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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

" Barr tweeted Tuesday evening. That tweet had been deleted by Wednesday morning.The tweet about Jarrett, in which Barr called her child of "the muslim brotherhood and the Planet of the Apes" resulted in the cancellation of Barr's show, "Roseanne," which was slated for a second reboot season and one of the highest rated shows on network TV.  1554

I will not stand for this.. This is completely insensitive to everything going on in society, and it’s unacceptable. I will not be doing anything with Oklahoma State until things CHANGE. https://t.co/psxPn4Khoq— Chuba Hubbard (@Hubbard_RMN) June 15, 2020 262

If they die, fast trial death penalty for the killer. Only way to stop this! https://t.co/K3sKh28GjX— Donald J. Trump (@realDonaldTrump) September 13, 2020 163

In a move to advance high-quality enterprise journalism, the Scripps Howard Foundation today announced a million investment into the creation of two centers for investigative journalism.Arizona State University and the University of Maryland will each receive million over three years from the Scripps Howard Foundation to establish a Howard Center for Investigative Journalism at their institutions.The Howard Centers will be multidisciplinary, graduate-level programs focused on training the next generation of reporters through hands-on investigative journalism projects. The Howard Centers’ students will work with news organizations across the country to report stories of national or international importance to the public.The Howard Centers honor the legacy of Roy W. Howard, former chairman of the Scripps-Howard newspaper chain and a pioneering news reporter.“Roy Howard was an entrepreneur whose relentless pursuit of news took him around the world, sourcing his education directly from the lessons of the newsroom,” said Liz Carter, president and CEO of the Scripps Howard Foundation. “That same pursuit led us to establish the Howard Centers – bridging the classroom and the newsroom to ensure tomorrow’s journalists are prepared with the mastery of dogged reporting they need in a world that increasingly demands it.”Arizona State and the University of Maryland were selected as locations for the Howard Centers based on proposals submitted in a competitive process. Both universities have journalism programs that feature a rigorous curriculum and hands-on training for student journalists.“The Centers are envisioned as innovative educational programs,” said Battinto Batts, director of the journalism fund for the Scripps Howard Foundation. “Both Arizona State University and the University of Maryland are well-positioned to challenge their students to become ethical, entrepreneurial and courageous investigative journalists.”The Howard Centers will recruit graduate students and faculty of diverse academic and professional backgrounds. Students attending a Howard Center will be introduced to topics including new media, data mining and the history and ethics of investigative journalism.In addition to the emphasis on multidisciplinary studies within their own curriculum, the Howard Centers also will collaborate on investigative projects to deliver high-impact content to news consumers.“The Howard Centers will create a new cadre of great investigative journalists – steeped in the values and vision of the Scripps Howard Foundation – while generating impactful national investigations on some of the most important challenges facing our country today,” said Christopher Callahan, dean of the Walter Cronkite School of Journalism and Mass Communication, vice provost of ASU and CEO of Arizona PBS. “We are honored to be selected for this critically important initiative and to preserve and celebrate the extraordinary legacy of Roy W. Howard.”“Investigative journalists shine a light on our society’s problems and protect democracy by holding the powerful accountable,” said Lucy A. Dalglish, dean of the University of Maryland Philip Merrill College of Journalism. “The Howard Center at Merrill College will provide an unmatched opportunity for our students to learn to tell important stories in innovative ways, preparing them to become outstanding professional journalists.”The Howard Centers will launch national searches for directors this fall and will open programming to graduate-level students in 2019.About The Scripps Howard FoundationThe Scripps Howard Foundation supports philanthropic causes important to The E.W. Scripps Company (NASDAQ: SSP) and the communities it serves, with a special emphasis on excellence in journalism. At the crossroads of the classroom and the newsroom, the Foundation is a leader in supporting journalism education, scholarships, internships, minority recruitment and development, literacy and First Amendment causes. The Scripps Howard Awards stand as one of the industry’s top honors for outstanding journalism. The Foundation improves lives and helps build thriving communities. It partners with Scripps brands to create awareness of local issues and supports impactful organizations to drive solutions. 4311