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Operations & systems

Lights and sirens cut critical care transfer times

The Effect of Lights and Sirens on Critical Care Transport Time
The Journal of Emergency Medicine · Added 23 April 2026

They measured whether lights and sirens meaningfully shorten critical care transport, and found a statistically significant but modest time saving of about 8 minutes.

Study type
Cohort
Design
Retrospective single-system analysis of administrative data, distance-matched transport routes
Participants
Not reported (interfacility transports by one urban US critical care transport service)
Main finding
Lights and sirens were used in 7.3% of transports, most strongly for transport direct to theatre (OR 15.8, 95% CI 6.32–39.50); median transport time 33 vs 41 min, about 8 min (19.5%) saved, with the largest saving in rush hour
Caveat
Single urban US interfacility critical care service, retrospective; no patient outcomes or crash and safety data reported
Bottom line
Context only

Learning goal

Weigh the benefits and risks of lights and sirens transport for patients already receiving prehospital resuscitation.

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