Invited Commentary

Commentary on "Does Ambulance Response Time Influence Patient Condition among Patients with Specific Medical and Trauma Emergencies?"

Authors: Kevin M. Boehm, DO, MSc


It’s a run-of-the-mill day in a community emergency department (ED) when the emergency medical services (EMS) radio suddenly comes on. The shrill voice announces: “Priority one traffic, chest pain.” The call from EMS describes a 49-year-old man with significant cardiac history, diaphoretic appearance, and vague ST changes on lead II. Estimated time of arrival is 5 to 8 minutes. The resuscitation team gathers in resuscitation bay 2 and waits. Minutes seem like hours as the clock ticks by. Twenty-two minutes later the crew rolls in, the patient appears toxic, and the crew mutters, “We got stuck by the train,” as they give their full report.

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1. Weiss S, Fullerton L, Oglesbee S, et al. Does ambulance response time influence patient condition among patients with specific medical and trauma emergencies? South Med J 2013; 106: 230–235.
2. Sa’adah R. The eight-minute ALS response time standard: a review and discussion of its use as a strategic result goal by the District of Columbia. Accessed November 12, 2012.
3. Stevenson A, Fiddler C, Craig M, et al. Emergency department organisation of critical care transfers in the UK. Emerg Med J 2005; 22: 795–798.
4. Wiegersma JS, Droogh JM, Zijlstra JG, et al. Quality of interhospital transport of the critically ill: impact of a Mobile Intensive Care Unit with a specialized retrieval team. Crit Care 2011; 15: R75.
5. Borrows EL, Lutman DH, Montgomery MA, et al. Effect of patient- and team-related factors on stabilization time during pediatric intensive care transport. Pediatr Crit Care Med 2010; 11: 451–456.