4 ounces, then it should go in a checked bag,” the TSA recommends as general guidance.Things that can be carried on the plane, and brought through TSA screening, include baked goods (homemade or store bought), meat (cooked or uncooked), casseroles, vegetables, candy and spices.Foods that should be packed safely in your checked bag include cranberry sauce, gravy (homemade or in a can/jar), wine or champagne, and jams or jellies.If you have questions about specific items, the TSA has a website to check, called “what can I bring.” 1209

Hundreds of people gathered in protest in front of the White House on Election Night, and the demonstrations remained mostly peaceful.The Associated Press reports that "more than 1,000" people gathered on Black Lives Matter Plaza near the White House on Tuesday night. The outlet reports that the demonstrators at times blocked traffic and set off fireworks, but the protests remained mostly peaceful.WRC-TV in Washington reports that three people were arrested in connection with the demonstrations on Tuesday night. One person was charged with disorderly conduct, while two others were arrested following an "assault incident." It's unclear if or how that assault was linked to the protests.The Washington Post reports that the D.C. protests included one incident where a man tussled with police at Black Lives Matter Plaza.The rest of the U.S. was also largely free of civil unrest. The Associated Press reports that there were "scattered protests" in large cities, including in New York City and Seattle.Officials in some major U.S. cities feared protests would grow violent as returns trickled in. Storefronts in downtown areas of major cities like New York and Denver chose to board up windows out of an abundance of caution.The White House this week installed additional barriers in front of the property gates to prevent protesters from breaching the property. 1376

IMPERIAL BEACH, Calif. (KGTV) - Imperial Beach residents are being told by city officials to clean up - or pay up.Some 20 homeowners received a code enforcement letter last month indicating they needed to remove debris from their backyards.The letter read in part: 272

If you're trying to avoid political ads in the closing days of the campaign, you might want to avoid morning shows and daytime TV. Using data provided by the data firm Kantar Media / CMAG, Cover/Line looked at the TV shows that have aired the most political ads in 2018 as of October 30, about how much was spent to air them, and who aired the most.The top buyers for these shows were all either the Republican PAC Congressional Leadership Fund, the Democratic group Senate Majority PAC, or Sen. Jon Tester, a Montana Democrat whom President Trump has campaigned to replace with Republican Matt Rosendale and who was able to air more ads on top shows for a much lower rate in Montana.Here's the top ten: 711

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