multi cities across the USA are cutting back on siren usage by ambulances

Va. EMS curbs lights-and-sirens runs, upgrading only select calls

Virginia Beach Virginia

no mention of their average response time

https://www.ems1.com/ambulance-safety/va-ems-curbs-lights-and-sirens-runs-upgrading-only-select-calls

arlington mass seemed to try this a year or two ago - transports to
hospitals did not use lights or sirens - that police seemed to last 30
or 60 days - and then it was gone

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