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Hurricane Maria is moving toward the west-northwest near 9 mph (15 km/h), and this general motion is expected to continue through Wednesday.On the forecast track, the eye of Maria will move over the northeastern Caribbean Sea today, and approach the Virgin Islands and Puerto Rico tonight and Wednesday.Maximum sustained winds are near 160 mph (260 km/h) with higher gusts. Maria is a potentially catastrophic Category 5 hurricane on the Saffir-Simpson Hurricane Wind Scale. 482

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

House Speaker Nancy Pelosi on Monday released a new proposal that includes .2 trillion in spending, and sends direct payment of ,200 to most Americans.The proposal still costs more than the White House has said it would like, but is down from the .4 trillion stimulus plan House Democrats passed back in May.In addition to another set of ,200 direct payments to millions of Americans, House Democrats propose using 5 million for education, more funding for the struggling airline industry, and 6 million for local governments. The set of proposals would also include a 0 per week unemployment supplement, which expired at the end of July.“This .2 trillion Heroes Act provides the absolutely needed resources to protect lives, livelihoods and the life of our democracy over the coming months,” Pelosi said in a letter to House Democrats. “It includes new funding needed to avert catastrophe for schools, small businesses, restaurants, performance spaces, airline workers and others.”Last week, Treasury Secretary Steve Mnuchin confirmed that he and Pelosi agreed to relaunch negotiations on a stimulus plan.Earlier this month, Senate Republicans attempted to pass a “slimmed down” stimulus bill with a cost of 0 billion. But that proposal failed to move out of the Senate.Editor's note: An earlier version of this story incorrectly said Democrats are proposing 5 for education, when it should have said 5 million. 1449

I’m at a loss. No words. I’ve been part of two big families with Grant Imahara over the last 22 years. Grant was a truly brilliant engineer, artist and performer, but also just such a generous, easygoing, and gentle PERSON. Working with Grant was so much fun. I’ll miss my friend.— Adam Savage (@donttrythis) July 14, 2020 330

If Monday's opening statements were any indication, Judge Amy Coney Barrett's nomination to the Supreme Court will face a bitter partisan fight in the days and weeks ahead.Given the timing — less than a month ahead of the 2020 general election — and the implications of appointing a sixth Supreme Court justice nominated by a Republican president, Democrats painted a bleak picture of America should Barrett be nominated to serve on the Supreme Court.Barrett's confirmation process was already set to be fraught with political controversy, given that Republicans successfully blocked President Barack Obama's nomination of Judge Merrick Garland for over half a year ahead of the 2016 presidential election, claiming that voters should have a say in the confirmation processIn fact, Ranking Member Dianne Feinstein, D-CA, used her opening statement to share a 2016 quote from Senate Judiciary Committee Chairman Lindsey Graham, in which he said he would wait to fill a Supreme Court seat if it came open between the opening of the primary process and the 2020 election.Feinstein also added that Democrats intended to focus on the "consequence" of "rushing" a Supreme Court nominee through the Senate.Senators will question Barrett beginning at 9 a.m. ET Tuesday, a process that will last into Wednesday. Graham says he hopes to have the confirmation hearing process wrapped up by Thursday.Democrats warn of loss of health careSeveral Democrats noted that in the past, President Donald Trump has only promised to nominate justices who will undo the Affordable Care Act — the law that enacted public health care and offered more consumer protections. They also pointed to Barrett's past criticism of Supreme Court decisions that have upheld parts of the law.Other Democrats, like Sen. Cory Booker, argued that Barrett's nomination was a ploy by Republicans to undo public healthcare initiatives and protections afforded by the Affordable Care Act, saying that a Barrett nomination would look like "deciding between buying medicine and buying groceries."Sen. Kamala Harris — the current Democratic vice presidential nominee — echoed those statements, claiming that President Donald Trump was attempting to "bypass the will of the American people" so they can strike down the Affordable Care Act. Sen. Mazie Hirono, herself a cancer survivor, wondered aloud if she would have survived had she been in a position that many Americans may find themselves in without government-backed healthcare.Graham has said that he expects Barrett to be confirmed to the Supreme Court a week before the Nov. 3 election. On Nov. 10, the Supreme Court is scheduled to hear a key case to determine the legality of portions of the ACA.COVID-19 fears shape hearingSeveral Democrats called out their Republican colleagues for even holding hearings amid a pandemic. Appearing virtually, Harris claimed it was "reckless" for the Judiciary Committee to hold in-person hearings and called out Graham for not requiring Senators to test negative for the virus before appearing in the room.At least two of the senators on the committee — Sen. Mike Lee, R-Utah, and Sen. Thom Tillis, R-North Carolina — have recently tested positive for the virus. Both at Barrett's nomination ceremony at the White House in late September — an event that has been described as a "superspreader" after about a dozen people in attendance, including President Donald Trump, tested positive for COVID-19. Lee, having been cleared by a Congressional physician, appeared in person. Tillis appeared on video teleconference.Graham said Monday that the hearing room had been deemed by the Capitol architect to be in compliance with CDC social distancing guidelines. Other Democrats said their time would be better spent working on passing more COVID-19 stimulus — something Trump has been willing to entertain in recent days.Republicans defend Barrett's character, call out those questioning her faithRepublicans defended Barrett's character by accusing Democrats of attacking her Catholic faith, often pointing to constitutional statues against "religious tests" as a qualifier for public office. Sen Josh Hawley, R-Missouri, specifically accused Harris of "anti-Catholic bigotry" by questioning past judiciary appointments fitness for office due to their membership in the Knights of Columbus, a Catholic organization.Sen. Joni Ernst, R-IA, further defended Barrett's character against those who she says had labeled her a "handmaid," saying that such accusations were "demeaning to women.""We don't have to fit a narrow definition of womanhood," Ernst said. At this point, Republican Senators have the votes to confirm Barrett. Graham has said he expects the process to be finished in the next two weeks — about seven days ahead of election day.Barrett pays homage to Scalia, GinsburgIn her opening statement, which was obtained and published by several media outlets, Barrett paid tribute to the late Justice Antonin Scalia — a conservative icon for whom Barrett worked for as a clerk early in her career. She said she shared in Scalia's philosophy of "textualism" — apply the law directly as it is written."A judge must apply the law as written, not as the judge wishes it were," Barrett said.Her opening statement also offered condolences to the justice whose seat she hopes to fill, Justice Ruth Bader Ginsburg."I have been nominated to fill Justice Ginsburg's seat, but no one will ever take her place," Barrett will say. "I will be forever grateful for the path she marked and the life she led." 5554