The effectiveness of lights and siren use during ambulance transport by paramedics

O’Brien, Daniel J.; Price, Timothy G.; Adams, Paul

doi:10.1080/10903129908958920

Cited by 41 publications

(23 citation statements)

References 1 publication

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“…In addition, average hospital transport times were prolonged in the South African study (mean 2 hrs) with a mean hospital to operative intervention time of 4 hrs (12) compared with reported ground transport times in the United States of 11-14 mins (13,14). Furthermore, the lower incidence of sepsis in this study may be explained, in part, by the large number of patients who sustained mild injury (ISS Ͻ15: n ϭ 20, 511, 67.7%) with a very low rate of sepsis (n ϭ 119, Ͻ1% of those with mild injury severity, 19% of all sepsis cases).…”

Section: Discussionmentioning

confidence: 79%

Epidemiology of sepsis in patients with traumatic injury

Osborn¹,

Tracy²,

Dunne³

et al. 2004

Critical Care Medicine

192

146

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Section: Discussionmentioning

confidence: 79%

Epidemiology of sepsis in patients with traumatic injury

Osborn¹,

Tracy²,

Dunne³

et al. 2004

Critical Care Medicine

192

146

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“…In most of the studies on this topic, the authors focused on the use of lights and siren. As a rule, a statistically significant gain in time as high as 40% is found; many authors, however, stress the limited clinical relevance of this gain in time [15,[22][23][24][25].…”

Section: Discussionmentioning

confidence: 99%

How to modify the risk-taking behaviour of emergency medical services drivers?

Graeve

Deroo

Calle

et al. 2003

European Journal of Emergency Medicine

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High speed and an aggressive style of driving are major risk factors for serious traffic accidents. Consequently, frontline emergency medical services vehicles have an increased collision risk. We report on two studies designed to modify the risk-taking behaviour of emergency medical services drivers. In the first study, we compared the travel intervals for a second tier unit using two different types of vehicles. We found that the replacement of a sports estate by an ambulance, which can be considered more or less as a change from a speedy and aggressive style of driving to a cautious style of driving with respect for the speed limits, resulted in an increase of the travel interval of only 10-20%. In the second study we found that the installation of a 'black box' in an emergency medical services vehicle, combined with well-defined guidelines for the drivers and a close monitoring system, provides fair but still not optimal results with regard to maximum speed and the occurrence of harsh braking events. Despite some limitations in the study designs, we conclude that for second tier units only a small amount of time is gained by high speed and an aggressive style of driving. Furthermore, we are convinced that a 'black box' is a good tool to modify the risk-taking behaviour of emergency medical services drivers.

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“…[35][36][37][38] Whether these small differences resulted in a clinical impact is difficult to measure, although O'Brien et al 38 speculate that 4 of the 75 patients who arrived with lights and sirens benefited from the time saved. The time savings and clinical impact are even less clear for interfacility transport when transit times are generally longer and team members have the critical care expertise to perform emergency care and procedures en route.…”

Section: Ground Transportmentioning

confidence: 98%