山东尿酸470属于痛风吗(山东怎么治疗痛风呢) (今日更新中)

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 Democrats are expected to retain a majority of US House seats in 2021, but with a smaller margin. The leader of the House Democrats, Speaker Nancy Pelosi, said on Wednesday the election was “challenging” in a letter to colleagues.As of Wednesday evening, House Republicans have netted five seats by flipping seven Democratic seats. Democrats flipped two previously held Republican seats.All seven of the House Democrats that lost were representatives who only served one term in Congress. The seven freshmen members of Congress ushered in a “Blue Wave” in 2018, which gave Democrats the majority in the House for the first time in eight years.The 2018 Blue Wave also returned Pelosi to the speaker’s chair, where it appears she’ll remain in 2021 and 2022.“Though it was a challenging election, all of our candidates – both Frontline and Red to Blue – made us proud,” Pelosi wrote to colleagues. “Their drumbeat For The People enabled Democrats to Hold The House and flipped critical battleground states, building our margins across the board. Our discipline in building a massive battlefield proved essential in keeping the Majority. Our success enabled us to win in our ‘mobilization, messaging and money,’ forcing Republicans to defend their own territory.”Despite not winning a majority of seats, House Republican leader Kevin McCarthy celebrated Republicans regaining seats in the House.“We expanded this party that reflects America, that looks like America. And thanks,” McCarthy said. “I think the rejection that we saw last night from the Democrats was that America does not want to be a socialist nation. I think the other rejection that we saw, we watched the Democrats promise if they would be given the power to have the majority, that they would act different, that they would solve problems and they wasted their majority.” 1850

In a vivid reminder of just how powerful Mother Nature can be, a viewer of Scripps station WEWS in Cleveland sent in this video of lightning striking a car on I-90.The driver was on his way home from Lakewood to Mentor Tuesday night when his dashcam caught the event. 290

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

I hope House Republicans will vote against the very weak National Defense Authorization Act (NDAA), which I will VETO. Must include a termination of Section 230 (for National Security purposes), preserve our National Monuments, & allow for 5G & troop reductions in foreign lands!— Donald J. Trump (@realDonaldTrump) December 8, 2020 348

来源：资阳报