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{
    "pk": 8574,
    "title": "Knowledge and Beliefs of EMS Providers toward Lights and Siren Transportation",
    "subtitle": null,
    "abstract": "Introduction: \nThe use of warning lights and siren (WLS) increases the risk of ambulance collisions. Multiple studies have failed to demonstrate a clinical benefit to the patients. We sought to investigate the degree to which providers understand the data and incorporate it into their practice.\nMethods: \nThe authors distributed an anonymous survey to prehospital providers under their medical direction at staff and quality assurance meetings. The surveys asked the providers’ degree of agreement with four statements: transport with lights and siren shortens transport times; transport with lights and siren improves patient outcome; transport with lights and siren increases the risk of collision during transport; and transport with lights and siren reduces the utilization of “mutual aid” service. We compared responses between providers who had been in prior ambulance collisions and those who had not.\nResults: \nFew responses reached statistical significance, but respondents tended towards agreement that WLS use shortens transport times, that it does not improve outcomes, and that it increases the risk of collision. Despite the overall agreement with the published literature, respondents report >80% of transports are conducted using WLS.\nConclusion: \nThe data demonstrate the surveyed providers are aware of the risk posed by WLS to themselves, their patients, and the public. Nevertheless, their practice in the absence of rigid protocols suggests they disregard this knowledge. Despite a large number of prior ambulance collisions among the surveyed group, a high number of transports are conducted using WLS. [West J Emerg Med. 2015;16(3):465–471.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Prehospital, Emergency Medical Services, Warning Lights and Siren"
        }
    ],
    "section": "Prehospital Care",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/0368q7zr",
    "frozenauthors": [
        {
            "first_name": "Joseph",
            "middle_name": "",
            "last_name": "Tennyson",
            "name_suffix": "",
            "institution": "University of Massachusetts Medical School, Worcester, Massachusetts",
            "department": "None"
        },
        {
            "first_name": "Louise",
            "middle_name": "",
            "last_name": "Maranda",
            "name_suffix": "",
            "institution": "University of Massachusetts Medical School, Department of Quantitative Health Sciences and Pediatrics, Worcester, Massachusetts",
            "department": "None"
        },
        {
            "first_name": "Adam",
            "middle_name": "",
            "last_name": "Darnobid",
            "name_suffix": "",
            "institution": "UMass Memorial Health Alliance Hospital, Leominster, Massachusetts",
            "department": "None"
        }
    ],
    "date_submitted": "2014-10-13T15:07:03Z",
    "date_accepted": "2014-10-13T15:07:03Z",
    "date_published": "2015-04-06T22:08:15Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/8574/galley/4944/download/"
        }
    ]
}