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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

In a security policy that has been implemented in many stadiums and arenas around the country, large bags will soon be banned inside Cinemark's movie theaters, the company has announced. The ban will go into effect on Thursday at all of its theaters. Cinemark is the parent company of chains such as Rave Motion Pictures, Century Theatres, CineArts and Tinseltown. Bags larger than 12 inches by 12 inches by 6 inches will not be permitted. Exceptions may be made for medical equipment and diaper bags. Cinemark said there will not be anywhere to check bags. The chain also said that the company reserves the right to inspect all bags entering its theaters. A Century Theatre, which is owned by Cinemark, was the scene of a mass shooting in July 2012, when 12 were killed and 58 were wounded by a gunman. Survivors and families of the victims sued Cinemark claiming the company did not take adequate safety and security precaution. A US federal judge then threw out most of the claims against Cinemark in 2013.  1078

If they die, fast trial death penalty for the killer. Only way to stop this! https://t.co/K3sKh28GjX— Donald J. Trump (@realDonaldTrump) September 13, 2020 163

If you feel like you're working more since you've started working from home, you're probably not wrong.A study by Atlassian found that since April, our workdays have become longer. That's around the time many people started working remotely.On average in the United States, people worked about 30 minutes more. People start work earlier and wrap up later.A separate report by LinkedIn found more than a quarter of people are checking in on work during off-work hours.However, this isn't necessarily leading us to be more productive. Often, we're working longer days because we're getting distracted while we're at home.“Everything's getting pretty mushy, so what that looks like is Netflix might be happening at 2 o’clock in the afternoon or you might be doing laundry at 11, instead of being fully focused on your work during the day, and I do think that is creating working longer hours,” said Elizabeth Grace Saunders, a time management coach.Saunders says there are additional distractions now.For instance, if you're a parent, your child may be learning from home. Sometimes you need to step in to help them, which can take time away from your work. That's completely okay, as long as we're still managing our time efficiently.Another thing that's changed is we may not necessarily have something to look forward to after work.Happy hours and going to the movie theater with a friend aren't really happening, so we may feel less motivated to work throughout the day.These longer work hours are giving us less of a chance to recharge for the next day, so it's important that we draw the line between work life and home life.Saunders says to pick a time where you only work... And don't do things like personal chores or take long breaks.“Those work hours are times when I’m devoted to work, and I’m really focused, and I’m not getting other things. That gives you the freedom and flexibility to feel like, I got work done today, I got done what I needed to get done and I need to do something refreshing or recharging at night.”We can still create things to look forward to after work, like having a time where we call friends and family, or plan to do something else you enjoy like crafting. 2204

Ice pops shipped to multiple states were recalled Monday because of concerns they may be contaminated with listeria.According to the FDA, approximately 3,000 cases of Budget $aver Cherry Pineapple Monster Pops and Sugar Free Twin Pops, produced by the Ziegenfelder Company of Wheeling, W. Va., are part of a voluntary recall.The ice pops were distributed to grocery stores and distributors in the following states: Florida, Alabama, Arkansas, Maine, Missouri, Nebraska, Nevada, New Mexico, New York, Ohio, Oklahoma, Texas, Utah, Washington and Wyoming.The product was delivered from April 5 through April 19, 2018.No illnesses or incidents involving the product have been reported.The frozen products were sold 12 to a package under the brand names Budget $aver Cherry Pineapple Monster Pops and Sugar Free Twin Pops.The Cherry Pineapple Monster Pops carry the UPC code 0-74534-84200-9, and have lot codes D09418A through D10018B.The Sugar Free Pops carry the UPC code 0-74534-75642-9, and have lot codes D09318A through D10018B. The voluntary recall was the result of a routine state inspection of the company’s Denver production facility which found listeria in samples collected by the inspector.The FDA said that Ziegenfelder Company has stopped the production and distribution at the plant as the state of Colorado and the company continue to investigate the problem.Consumers who have purchased the affected ice pops are urged to return them to the place of purchase for a full refund. Contact the company at 1-888-683-0379, Mon-Fri 8 a.m. to 8 p.m. if you have questions. 1641