Using Red Lights and Sirens for Emergency

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We are all devoid of conflicts.

We are all devoid of conflicts.

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Background EMS response with Red Lights & Sirens (RLS) is associated

Background

EMS response with Red Lights & Sirens (RLS) is associated with

increased collisions, injuries, and only marginal time savings.
Goal: Describe the proportion of RLS responses with potentially life saving (PLSI) interventions, by call nature.
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Clinical Importance RLS should be treated like any other medical intervention:

Clinical Importance

RLS should be treated like any other medical intervention:
Use

only with favorable risk/benefit ratio.
Benefit is unknown
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Methods ESO dataset, 1/1/18 – 12/31/18 Retrospective descriptive analysis Inclusion: All

Methods

ESO dataset, 1/1/18 – 12/31/18
Retrospective descriptive analysis
Inclusion: All 911 responses to

the scene
Exclusion: Missing call nature, no patient contact
PLSI: “any intervention which might, according to standard clinical guidelines, be considered necessary to reverse a critical condition or rapidly improve hemodynamic stability”.
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Results 3,843,123/7,574,879 (51%) 911 calls with documented call nature and patient

Results

3,843,123/7,574,879 (51%) 911 calls with documented call nature and patient contact
ALS

crew: 3,012,057 (78%)
Urban 79%, Rural 21%
Community 66%, FD 13%, Private, 6%
Paid 79%, Mixed 18%, Volunteer 1%
86% RLS response to scene
13% RLS transport to hospital
7% had any PLSI performed
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Potentially Life Saving Interventions

Potentially Life Saving Interventions

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Top 10 Potentially Life Saving Interventions

Top 10 Potentially Life Saving Interventions

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