conan

im in a similar situation. with the nearest level 1 trauma system about 75 min away(from my station, 80-100 min from the furthers point we respond to) without much traffic and 2 1/2 hrs or more during rush hour we utilize the air med teams alot when we know that the local er wont accept them. as far as routine calls....an average call for me is about an 1 1/2 hr from tone out to back in district. my partner and I dont screw around on scene and waist time nor do we kill time at the er post call. as soon as our stuff is done we're out!! and it still take that long to run a simple call. there are 3 districts within my operation and if one of our other trucks is out and we catch a call in their dist then the transport time is only increased...not a whole lot in most cases but there are the times when you get sent to the far NE part of the country down a one lane dirt road thats so washed out and rough you cant drive more that 5-10 mph without just trashing your rig. then, once you get the pt loaded you have to drive back accross those horrible roads thrashing the pt and your partner all over the place in the back only to have to drive to the far SW part of the co. to get to the local/nearest er. The longest response time i think I've ever had was about 28 min to the scene. We're lucky to have some good mutual aid agreements with neighboring fire and private services when need be.