Does the Use of Lights and Sirens on Ambulances Affect Pre-hospital Time?

Korakot Apiratwarakul; Kamonwon Lenghong; Vajarabhongsa Bhudhisawasdi; Dhanu Gaysonsiri; Somsak  Tiamkao

doi:10.3889/oamjms.2021.5526

Authors

Korakot Apiratwarakul Khon Kaen UniversDepartment of Emergency Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailandity
Kamonwon Lenghong Department of Emergency Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
Vajarabhongsa Bhudhisawasdi Department of Emergency Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
Dhanu Gaysonsiri Department of Pharmacology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
Somsak Tiamkao Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand

DOI:

https://doi.org/10.3889/oamjms.2021.5526

Keywords:

Ambulances, Emergency Medical Services, Response Time, Response Latency

Abstract

BACKGROUND: The use of lights and sirens (L&S) alerts other drivers of the presence of an ambulance and that they are required yield, increasing the speed and safety of emergency medical services (EMS) operations. However, there have been no studies examining the effect of L&S on pre-hospital time conducted in Thai EMS agencies.

AIM: The aim of the study was to compare the operation times of ambulances with and without the use of L&S.

METHODS: This was a cross-sectional study consisting of patients over 18 years of age assessed and treated through the Srinagarind Hospital EMS between April 2019 and March 2020. Data were collected from the Srinagarind Hospital EMS operation database and hospital information database system.

RESULTS: A total of 1764 patients were enrolled, 1426 (80.8%) of whom were transported in an ambulance that used L&S. The mean age of patients in the L&S group was 45.2 ± 6.2 years and 742 (52.0%) were male. The average response times in the L&S and non-L&S groups were 10.2 min and 18.2 min, respectively (p < 0.001). Average L&S transport time was 11.1 min and non-L&S transport time was 17.1 min (p = 0.008).

CONCLUSIONS: The use L&S reduced the response and transport times of EMS operations but not affect on-scene time.

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