JPINFV
Gadfly
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How long does it take you to return from definitive care without lights and sirens? The studies on L/S are pretty consistent that they save time. The problem is that the time saved is generally not enough to even begin to hope to be clinically significant. Similarly, in those 2 hours how much impassible slow traffic (please don't get me started on the stupidity I saw in MA with ambulances going L/S on the freeway when going the speed of traffic) or red stop lights do you encounter? Alternatively, are lights and sirens used as a legal justification for speeding (I'm from California, so it would be wrong of me to judge someone else on speeding, so don't take it like that)?I am fairly certain that if moved to a rural area that has extensive transport times (ie like the area I service it is 2 hours via ground L/S to reach definitive care) .