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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

Hundreds of museums across the country are struggling financially. Many were shut down for long periods of time during stay-at-home orders to slow the spread of the coronavirus. Some are still not ready to reopen. "We're targeting to reopen next year. Hopefully, we will sit back and recover and be able to think through and make sure everything will be safe for everybody," said Lily Birmingham, the director of the San Diego Chinese Historical Museum. Birmingham's museum, like many others, shut down in March because of shelter-in-place restrictions."We have very little funding to begin with so with the closure of the museum, we can not raise funding. We couldn't get admission funding so we had to lay off our employees. We now rely on volunteers, so it's very difficult. Funding is always difficult for museums. We're a non-profit organization," said Birmingham.Recently, The American Alliance of Museums surveyed more than 750 museums nationwide. From large to small and in urban and rural communities. What they found was that nearly one-third of them may not survive this pandemic."Back in March, I kind of speculated that it might be 25-30% of museums that would not make it through an extended financial crisis and indeed the survey did confirm our worst fears that one in three museums say there is a significant risk for having to close permanently," said Laura Lott, the President and CEO of the American Alliance of Museums. Lott says most museums make the majority of their money from ticket sales, renting their space for events and sales from their gift shops and cafes. Lott says museums have three major impacts on their communities, the first is economic."Museums contribute more to the economy than we might imagine. Nationally it's about billion that museums contribute to the national GDP across the country. They employ 750,000 people and pay billion in tax revenue at the state, federal and local level, even though most are non-profits," explained Lott.The second impact is on education, as they host numerous schools for field trips. Lott says the third impact museums have is they protect our cultural heritage. "Each museum is unique. It holds unique artifacts and stories that we’ve chosen to preserve and protect for future generations and if those museums go away, they're likely to be gone forever," said Lott.For the San Diego Chinese Historical Museum, historians have been collecting items dating back more than 100 years, preserving history of when Chinese immigrants first came to California. "There's a couple things people can do to help museums right now. People need to really contact their legislators and let them know why their museums are important to them and advocate that museums be included in any financial relief at all levels; the federal, state and local levels," said Lott."It could be monetary, of course, is the best. Volunteer hours or just show the appreciation. Show the concern and care so we know people love our museum. So, there are different ways to show the appreciation," said Birmingham. Lott says any bit of support will make a difference for many museums so they can continue to preserve history for years to come. 3202

IMPERIAL BEACH, Calif. (KGTV) - 40 undocumented immigrants were arrested at two human smuggling houses in South San Diego County Monday, according to Customs and Border Protection officials.Border Patrol agents received information Monday afternoon that immigrants were being housed at the Serenaded apartments on Elder Ave. in Imperial Beach.Upon entry into a unit, agents found 22 Mexican nationals hiding inside, officials said. A second search led to the discovery of 18 more immigrants.Three dozen men between 16 and 49 years old and four women, ages 24 to 46, were taken into custody.One of the men is a previously deported felon with convictions for domestic violence, agents said.“Identifying and dismantling smuggling organizations is our top priority,” said Chief Patrol Agent Rodney S. Scott.  “These organizations cannot be allowed to operate with impunity inside of our communities.” 909

In August, KNXV television station in Arizona caught up with then-Arizona Diamondbacks outfielder J.D. Martinez just a few weeks after he was traded to the team to get an idea of what it's like to be sent from one city to another in the middle of the season."How am I gonna get my clothes over here? How am I gonna get all my stuff?" Martinez remembered thinking shortly after being traded from Detroit, adding he had to wait until the D-backs had an off day to head back to Detroit to gather his belongings.Well, Shaquille O'Neal decided to bypass all that craziness when he was traded from the Miami Heat to the Phoenix Suns in the middle of the 2007-08 season. Instead, he took a trip to a Valley Walmart and loaded up on everything he needed to furnish his new apartment."I spent about ,000 at Walmart. In one night," Shaq said during an interview on "Real Sports with Bryant Gumbel" on HBO. "I spent so much, American Express thought my credit card was stolen. True story."Shaq, who said he's "very impatient," said he simply didn't want to wait to furnish his new place."They’ve already got the apartment set up, but I ain’t got nothing. I ain’t got no towels. I ain’t got no pots and pans. I ain’t got no TVs," he said. Shaq said he purchased clothes -- pants, socks, tank tops and underwear -- along with electronics such as computers, TVs and printers in a single Walmart shopping spree.But when he reached the checkout aisle, his credit card was declined."The security team from American Express called me and said, 'Hey, man. Somebody stole your credit card and went to Walmart.' I said, 'No, sir, that's me,'" he said."So they turned it back on, I got a couple trucks, and bam."Shaq's stay in the Valley was brief, as he was traded to Cleveland after the 2008-09 season. No word on whether he went on a similar shopping spree there."I'm Walmart's biggest customer. They know it," he said. "All day, every day." 1963

If you happen to be at a Arizona Cardinals football game, you might want to take The Gridiron Challenge.The Gridiron Burger is a 7-pound burger that is made with five beef patties, five hot dogs, five bratwurst, eight chicken tenders, 20 slices of American cheese, eight slices of bacon, lettuce, pickles and French fries.The burger costs . However, if you can eat everything in one hour, you do not have to pay for it and your photo will be placed on a special wall. READ MORE 493