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Driving down a dirt logging road in rural Maine, paramedic Nathan Yerxa can’t help but take in the view most days. Looking out over the landscape here, it’s as if the sky and the land seem to merge.Yerxa is a paramedic for North East Mobile Health Services and stationed in Jackman, Maine, a small town in the northern part of this state home to about 700 people. From the edge of town, you can see the Canadian border in the distance, and on any given day, paramedics here are responsible for covering an area that’s approximately the size of the state of Rhode Island.“The remote landscape and difficult terrain make it difficult to bring resources to the area,” Yerxa said, as he drove through town in a Ford pickup truck that’s been converted to an all-terrain ambulance.Like rural communities across the country, getting patients to an emergency room in this area is a difficult, often time-consuming task. The closest ER is about 70 miles away, a trip that can sometimes take close to two hours. While Jackman does have a community health center, the facility can’t perform many emergency procedures most larger hospitals can.So, in an effort to save time and lives, the emergency room is being brought to Jackman in an innovative new way, harnessing technology and the expertise of paramedics likes Yerxa.“I think it’s one of those situations where what’s old is new again,” he said.The idea is a Critical Access Integrated Paramedic program. Paramedics here are receiving more training in critical care. While at the same time, that pickup truck Yerxa relies on is being outfitted with tools like satellite internet and a satellite phone. First responders even have heart rate monitors that can send data wirelessly to a doctor anywhere.The concept is simple. Using technology, paramedics can instantly connect to a doctor no matter where they take a call. From stitches to ultrasounds, paramedics in this region are bridging the rural healthcare gap by instantly connecting via video chat to a doctor who may be hours away.“It is in many ways like a high-tech home visit that you might have seen 60 years ago, but we’re also bringing urgent care services with us,” Yerxa explained.Finding new ways for rural communities to connect is a key component to the program's success.Nationwide 25 million people don't have access to broadband.The COVID-19 pandemic has only magnified the issue. In Maine alone, 36,000 telehealth calls were made last month up from 650 the same time last year. Many times, though, patients and doctors have trouble connecting because of poor internet connections.Town manager Victoria Forkus pushed hard for the program.“We were in a way forced to implement this new program early because of COVID,” she said while sitting inside Jackman’s town offices.The whole program is costing Jackman and surrounding communities about 0,000 a year to implement. Some of the money will come from a tax increase, which is no small feat in a town where the median income is just ,000.But out here, the program has overwhelming support.“What’s the dollar amount on one of my neighbors’ lives? What’s the cost of saving a community member? It’s priceless,” Forkus added.The concept of the program is gaining attention across the state.Jim Rogers, with Health Connect Networks based in Maine, is lobbying Congress hard to expand rural broadband connectivity. It’s something he says is now more imperative than ever given the pandemic.“People in these rural communities just don’t have adequate internet to support a telehealth consult,” he said.As for Yerxa, he sees the program as something other rural communities across the country can emulate.“Hopefully, we can now provide 24-hour coverage to patients in any of these rural locations.” 3770

EFFECTIVE TOMORROW: New measures go into effect to slow the spread of COVID-19 in Chicago. Essential businesses like grocery stores, pharmacies and gas stations will be able to stay open during the non-essential business curfew. More info ?? https://t.co/njOQ14kE6Y. pic.twitter.com/e7ixwjMFM7— Mayor Lori Lightfoot (@chicagosmayor) October 22, 2020 357

EL CAJON, Calif. (KGTV) — El Cajon Police and the NAACP say they are trying to reach out to the family of a man hit and killed by a car last week after family and friends accused police of shooting the man.Police say the protest stemmed from a Nov. 25 traffic fatality involving Stephen Harris, 29, of El Cajon. Harris was hit by a vehicle just before 9 p.m. in the 300 block of West Chase Ave. and died at the scene, according to police.EPD says the driver who hit Harris remained at the scene and tried to provide first aid to him, along with the help of a passenger in the vehicle. Police do not suspect the driver of driving under the influence or speeding at the time of the crash. Witnesses told police Harris suddenly walked into the roadway at the time of the crash, EPD added.Surveillance footage reportedly showed Harris leaving a nearby convenience store and stumbling before the collision, police said. Officials said a toxicology report is being conducted, but police said preliminary testing showed drugs and alcohol in Harris' system at the time of his death.Family and friends of Harris arrived at the scene after the crash and accused police of being involved in Harris' death, saying officers were stalking him, shot him, and were trying to cover it up. During a protest on Nov. 30, family and friends continued their accusations against the department, with some protesters obstructing traffic. Police say at one point, a protester kicked a passing vehicle and another person reported that a protester pointed a handgun at them.EPD, the San Diego branch of the NAACP, and the county Medical Examiner's office say they have tried to contact Harris' family about his death, but that the family has not responded.Francine Maxwell, President of the San Diego branch of the NAACP, issued a statement saying in part that the police department is being as transparent as possible in Harris' death: 1919

Don't be too surprised if you see trick-or-treaters doing the "backpack boy" on your doorstep this Oct. 31.According to Google's annual Freightgeist report, costumes from the hit video game Fortnite will be the most popular this Halloween, both nationally and in San Diego.Fortnite registered as the most popular costume search in 43 out of 50 states.The only states Fortnite didn't lead in searches were Alaska (Mermaid), Arkansas (Dinosaur), Idaho (Unicorn), Oregon (Dinosaur), South Dakota (Spider-Man), and Utah (Unicorn).The pop culture phenomenon burst onto the scene when it was released last year.And Fortnite won't likely be the only video game costume out and about in San Diego. According to Google's analytics, video game costumes make up about 4 percent of local searches.Nationally, Spider-Man, unicorn, dinosaur, and witch rounded out the top five costume choices.Google's top 10 costume searches (in order): 971

E-cigarette maker Juul Labs says they are planning to make a significant "reduction in force" as it looks to the future.The company announced the move in a statement as it also looks to pull out of some international markets as they "have not provided the kind of return necessary given the cost to continue investing in the market."According to the Wall Street Journal, the company is reportedly looking to lay off about 1,200 employees, nearly half its workforce. Earlier this year, the company laid off 1,000 employees, Forbes reported.Last year, at least four lawsuits were filed against the company claiming its ads were targeting young people.They also stopped selling several flavored products in the United States last year.The company also replaced its CEO last year.The company said they are looking to rebuild trust with its key stakeholders and the public."To better serve our mission, we must prioritize how we use our resources to execute on our long-term, focused approach," the company said in a statement. "This will allow Juul Labs to continue to invest in science and evidence capabilities, access control technologies, and future products in core markets that make up a vast majority of our business. While those investments will not provide short-term revenue, they will help us earn trust and build a company for the long term to advance the potential for harm reduction for adult smokers and combat underage usage." 1446