Does crash risk increase when emergency vehicles are driving with lights and sirens?

Missikpode, Celestin; Peek‐Asa, Corinne; Young, Tara; Hamann, Cara

doi:10.1016/j.aap.2018.02.002

Cited by 26 publications

(32 citation statements)

References 27 publications

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“…Therefore, they are at great risk for threat and violence [13]. Another potential source of physical injury to EMS providers is related to ambulance crashes [38][39][40].…”

Section: Critical Conditions Of Ems Provisionmentioning

confidence: 99%

Perceived occupational stressors among emergency medical service providers: a qualitative study

et al. 2021

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Introduction Emergency medical services (EMS) providers are at continuous exposure to occupational stressors which negatively affect their health and professional practice. This study explored perceived occupational stressors among EMS providers. Methods This qualitative study was conducted from December 2019 to April 2020 using conventional content analysis. Sixteen EMS providers were purposively selected from EMS stations in Hamadan, Iran. Semi-structured interviews (with length of 45–60 min) were held for data collection. Data were analyzed through Graneheim and Lundman’s conventional content analysis approach. Findings Data analysis resulted in the development of two themes, namely critical conditions of EMS provision, and personal and professional conflicts. The six categories of these two themes were complexity of patients’ clinical conditions, interruption of EMS provision, health hazards, interpersonal problems, interprofessional interactions, and legal conflicts. Conclusion Besides the stress associated with emergency patient care, EMS providers face many different occupational stressors. EMS managers can use the findings of the present study to develop strategies for reducing occupational stress among EMS providers and thereby, improve their health and care quality.

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“…Therefore, they are at great risk for threat and violence [13]. Another potential source of physical injury to EMS providers is related to ambulance crashes [38][39][40].…”

Section: Critical Conditions Of Ems Provisionmentioning

confidence: 99%

Perceived occupational stressors among emergency medical service providers: a qualitative study

et al. 2021

View full text Add to dashboard Cite

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“…In one study, such use was associated with an increased risk of crashing [ 10 ] and caused physical stress reactions in the driver that increased the risk of accidents [ 17 ]. In another study, however, no increased risk was observed [ 16 ]. By using seatbelts or stretcher belts and securing all loose items on board, one study found that the consequences of a crash could be mitigated [ 12 ].…”

Section: Resultsmentioning

confidence: 99%

“…To ease passing through traffic and reduce time spent on the road, lights and sirens were sometimes used to decrease total transport time, and the greatest time reduction was seen when conducting transports of critical patients and neonatal patients [ 13 ]. However, studies found that the use of sirens and lights should be balanced against an increased risk of crashes [ 10 , 13 , 16 ] and increasing stress for the driver, patients, and EMS personnel [ 17 ]. Therefore, the use of lights and sirens should be reserved for patients most likely to benefit from decreased transport time [ 13 , 17 ].…”

Section: Resultsmentioning

confidence: 99%

Driving the ambulance: an essential component of emergency medical services: an integrative review

Becker

Hugelius

2021

BMC Emerg Med

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Background The transport of patients from one location to another is a fundamental part of emergency medical services. However, little interest has been shown in the actual driving of the ambulance. Therefore, this review aimed to investigate how the driving of the ambulance affects the patient and the medical care provided in an emergency medical situation. Methods A systematic integrative review using both quantitative and qualitative designs based on 17 scientific papers published between 2011 and 2020 was conducted. Results Ambulance driving, both the actual speed, driving pattern, navigation, and communication between the driver and the patient, influenced both the patient’s medical condition and the possibility of providing adequate care during the transport. The driving itself had an impact on prehospital time spent on the road, safety, comfort, and medical issues. The driver’s health and ability to manage stress caused by traffic, time pressure, sirens, and disturbing moments also significantly influenced ambulance transport safety. Conclusions The driving of the ambulance had a potential effect on patient health, wellbeing, and safety. Therefore, driving should be considered an essential part of the medical care offered within emergency medical services, requiring specific skills and competence in both medicine, stress management, and risk approaches in addition to the technical skills of driving a vehicle. Further studies on the driving, environmental, and safety aspects of being transported in an ambulance are needed from a patient’s perspective.

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“…In the article by Missikpode et al [7], the dangers for emergency vehicles on the city roads is considered. The authors have made conclusion that police cars have higher risk to get into accident than fire trucks and ambulances.…”

Section: Introductionmentioning

confidence: 99%

Optimization of the Duration of Emergency Vehicle Movement to the Place of Fire

Pasnak

Renkas

2020

Transport Problems

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The article is devoted to the issue of the negative effect of delays in the movement of special rescue vehicles on the effectiveness of their mission. The dependence of the area of fire on the delay of the arrival of firefighters using a fire-rescue vehicle is shown. The cascading graph of route options of special vehicle movement to the place of an emergency call is given. The algorithm of the optimal route choice of the special vehicle motion with given projected delays is offered. Based on the graph theory, probability theory, and the basic principles of traffic organization, the article proposes a new way to determine the optimal route.

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Does crash risk increase when emergency vehicles are driving with lights and sirens?

Cited by 26 publications

References 27 publications

Perceived occupational stressors among emergency medical service providers: a qualitative study

Perceived occupational stressors among emergency medical service providers: a qualitative study

Driving the ambulance: an essential component of emergency medical services: an integrative review

Optimization of the Duration of Emergency Vehicle Movement to the Place of Fire

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