When we blue light someone into hospital it is serious. We do not use blue lights without reason as emergency response driving puts the ambulance crew and other road users at risk.
When we fisrt get a job on our ambulance screen it is coded as a red. This is a life thretening emergency that requires a blue light response, we aim to get there in seven minutes. As the call taker speaks to the person who made the call they will get more information about the naturte of the emergency and the job may get down graded to one not requiring a blue light response. You will sometimes see an ambulance put their lights on and get through a traffic jam then turn them off again. We hate it when this happens as it looks like we are just trying to get through the jam. Sometimes we will get stood down for other reasons, usually because there is a nearer ambulance.
We are supposed to have our sirens on at all times when we have the lights on unless we have a good reason not to. A good reason is usually because it is distressing to the patient in the back or because there is a hores in the road. Some crews don't use sirens much and just rely on people seeing the blue lights. I use sirens a lot, I want people to know I am coming and get out of the way. We turn of the sirens when we approach the job so as not to alarm the patient.
Once we have arrived at the patient we have to asses if they need to go in to hospital on blue lights. Some jobs we attend we are obliged to use blue lights. The classic example of this is cardiac related chest pain. The pat may seem okay but because the chest pain has cardiac sounding symtoms we have to give certain drugs and get them in on blue lights. Other jobs are what we call GLF, go like fuck jobs. These are the serious ones, life threatening or life changing or requested by a Doctor. Examples of this include major trauma, reduced GCS, major bleeding, sick children. Sick children can be dceptive as their bodies can compensate for the emergency then suddenly they go off with very little warning. We all hate working on sick children and want them in definitive care as soon as possible, they are all GLF jobs.
When taking someone in on blue lights we drive more carefully then when going to the job. We have a paramedic in the back who might be working on the patient. We try to keep the spped below about 40mph and take corners and bends smoothly. So if you see an ambulance going slowly on blue lights please have patients and let it pass, it is serious. Once we get to the motorway it is in the outside lane and GLF.
If you see or hear an ambulance approaching with blue lights and sirens on, please please please please, indicate left and STOP to let us past when it is safe to do so. Please do not do the awful thing of slowing down with no indicators on and thinking we can get past you, we can not. Before we can overtake another vehicle we have to see 3 out of the folowing 4. A change in speed, a change in direction, brake lights coming on and and indicator coming on.We are trained to be looking aheaed all the time so if you indicate and stop we can look ahead and asses the next hazard. Please dont flash your headlights at us or wave your hand. We can not react to those signals, we have to asses the situation and you might not be able to see what we can, some people get cross when we don't react to their signals. We have no legal exemption to undertake you, so again pull over to the left if possible. if your are at a traffic lights and we come up behind you we should keep our blue lights on but trun our sirens off. This is so other road users do not feel pressured into going through a red light, we have legal exemption to treat a red light as a give way, other road users do not. If you go through a red light you can be prosecuted and if their is an accident you will be to blame. All crews are trained to do this and understand it. If a crew sits at a red ligh with sirens on please feel free to complain to the ambulance service, they will respond to your complaint.
On the motorway we are trained to get over into the outside lane and stay there, we can be seen and heard from there. If you are on the motorway please let us past by pulling over into the inside lanes. Do not try to keep pace ahead of us. An ambulance weighs 5 tonnes and needs a lot more distance to stop than your car so you may well be in our stopping distance. Please do not try to tailgate us. Most cars are quickers than our ambulance so please if we are doing 90mph in an outside lane please please please do not undertake us, my attention is looking ahead im am not expecting a car to come up my inside. The bast way to think of it is try to give us a bubble around the ambulance that you do not enter, just let us past and in 2 minutes you will be able to carry on as normal. If we are in an inside lane and travelling slower than the speed limit it is again because someone in the back is working, feel free to overtake then as normal on the motorway.
A long post but I hope it explains something about blue light driving.