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I found out that my TV Dad #TomSelleck has generously accepted the #2020TipChallenge at Elios Upper East Side!Love ya dad. ??I didn’t start it but I’m proud to be part of it. To those who gave even the smallest extra amount this year — THANK YOU.#spreadloveandlovewillspread pic.twitter.com/1NcEswVbsO— Donnie Wahlberg (@DonnieWahlberg) December 24, 2020 368

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 Majority Whip Steve Scalise has been released from a Washington, DC, hospital following a "successful" surgery, according to MedStar Washington Hospital Center.The hospital released a statement Saturday saying the Louisiana Republican was discharged from the hospital and "the planned surgery was successful." The congressman "will be recovering at home for the next several days," the statement added.The congressman's Twitter account also shared the statement. CNN reported earlier this month that Scalise was beginning a "series of planned, inpatient procedures" while continuing to recover from injuries he sustained in a shooting last year.Scalise suffered a gunshot wound last summer when a gunman opened fire at a congressional baseball practice in Alexandria, Virginia.In September, Scalise returned to Congress for the first time since the attack, saying at the time that he is "a living example that miracles really do happen."  957

IMPERIAL BEACH, Calif. (KGTV) — Imperial Beach is closing off traffic in front of the IB Pier in order to help businesses and restaurants utilize more space for social distancing.The city says Seacoast Drive, from Date Avenue to Elder Ave., will be closed to motorists from Saturday to Monday so that not only residents can social distance, but nearby retail stores and restaurants can get creative with spacing."With many businesses able to reopen to customers, we will see some 'out of the box' thinking from our businesses to maximize their area to increase spacial distancing," the city wrote on Facebook.RELATED:Pacific Beach's El Prez shut down for violating health ordersWhat to know: Changes at beaches, restaurants this Memorial Day weekendWith many retail stores and restaurants reopened this Memorial Day weekend, local cities expect more residents to head outdoors.While restaurants have been allowed to reopen under county guidelines, some establishments may see the county force them to close if they do not meet protocols. Friday, the county closed a Pacific Beach restaurant and bar for violating health orders.In-store retail has also been allowed to reopen with physical distancing protocols as well.Beaches will also be a focus. Currently, only walking and running are allowed on beaches — no lying down or sitting.Countywide, a mandate on wearing facial coverings in public and stay-at-home order is still in effect. 1444

I have been criticized for remarks I made Sunday night about the benefits of convalescent plasma. The criticism is entirely justified. What I should have said better is that the data show a relative risk reduction not an absolute risk reduction.— Dr. Stephen M. Hahn (@SteveFDA) August 25, 2020 303

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