Knowledge and Beliefs of EMS Providers toward Lights and Siren Transportation
dc.contributor.author | Tennyson, Joseph | |
dc.contributor.author | Maranda, Louise | |
dc.contributor.author | Darnobid, Adam | |
dc.date | 2022-08-11T08:09:44.000 | |
dc.date.accessioned | 2022-08-23T16:41:36Z | |
dc.date.available | 2022-08-23T16:41:36Z | |
dc.date.issued | 2015-05-01 | |
dc.date.submitted | 2016-04-25 | |
dc.identifier.citation | West 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.issn | 1936-900X (Linking) | |
dc.identifier.doi | 10.5811/westjem.2015.2.24212 | |
dc.identifier.pmid | 25987931 | |
dc.identifier.uri | http://hdl.handle.net/20.500.14038/39918 | |
dc.description.abstract | 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. 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.iso | en_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.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.subject | Accidents, Traffic | |
dc.subject | *Ambulances | |
dc.subject | Automobile Driving | |
dc.subject | *Guideline Adherence | |
dc.subject | Health Care Surveys | |
dc.subject | Humans | |
dc.subject | *Lighting | |
dc.subject | *Noise | |
dc.subject | Prospective Studies | |
dc.subject | Quality Assurance, Health Care | |
dc.subject | Time Factors | |
dc.subject | *Transportation of Patients | |
dc.subject | Prehospital | |
dc.subject | Emergency Medical Services | |
dc.subject | Warning Lights and Siren | |
dc.subject | Emergency Medicine | |
dc.title | Knowledge and Beliefs of EMS Providers toward Lights and Siren Transportation | |
dc.type | Journal Article | |
dc.source.journaltitle | The western journal of emergency medicine | |
dc.source.volume | 16 | |
dc.source.issue | 3 | |
dc.identifier.legacyfulltext | https://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=3729&context=oapubs&unstamped=1 | |
dc.identifier.legacycoverpage | https://escholarship.umassmed.edu/oapubs/2725 | |
dc.identifier.contextkey | 8515407 | |
refterms.dateFOA | 2022-08-23T16:41:36Z | |
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.submissionpath | oapubs/2725 | |
dc.contributor.department | Department of Quantitative Health Sciences | |
dc.contributor.department | Department of Emergency Medicine | |
dc.source.pages | 465-71 |