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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

If you've been hearing the disembodied voice of a laughing young woman or child in your home lately, there's (probably) no need to call a ghost hunter.According to The Verge, Amazon confirmed on Wednesday that "Alexa," the voice of Echo smart speakers, may cackle unprompted from time to time.In a statement to Scripps National, an Amazon spokesperson confirmed that the company is changing how to make Alexa laugh. "In rare circumstances, Alexa can mistakenly hear the phrase 'Alexa, laugh,'" Amazon said. "We are changing that phrase to be 'Alexa, can you laugh?' Which is less likely to have false positives, and we are disabling the short utterance 'Alexa, laugh.' We are also changing Alexa’s response from simply laughter to 'Sure, I can laugh' followed by laughter."A number of users caught Alexa's laughter on video and posted the clips on social media, saying the laughter appeared to be unprompted, often coming in the middle of the night. So Alexa decided to laugh randomly while I was in the kitchen. Freaked @SnootyJuicer and I out. I thought a kid was laughing behind me. pic.twitter.com/6dblzkiQHp— CaptHandlebar (@CaptHandlebar) February 23, 2018 1200

IKEA is ending the publication of its iconic catalog after 70 years.The Swedish retailer cited the reason for ending it was due to consumers shopping online.IKEA said last year, their online retail sales increased by 45% worldwide, and they saw 4 billion users on its website."For both customers and co-workers, the IKEA Catalog is a publication that brings a lot of emotions, memories, and joy. For 70 years, it has been one of our most unique and iconic products, which has inspired billions of people across the world," said Konrad Grüss, Managing Director, Inter IKEA Systems B.V in a press release. "Turning the page with our beloved catalog is, in fact, a natural process since media consumption and customer behaviors have changed. To reach and interact with many people, we will keep inspiring with our home furnishing solutions in new ways."IKEA said they are transforming as a company and will focus more on "being more digital and accessible" by improving their digital services and launching new apps.“We are not starting from scratch. We have been transforming many aspects of how to reach and interact with our customers, and the work continues to find new ways to amplify unique IKEA home furnishing knowledge, products, and solutions in the best possible way - to inspire the many people through new ways, channels, and formats,” said Grüss.The company first released its catalog in 1951 in Sweden. At its peak in 2016, IKEA distributed 200 million copies in 69 different versions and 32 languages.In fall 2021, the company said a book would be released that'll be filled with "great home furnishing inspiration and knowledge." 1651

IMPERIAL BEACH, Calif. (KGTV) - The cities of Imperial Beach and Chula Vistas, and the Port of San Diego, are suing the U.S. Section of the International Boundary and Water Commission for allowing sewage to flow from Mexico's Tijuana River Valley into the U.S. 268

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