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Recorded July 7, 2021 HOT (red light and siren) responses put EMS providers and the public at significant risk. Studies have demonstrated that the time saved during this mode of vehicle operation and that reducing HOT responses enhances safety of personnel, with little to no impact on patient outcomes. Some agencies have ‘dabbled’ with responding COLD (without lights and sirens) to some calls, but perhaps none as dramatic as Niagara Region EMS in Ontario, Canada – who successfully flipped their HOT responses to a mere 10% of their 911 calls! Why did they do it? How did they do it? What has been the community response? What has been the response from their workforce? Has there been any difference in patient outcomes? Join Niagara Region EMS to learn the answers to these questions and more. Panelists from co-hosting associations will participate to share their perspectives on this important EMS safety issue! SPEAKERS Kevin Smith, BAppB:ES, CMM III, ACP, CEMC Chief Niagara Emergency Medical Services Rick Ferron, MHM, B.Ed ADED, ACP Deputy Chief, System Performance Niagara EMS Jon R. Krohmer, MD, FACEP, FAEMS Team Lead, COVID-19 EMS/Prehospital Team Director, Office of EMS National Highway Traffic Safety Administration Douglas F. Kupas, MD, EMT-P, FAEMS, FACEP Medical Director, NAEMT Medical Director, Geisinger EMS Matt Zavadsky, MS-HSA, NREMT Chief Strategic Integration Officer MedStar Mobile Integrated Healthcare Bryan R. Wilson, MD, NRP, FAAEM Assistant Professor of Emergency Medicine St. Luke’s University Health Network Medical Director, City of Bethlehem EMS Robert McClintock Director of Fire & EMS Operations Technical Assistance and Information Resources International Association of Fire Fighters Mike McEvoy, PhD, NRP, RN, CCRN Chair - EMS Section Board - International Association of Fire Chiefs EMS Coordinator - Saratoga County, New York Chief Medical Officer - West Crescent Fire Department Professional Development Coordinator - Clifton Park & Halfmoon EMS