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Depends on patient condition. If there is an immediate threat to life or limb, then the lights and siren should be used. Otherwise, they shouldn't. They come with an inherent risk of distracting other drivers and possibly causing accidents, and in today's "I'm the most important person in the world" society a lot of people won't even pull over anyway. Oh, and everywhere has the same laws - if you're running either lights or siren, you run both. Never run a silent lights, because it's illegal.

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Q: While transporting a car crash victim in an ambulance do the sirens and lights have to be on?
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