山东尿酸数值多少算正常范围(济南治疗痛风要多钱) (今日更新中)

Hundreds of passengers on an Amtrak train that became disconnected will have quite a story to tell around the Thanksgiving table.The Montreal to New York train was traveling near Albany, New York, at about 7:20 p.m. Wednesday when two cars separated from the engine, Amtrak spokesman Jason Abrams said in a statement. Of the 287 passengers and crew, he said, no one was injured. The passengers were transferred to a new train, Abrams said.CNN reached out to Amtrak for further details but has not heard back.Billy Osher-Dugan was traveling to spend Thanksgiving with his girlfriend when he saw the cars separate."It was packed," he said. "There were hardly any seats available."He heard a noise and turned around to see cars behind him rip apart from the train, he said. That's when one passenger pulled the emergency brake to stop the train and others -- upon smelling smoke -- grabbed the fire extinguisher.Luckily, he said, there was no fire and everyone was OK.Helen Mary Crane was with her son on the way to spend the holiday with her daughter. Crane said two cars were added to the train when she boarded in Rensselaer, New York, and that she and her son were told to sit in the first of the additions.Crane's car was one of the two to break off."As far as being with my son," she said. "I was terrified when I saw the sparks and smelled burning and then realized our car was no longer attached. I thought we would derail or be hit by the other train."She said she credits the man who pulled the emergency brake on the runaway cars for the safety of everyone. She identified him as Reuben Clarke, a student at Rensselaer Polytechnic Institute."He saved our lives tonight," Crane said. "Our car broke off from the rest of the train and was picking up speed. There was no Amtrak personnel in our car. Reuben calmly went into action and pulled the emergency brake at the front of the car. Thankful he was on the train with my son and I."The National Transportation Safety Board will not investigate since there were no injuries or a derailment, board spokesman Nicholas Worrell said.New York State Police are investigating the incident. 2147

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

IMPERIAL BEACH, Calif. (KGTV) -- The city of Imperial Beach voted to create a committee to take a look at their contract with the San Diego County Sheriff’s Department and the department’s use of force policies. During a city council meeting Wednesday night, the council also passed a Black Lives Matter proclamation.The committee will be tasked with looking to see if there are any necessary changes that should or could potentially be made when it comes to spending, looking at the possibility of redirecting funds to other community services. The council agreed that this committee should also make sure the sheriff’s department can still ensure public safety.The vote also came with the condition that the city will hire a consultant to advise them and help with the review.The council agreed to come back with their findings and any recommended changes in 90 days. 877

If you were waiting for the annual Kardashian-Jenner clan Christmas photo, or perhaps an invite to their annual Christmas Eve party, they are not coming.Khloe Kardashian tweeted this week that “taking this pandemic seriously is a must” and family traditions are being canceled.COVID-19 cases are spiking around the country, and in California, much of the state is under stay-at-home orders because of the dwindling number of available ICU beds. These orders include the most populous areas of the state, like Southern California where the majority of the Kardashian family lives.Responding to a question on Twitter about whether they were doing a Christmas party, Khloe responded, “The Covid cases are getting out of control in CA. So we decided that we’re not doing a Christmas Eve party this year. It’s the first time we will not be having a Christmas Eve party since 1978 I believe. Health and safety first though! Taking this pandemic seriously is a must.” 968

If you are way into politics, you are not the average American. Not even close.A new poll from the University of Pennsylvania's Annenberg Public Policy Center reveals how shockingly little people know about even the most basic elements of our government and the Constitution that formed it.Take your pick from this bouillabaisse:* More than one in three people (37%) could not name a single right protected by the First Amendment. THE FIRST AMENDMENT.* Only one in four (26%) can name all three branches of the government. (In 2011, 38% could name all three branches.)* One in three (33%) can't name any branch of government. None. Not even one.* A majority (53%) believe the Constitution affords undocumented immigrants no rights. However, everyone in the US is entitled to due process of law and the right to make their case before the courts, at the least.(And the First Amendment protects the rights to free speech, free exercise of religion, freedom of the press and the rights of people to peaceably assemble, in case you were wondering.)"Protecting the rights guaranteed by the Constitution presupposes that we know what they are," said Annenberg Director Kathleen Hall Jamieson. "The fact that many don't is worrisome."The Annenberg poll is far from the first to reveal not only our collective ignorance about the basic tenets of democracy but also the fact that we are even less informed than we were in the past.Take this Pew Research Center poll from 2010. When asked to name the chief justice of the Supreme Court, less than three in 10 (28%) correctly answered John Roberts. That compares unfavorably to the 43% who rightly named William Rehnquist as the chief justice in a Pew poll back in 1986.What did the 72% of people who didn't name Roberts as the chief justice in 2010 say instead, you ask? A majority (53%) said they didn't know. Eight percent guessed Thurgood Marshall, who was never a chief justice of the Court and, perhaps more importantly, had been dead for 17 years when the poll was taken. Another 4% named Harry Reid, who is not now nor ever was a Supreme Court Justice.What we don't know about the government -- executive, legislative and judicial branches -- is appalling. It's funny -- until you realize that lots and lots of people whose lives are directly affected by what the federal government does and doesn't do have absolutely no idea about even the most basic principles of how this all works.It leads to huge amounts of discontent from the public when they realize that no politician can make good on the various and sundry promises they make on the campaign trail. 2654

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