Abstract
Minimization of response time is an explicit goal of most emergency medical service (EMS) systems. Studies of advanced life support systems reaffirm the importance of minimizing the time to definitive care in critical emergencies. However, are there variations in spatial patterns of service in- EMS systems? Do survival rates from emergencies vary geographically? Seattle's Medic-I program and its “tiered” response system, which responds to 20.000 calls annually, are examined within this perspective. Finally, an analysis of the relations between survival and response time suggests that they are minimal in a system where the average response time is less than 3 min.
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