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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 American religion were traded at a stock exchange, your broker might be telling you to sell. The trend lines don't look great and haven't for quite some time.Social scientists and religious leaders have lots of theories about the long, slow slide, blaming it on everything from the internet to the politicization of conservative Christianity.A new Pew Research Center study offers something different: a survey of 4,729 Americans telling us precisely why they do (or don't) attend religious services.Some of their answers are unsurprising. Americans who don't believe in religion don't often attend church. Because duh.But the survey may confound other stereotypes about other Americans who rarely, if ever, attend church. As it turns out, they're all not atheists, or even members of the "spiritual but not religious" crowd. Many say religion is important in their lives, and lean conservative, politically."The people who attend religious services less often are not a monolithic group," said Becka Alper, a research associate at Pew.First, here are the top 10 reasons given by Americans who attend religious services at least once a month, according to Pew. Survey respondents were allowed to give more than one reason. The percentage refers to people who said this was a "very important" reason for their decision: 1329

Hurricane Jose formed less than a week after Hurricane Irma, and he’s possibly headed toward the U.S.Both storms followed a similar path, moving west across the Atlantic before making a sharp turn to the north.However, Irma is expected to fizzle out over land while Hurricane Jose will make a loop before moving west again. 331

In a groundbreaking case against agricultural giant Monsanto, a jury has awarded 0 million in punitive damages and nearly million in compensatory damages to a former school groundskeeper who said he got terminal cancer from the weedkiller Roundup.Dewayne Johnson was seeking about 0 million in punitive damages and million in compensatory damages from Monsanto, his attorney Timothy Litzenburg said.Johnson's victory Friday could set a massive precedent for thousands of other cases against Monsanto.Johnson was the first of hundreds of cancer patients to take the company to court over its popular weedkiller, Roundup.CNN reported last year that more than 800 patients were suing Monsanto, claiming Roundup gave them non-Hodgkin's lymphoma.Since then, hundreds more plaintiffs -- including cancer patients, their spouses or their estates -- have also sued the agricultural giant, making similar claims.Johnson's case was the first to go to trial because in court filings, doctors said he was near death. And in California, dying plaintiffs can be granted expedited trials. 1105

Hurricane Hunters have been flying in and out of Hurricane Laura continuously for days, getting a close-up look as the hurricane has rapidly intensified.In less than two days, Laura went from a tropical storm to a high-end Category 4. The storm is set to strike the Louisiana coast early Thursday morning.There are two Air Force Reserve groups that fly into hurricanes to send back data to the National Hurricane Center.In total, the Air Force Reserve utilizes 20 WC-130J aircraft that are equipped with palletized meteorological data-gathering instruments.According to the Hurricane Hunters, “The navigator keeps track of the aircraft's position and movement and monitors radar to avoid tornadic activity. The flight meteorologist acts as flight director and observes and records meteorological data at flight level using a computer that encodes weather data every 30 seconds. The weather reconnaissance loadmaster collects and records vertical meteorological data using a parachute-borne sensor known as a dropsonde. It measures and encodes weather data down to the ocean surface.”The following video was provided by the Hurricane Hunters: 1149

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