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ESCONDIDO, Calif. (KGTV) – Police in Escondido have identified the suspect shot and killed by an officer at Valley View Casino Saturday night as Osbaldo Ramirez Jimenez, 50.The incident began after police received a domestic disturbance call on the 1400 block of Timber Glen Road in Escondido.When they arrived, police say the suspect got into a vehicle and led them on a chase that ended at the casino’s valet entrance.RELATED: Officer-involved shooting reported at Valley View Casino in North San Diego County?When Jimenez got out of the vehicle, police say they noticed he was holding a handgun when the officer-involved shooting took place. Jimenez was taken to the hospital where he later died. Authorities also identified the officer involved in the shooting as Officer Terrence Pizzuti, who they say has been with the department since 2013.The incident reportedly caused chaos inside the casino. One woman inside at the time of the shooting was trampled. She was taken to the hospital where she is expected to survive.The San Diego Sheriff’s Department is leading the investigation. When the department is finished, the investigation will be handed over to the District Attorney’s office for review.Anyone with information on the shooting is asked to call the Sheriff’s homicide unit at 858-974-2321.Video of the aftermath of the shooting was captured on social media:  1399

Election offices across the country are making preparations to ensure everything is ready for a smooth voting process. A crucial piece to make sure that happens is recruiting enough poll workers for Election Day."The majority of poll workers are over age 60, and so, often in some of those higher risk categories for complications for COVID-19. So in the primaries this year we saw a lot of challenges getting poll workers," said Ben Hovland, Chairman of the U.S. Election Assistance Commission. Hovland says, in years past, most poll workers have been retirees volunteering their entire day and doing an important civic duty at polling places.During this summer's primaries, as COVID-19 cases rose, cities and states nationwide had some difficulty retaining poll workers. So much so, that the U.S. Election Assistance Commission launched National Poll Worker Recruitment Day."We created a website Helpamericavote.gov. If you go there you can choose your county and jurisdiction in the drop down menu and it can get you to your local election official and you can sign up if you want. But again, we’re seeing a number of places that still need poll workers," said Hovland.In Madison, Wisconsin, more than 1,000 poll workers canceled their volunteer shift for the primary and an August election. But then, something extraordinary happened. The city had more people sign up to be poll workers than ever before."We heard from a lot of people who said, 'I’m signing up to work at the polls because my grandma usually does and my mom usually does and can’t right now because of COVID, so I want to fill that spot.' We had to stop taking applications, which we’ve never had to do before," said Madison's City Clerk, Maribel Witzel-Behl. Witzel-Behl says during the last three presidential elections they had 3,000 poll workers. Now, they have 6,000 signed up. Many are local college students or people who were given the day off by their employer in order to participate in the presidential election."Now, almost 4,000 of those 6,000 poll workers are first-time poll workers and so that’s a pretty amazing thing to think about," said Witzel-Behl. Witzel-Behl says extra workers will help them be "pandemic proof" on Election Day. Poll workers are instructed to follow strict health guidelines, which include not having a fever within the last few days or showing any symptoms of COVID-19.Now that so many are signed up, the City of Madison will be conducting 50 new poll worker virtual training sessions to get them ready for the big day. Officials hope this boost in volunteers gives a renewed and longstanding interest for civic engagement."We're glad that the poll workers who have been in place for decades and may have a greater risk for COVID-19 don't have to feel bad about staying home and sitting this one out. That there are plenty of people to fill in and they're able to stay safe because we want our whole community to be safe," said Witzel-Behl.The U.S. Election Assistance Commission says there are also other ways people can contribute to a smooth Election Day. This includes being prepared to vote, simply by ensuring you're at the correct polling place, bringing the proper identification and making sure your address information is updated."That means you're in the polling place less time. That means shorter lines behind you. It's good for you, it's good for poll workers and it's good for election officials," said Hovland.Hovland says always check with your local election office for the most accurate information and to sign up to be a poll worker. 3574

ENSENADA, Mexico (KGTV) — A San Diego dirt bike racer is recovering tonight in Mexico after a bizarre mid-race crash with a mystery SUV.On Saturday morning, about 60 miles southeast of Ensenada, 29-year-old Josear Carrasco was racing a course he knew well. On this day, he would not finish."Just devastated. It's really hard. He's my everything, so it's hard to see him like this," said his wife, Kylie.Kylie was in a truck along the course when she got the news. Josear was in second place, nearly done with his 100-mile stretch and about to turn his bike over to a teammate. That's when he says he collided with an SUV that had driven onto the course, headed toward him. "He tried to veer off to the right ... the car veered off in same direction. Then, a head-on collision. He doesn't remember anything after that," said Kylie.Josear was discovered by spectators and a teammate, with car parts scattered nearby."Something exploded. When they found him, his gear was just melted off," said Kylie.Josear suffered second-degree burns up and down the left side of his body and broken bones in his arms, legs, shoulder and shin. He also suffered a ruptured intestine, but he was alive."Once I saw him breathing, my heart dropped ... because that's all that matters," said Kylie.Josear has already undergone several surgeries at a hospital in Ensenada. His family trying to raise money for a medical transport back to San Diego, while Mexican authorities hunt for the hit-and-run driver. A GoFundMe campaign has been set up to help his family with expenses. 1562

ENCINITAS, Calif. (KGTV) -- One year after part of a bluff collapsed in Encinitas, killing three women, a bench honoring the victims now sits at the end of Grandview Street.Sunday, flowers decorated the bench along with a colorful chalk art displaying the words “you are loved.”The bench sits in memory of Julie Davis, Anne Clave, and Elizabeth Charles.RELATED STORIESCommunity, husband of victim push for Encinitas bluff stabilizationThird victim in deadly Encinitas Bluff collapse identifiedThe three were killed when a 30-foot by 25-foot slab of rock came crashing down onto Grandview Beach last August.The deadly incident sparked calls for the city to stabilize the bluffs.Some California lawmakers have also called for the government to pay for the stabilization after Congress approved the Storm Damage Project in 2016. 833

Exhaustion, sadness, stress and anger. That is how one Arizona nurse describes working inside one of the busiest COVID-19 units in the state right now.Charge Nurse Debra, who requested we not use her last name or the name of the hospital in which she works, said she wanted to share "her truth" with a community that seemed divided over wearing masks and social distancing."I never ever want to get this virus, and I don't wish this on anybody," said Debra.After almost 20 years of working in an intensive care unit, nurses like Debra are used to seeing pain and suffering, but Debra said what she is seeing with COVID-19 is on another level."It's intense, very stressful, very, very challenging. I never would have guessed that this would have happened in my career," said Debra.In March, Debra and her team were informed their unit would be turning into a COVID-19 unit."At that time, I think we had about eight patients. Now we're full, we're overflowing into other units. It's difficult. It's challenging," said Debra.Debra began posting about what it was like inside her hospital. In one social media post, she said:"On the very first night there, we only had about 8 patients and by looking at how sick each of them were, I got teary/emotional and thought to myself, I can’t do this!!!! The amount of tubes, machines and continuous IV meds attached to these patients was barbaric!!!As each bed opened, or became available due to a patient’s untimely demise, I have witnessed an amazing team of healthcare providers work relentlessly for each patient. But in a lot of cases, it was never enough. I have watched us try every concoction of ventilator settings and continuous IV infusions to help a patient let the ventilator do its work for them, but in many cases, it still didn’t work.We try everything we can if the patient tolerates it. Five team members will go into rooms and sort out a vast array of tubes, IV lines, cables, equipment and wires, so we can flip a patient onto their stomach. This will sometimes help patients through the extremely severe inflammatory process that COVID causes.Most people are not in perfect shape – we have to position pillows and foam pieces underneath their body just right to avoid pressure sores, to avoid their belly from pushing against the mattress which can also prevent the ventilator from working adequately and to prevent the lines, tubes and cables from becoming detached. This process can take an hour depending on the situation."Debra also admitted she, along with experienced team members, had moments where they broke down and cried during their shifts."We all understand and are just there to help each other through it," said Debra. Their supervisors often asked them if they needed a break or some time off, but Debra said for her, that was not an option. She knew her team members and her patients needed her.For Debra, it is hard to describe the suffering she witnessed."Some patients, they cannot breathe. They're struggling to get comfortable. I don't know if you've ever felt you cannot get your breath, you cannot catch that breath, the anxiety that goes with it," said Debra.There is also a fine line when giving patients medication to calm down. There is a risk the medication could slow down or stop a patient’s breathing.Debra says she is sharing her experience with the community because she knows that numbers, charts and graphs shown by the state's health officials may be difficult for people to understand. Numbers can also be interpreted differently, based on how you looked at them. So, her clear message to people: what is happening inside our hospitals’ COVID-units today is very real."The last night that I worked, we had one COVID bed available. There are other intensive care unit beds, but people are still having car accidents, heart attacks, strokes, things like that. We need to keep those open for them," said Debra.In her social media post, Debra stated medical professionals were doing everything they possibly could to save patients’ lives, but they desperately needed more medical professionals. She also further described how they must flip patients several times during a shift and how complicated that process can be:"Placing a patient on their stomach is called proning. There are some shifts I work where we may flip patients 16 times (total flips for all patients). If anything emergent happens, we have to flip them back. This can happen to multiple patients at once and we only have so many staff members. A respiratory therapist has to be in the rooms when we flip as well. If they are in another room or we don’t have enough hands on deck to help, the patient in need just waits while their body suffers the lack of oxygen. Kidneys are being damaged and many patients have to go on dialysis.Some may be from the lack of oxygen, some are from the problems caused in the blood by COVID and others because of the septic shock and lack of adequate vital signs to ensure the kidneys actually receive enough blood flow. If a patient can not tolerate regular dialysis due to how badly their body is in shock, they are placed on a continuous type of dialysis. This requires one nurse to provide dedicated care to that patient. This nurse cannot take care of other patients.(Side note, we do not have enough nurses so every patient can have one for themselves) When everything we do is no longer enough, some patients may qualify for a treatment called ECMO. Very large tubes are placed into the patient. Blood flows out of the patient through this tube, goes through a machine that works like lungs should and puts oxygen into the blood, then the blood is returned to the body so it can deliver oxygen to the body."Nurses like Debra are also doing what they can to comfort patients in the last moments of their lives. The hospitals have chaplains, but sometimes it is too late by the time the chaplain arrives. Debra says some hospitals are allowing family members in to say their last goodbyes, but often, a nurse is the only one holding the patient's hand as they pass away."We never let them pass alone. One of us is always in the room when they do pass away, but I've definitely prayed over patients," said Debra.In her letter to the community, Debra went on to say:"As our hospital has been told to go into emergency mode, we are preparing for things to get worse. We are barely afloat now. My words here cannot do the gravity of the situation enough justice but I hope they leave you considering a few things. Imagine not being able to breathe, struggling for air and no help comes. Imagine the same for your parents, siblings, children and no help comes.People are tired of being advised to stay home, people disagree with what the numbers say, people don’t grasp exactly what it takes to make and staff an ICU room. People don’t understand the supplies and equipment needed and just how far that stuff goes.What can you do? Be a little more cautious and considerate. Be more mindful of how you interact and whether things can wait a bit longer. Be safe! Be smart! It is so much easier than being a patient right now." 7128