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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

HUNTINGTON BEACH (CNS) - A 60-year-old Huntington Beach woman who went missing while walking her dog in the Bristlecone Pine Forest in Inyo County was found alive Monday on the fourth day of an intensive search.Inyo County sheriff's officials announced shortly after 2 p.m. that Sheryl Powell had been found near the Montenegro Springs area, near the area where her dog had been found earlier in the day.``Searchers describe her as resilient and strong but exhausted after being lost in an extremely remove area above Big Pine,'' according to the sheriff's office.She was being taken to a hospital to be checked out. Powell was reported missing by her husband at about 2 p.m. Friday, Inyo County sheriff's officials said.Powell's husband told deputies they had just arrived at a campsite and she took their 5-pound, black-and-white dog for a walk while he was parking their Jeep. When he got out of the vehicle, she was nowhere to be found, officials said.Powell's husband told deputies he searched for almost an hour before contacting authorities, officials said.A California Highway Patrol helicopter with a thermal imaging device flew over the area and the Inyo County sheriff Search and Rescue team began searching immediately, sheriff's officials said.The air and ground search continued over the weekend, officials said. 1334

If you love bacon and beer, well, good news. Waffle House is collaborating with a brewing company in Georgia to produce a bacon-infused beer called Waffle House Bacon & Kegs.According to the Oconee Brewing Company, the beer is a 6.5 percent ABV red ale that will be available beginning Dec. 18 in a six-pack or on draft exclusively at the brewing company."The beloved scent of bacon stands out from the typical medium hop aroma of a red ale. The malty sweetness of the base beer blends perfectly with the salty, savory, and smokey bacon extract to create a delicious and unique beer," the brewery said on its website. "Bacon & Kegs pairs well with breakfast food items (obviously!) or can be enjoyed as a stand-alone, soon to be iconic beer."The packaging - that was created by agency Brock Company Creative - features the beer's name using the iconic lettering of the Waffle House sign, alongside a drawing of a Waffle House restaurant. 953

HOUSTON (AP) — Barbara Bush was the "first lady of the greatest generation."Historian Jon Meacham bestowed the title on Barbara Bush while speaking to former presidents, ambassadors and hundreds of other mourners inside the nation's largest Episcopal church during her funeral Saturday. He recalled the former first lady's quick wit, as well as her devotion to promoting literacy, bringing awareness to AIDS patients and to her husband of 73 years.Former President George H.W. Bush., the historian noted, was the "only boy she ever kissed."Meacham, who wrote a 2015 biography on George H.W. Bush, joined some 1,500 people on a gray, rainy Saturday to honor the wife of the 41st president and the mother of the 43rd. The private funeral filled St. Martin's Episcopal Church in Houston a day after more than 6,000 people came through the church to pay their respects during a public viewing.RELATED: Family, former presidents and more attend funeral for Barbara Bush in Houston, TexasHer son, former Florida Gov. Jeb Bush, joked during his eulogy that his mother called her style of mothering him and his siblings "a benevolent dictatorship — but honestly it wasn't always benevolent." He emphasized how she believed in the power of laughter and that joy should be shared.He choked up when saying his mother — known for her self-deprecating remarks about her wrinkles and gray hair — was "beautiful" until the very end. He said he felt priviliged that he had a "front row" seat to the incredible love story that his parents shared.His father, George H.W. Bush, was helped into the cavernous sanctuary with a wheelchair behind Jeb and his son former President George W. Bush. He laughed as Meacham and others recalled his wife's wicked sense of humor. Barbara and George Bush were married longer than any other presidential couple.GALLERY: Funeral, visitation for former first lady Barbara BushA eulogy was also given by Susan Baker, wife of former Secretary of State James A. Baker III, who said her longtime friend was "the secret sauce of this extraordinary family."Seated near the front of the church in the same pew were two other former presidents — Bill Clinton and Barack Obama — along with their wives and current first lady Melania Trump.Barbara Bush's granddaughters delivered readings during the service and her grandsons served as pallbearers as the casket was later wheeled out of the church. George H.W. Bush followed in his wheelchair, pushed by son George W. Bush, shaking hands with some of the people in the pews. In his lap, he carried his glasses and a copy of the funeral program.Barbara Bush died, with her husband by her side, at their home in Houston on Tuesday at age 92.Flags were flown at half-mast as the service began as the choir sang "My Country Tis of Thee." The church was adorned with sprays of yellow garden roses, yellow snap dragons, antique hydrangeas and other flowers.Other guests included former Rep. Gabby Giffords and her husband, retired astronaut Mark Kelly, and professional golfer Phil Mickelson, along with Karl Rove, and other former White House staff. Many were seen embracing in the church before the service.President Donald Trump isn't attending to avoid security disruptions and "out of respect for the Bush family and friends attending the service," according to the White House. He released a statement Saturday saying his "thoughts and prayers" are "with the entire Bush family."A burial will follow at the Bush Library at Texas A&M University, about 100 miles (161 kilometers) northwest of Houston. The burial site is in a gated plot surrounded by trees and near a creek where the couple's 3-year-old daughter, Robin, who died of leukemia in 1953, is buried.On Friday, a total of 6,231 people stopped by the church to pay their respects. Many of the women wore the former first lady's favorite color, blue, and trademark pearls.After seeing how many people had lined up to pay their respects to his wife, former President George H.W. Bush decided to attend — he sat at the front of the church in a wheelchair, offering his hand and smiled as people shook it, for about 15 minutes.Barbara Bush, one of just two first ladies to have a child elected president, also was known as the "Enforcer" in her family, the glue who kept the high-powered clan together. 4328

If you think Charleston, South Carolina, has plenty of history within its pre-Colonial grounds, just look at what's been hiding 160 miles off the city's coast for thousands of years: a giant deep-sea coral reef system. The chief scientist who helped make the discovery called it unbelievable. 300