Alwidyan Mahmoud T, Alrawashdeh Ahmad, O Oteir Alaa
Paramedics Program, Department of Allied Medical Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan.
Department of Paramedicine, Monash University, Melbourne, Victoria, Australia.
Arch Acad Emerg Med. 2024 Jul 20;12(1):e57. doi: 10.22037/aaem.v12i1.2262. eCollection 2024.
Emergency medical service (EMS) providers use ambulance lights and sirens (L&S) to expedite their travel and to warn road users. This study aimed to assess the attitude and behavior of road users in response to EMS ambulances with warning L&S in use.
This was a cross-sectional survey distributed to road users in Northern Jordan. The questionnaire included 19 items addressing demographics, attitudes, and behavior toward emergency ambulances. We described the participants' responses and assessed the association between demographics and attitude statements using logistic regression.
A total of 1302 questionnaires were available for analysis. The mean age of participants was 34.2 (SD± 11.4) years, and the majority were males (72.6%). About half of road users (47.9%) would perform inappropriate actions in response to EMS ambulances with L&S in use. The multivariate logistic regression model showed that being female (OR: 0.63; 95% CI = 0.48-0.81), more educated (OR: 0.68; 95% CI = 0.53-0.86), or public transport driver (OR: 0.55; 95% CI = 0.34-0.90) was significantly associated with inappropriate response to EMS ambulances. Additionally, a significant proportion of road users may perform inappropriate and lawless driving practices such as following the passing by EMS ambulances.
A large proportion of road users in Jordan may respond inappropriately to the EMS ambulances and many engage in risky driving behaviors, perhaps due to the lack of procedural knowledge. Policy-related interventions and educational programs are crucially needed to increase public awareness of the traffic law concerning EMS ambulances and to enhance appropriate driving behavior.
紧急医疗服务（EMS）提供者使用救护车灯光和警报器（L&S）来加快行程并警示道路使用者。本研究旨在评估道路使用者对使用警示L&S的EMS救护车的态度和行为。
这是一项针对约旦北部道路使用者的横断面调查。问卷包括19个项目，涉及人口统计学、对紧急救护车的态度和行为。我们描述了参与者的回答，并使用逻辑回归评估人口统计学与态度陈述之间的关联。
共有1302份问卷可供分析。参与者的平均年龄为34.2（标准差±11.4）岁，大多数为男性（72.6%）。大约一半的道路使用者（47.9%）在面对使用L&S的EMS救护车时会做出不当行为。多变量逻辑回归模型显示，女性（比值比：0.63；95%置信区间=0.48-0.81）、受教育程度较高者（比值比：0.68；95%置信区间=0.53-0.86）或公共交通司机（比值比：0.55；95%置信区间=0.34-0.90）与对EMS救护车的不当反应显著相关。此外，相当一部分道路使用者可能会进行不当和违法的驾驶行为，如在EMS救护车经过时尾随。
约旦很大一部分道路使用者可能对EMS救护车做出不当反应，许多人还会从事危险驾驶行为，这可能是由于缺乏程序知识。迫切需要与政策相关的干预措施和教育项目，以提高公众对有关EMS救护车交通法规的认识，并增强适当的驾驶行为
