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dc.contributor.authorTennyson, Joseph
dc.contributor.authorMaranda, Louise
dc.contributor.authorDarnobid, Adam
dc.date2022-08-11T08:09:44.000
dc.date.accessioned2022-08-23T16:41:36Z
dc.date.available2022-08-23T16:41:36Z
dc.date.issued2015-05-01
dc.date.submitted2016-04-25
dc.identifier.citationWest J Emerg Med. 2015 May;16(3):465-71. doi: 10.5811/westjem.2015.2.24212. Epub 2015 Apr 6. <a href="http://dx.doi.org/10.5811/westjem.2015.2.24212">Link to article on publisher's site</a>
dc.identifier.issn1936-900X (Linking)
dc.identifier.doi10.5811/westjem.2015.2.24212
dc.identifier.pmid25987931
dc.identifier.urihttp://hdl.handle.net/20.500.14038/39918
dc.description.abstractINTRODUCTION: The 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. METHODS: The 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. RESULTS: Few 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. CONCLUSION: The 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.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=25987931&dopt=Abstract">Link to Article in PubMed</a>
dc.rights<p>Copyright: © 2015 Tennyson et al. This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/ licenses/by/4.0/.</p>
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectAccidents, Traffic
dc.subject*Ambulances
dc.subjectAutomobile Driving
dc.subject*Guideline Adherence
dc.subjectHealth Care Surveys
dc.subjectHumans
dc.subject*Lighting
dc.subject*Noise
dc.subjectProspective Studies
dc.subjectQuality Assurance, Health Care
dc.subjectTime Factors
dc.subject*Transportation of Patients
dc.subjectPrehospital
dc.subjectEmergency Medical Services
dc.subjectWarning Lights and Siren
dc.subjectEmergency Medicine
dc.titleKnowledge and Beliefs of EMS Providers toward Lights and Siren Transportation
dc.typeJournal Article
dc.source.journaltitleThe western journal of emergency medicine
dc.source.volume16
dc.source.issue3
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=3729&amp;context=oapubs&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/oapubs/2725
dc.identifier.contextkey8515407
refterms.dateFOA2022-08-23T16:41:36Z
html.description.abstract<p>INTRODUCTION: The 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.</p> <p>METHODS: The 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.</p> <p>RESULTS: Few 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.</p> <p>CONCLUSION: The 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.</p>
dc.identifier.submissionpathoapubs/2725
dc.contributor.departmentDepartment of Quantitative Health Sciences
dc.contributor.departmentDepartment of Emergency Medicine
dc.source.pages465-71


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<p>Copyright: © 2015 Tennyson et al. This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/ licenses/by/4.0/.</p>
Except where otherwise noted, this item's license is described as <p>Copyright: © 2015 Tennyson et al. This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/ licenses/by/4.0/.</p>