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outcomes, because in many cases, we may not be getting to <br />the patient in time to make a difference. <br /> <br />Average response times appear good--7.8 minutes on the <br />average for emergency calls in 1993. This represents the <br />time from dispatch of a unit to its arrival on the scene. <br />However, approximately 30% of all calls have response times <br />greater than 8 minutes (as measured from dispatch to <br />arrival), as shown on Tables 1 and 2. This means that a <br />significant number of calls have actual response times (from <br />call received to unit on scene) of 11 minutes or more. <br /> <br />The calls with the lonqest response times are in outlying <br />areas, with Midland's calls routinely running in the 15- <br />minute-plus range (see Table 3). However, the greatest <br />concentration of 6alls over 8 minutes is in Kannapolis and <br />Concord (Kannapolis and "Other" on Table 4). This indicates <br />that distance alone is not the problem. <br /> <br />Although a number of calls with longer response times occur <br />at night, the majority occur from 9:00 a.m. to 9:00 p.m. <br />(see Table 5), which is the normal peak time for most EMS <br />systems. This, coupled with the location of calls having <br />longer response times, indicates that the system is <br />overburdened. <br /> <br />National standards indicate that this response time is too long <br /> <br />3 <br /> <br /> <br />