I luckily haven’t been on-scene with a lot of EMS calls, I work from a bunker that’s usually miles away from where the action is taking place, so take thoughts on this for what they’re worth, I’m a bit outside of my area of expertise, and I don’t have a lot of details to go on so I don’t really want to speculate here, but I’ll leave some thoughts.

Also, just to reiterate, the class 1,2,3,4,5 terminology is what my agency uses, things can vary a lot from one place to another, and I certainly can’t speak for the policies and training and such that are in place anywhere else.

But an unconscious person is basically always going class 1 or 2 unless they were already a vegetable and it’s normal for them to be unconscious, but honestly even then it would probably be class 2 unless they really just need an ambulance to move them from point a to b and there’s not actually any other medical issues going on. They’re going to be going with some sense of urgency and leaving with lights and sirens.

If he was, in fact in cardiac arrest that is absolutely class 1 material. They’d be doing CPR on him or shocking him with a defibrillator as they’re going, he’d probably be intubated and they’d be ventilating him with a bag, I assume EMS in whatever town he lives in probably have some pretty good equipment so they’d probably have a LUCAS device to do chest compressions for them, etc.

I was actually on-scene with a cardiac arrest after a motorcycle accident once, helped perform CPR on someone until the ambulance arrived. I don’t think EMS was on-scene for 5 minutes before they were speeding off with the guy with lights and sirens going and a LUCAS strapped to his chest. I never looked up the call, but I would bet good money that that guy didn’t make it, but it was still fresh enough that there was a tiny chance and so he went class 1.

Hypothetically if they were able to restore a normal pulse with a defibrillator or whatever else they might have in their bag of tricks these days, it might go class 2, but that would still be high priority.

I can’t imagine any situation where they’re taking a patient who is unconscious and normally isn’t any less than a class 2 unless they’re dead.

From the short clip, and based off of the descriptions, it’s hard for me to say much. They’re certainly not running with the stretcher, but that could just be them being calm and professional, you don’t really want to be jolting the patient around after all, and they’re not exactly pussy-footing around, but still I don’t know if I’m seeing the kind of urgency I’d expect. If they did in fact leave without sirens, that’s really not jiving with the class 1 or 2 I’d expect for an unconscious patient, that sounds like 3, 4, or 5. It could be that they turned them on once they left the neighborhood, that’s not unheard of to avoid disturbing neighbors and causing a scene if there’s no traffic in the neighborhood for them to have to get through.

It is pretty wild how different laws are around the country, make a wrong turn and you can suddenly be committing a felony for something that was 100% legal on the other side of the border.

I’m from Pennsylvania, right next door to us in New Jersey. There was one story a couple years ago about a woman in Philly who made a wrong turn, crossed the bridge into NJ, and while trying to find somewhere to turn around and go back home, she got pulled over for some minor traffic violation or something.

But the catch is that she was carrying a gun. She was 100% legal in PA, had her carry permit on her, but PA and NJ gun laws are very different and NJ doesn’t recognize a PA license to carry. So she ended spending like a month in jail and was facing I think 3 years in prison all because of a wrong turn.

I’ve made that same kind of wrong turn before and all it’s cost me was a few minutes of my time and a couple bucks in tolls.

And it’s not just guns, we have a patchwork of all kinds of different stupid laws, marijuana for example.

As far as VIPs getting priority, the only thing that comes to my mind that I’ve come across is one old rich guy with a note attached to his address with instructions that for basically any medical calls there can be directly airlifted to one of the big hospitals downtown

He’s loaded, lives almost right across from a small airport that one of our medevac helicopters fly out of, and made his fortune in some sort of healthcare/health insurance something-or-other (I’m fuzzy on the details of, but he was one of the big players in that field probably 30-40 years ago)

We have a handful of other pretty rich and influential people in my area, and I’ve gotten calls from and regarding a couple of them (nothing too crazy) but at least from my end of things there’s not a whole lot of special treatment going on. What special instructions the cops and other field units have isnt something I’m privy to.

I work in 911 dispatch, different areas and agencies may handle things a little differently but where I work we give our incidents a priority from 1-5, with 1 being the highest

For EMS, priority 1 is things like cardiac arrests, shootings, stuff where the person has a very real chance of dying any second.

2 is most of the things you’d expect people to call an ambulance for, they do need to be seen in a hospital for and relatively quickly, but you’re not immediately in danger of expiring.

3 is the stuff that you probably could have called around to a couple friends for a ride or called an Uber or something for or maybe driven yourself to urgent care. Like sure, you probably want to see a doctor about that, but it’s not really that urgent, if you waited until tomorrow you’d probably be no worse off than you are today and in some cases you probably could have slept it off.

4 is basically for psych issues. You’re basically completely physically healthy and stable, you’re just cuckoo for coco puffs. The only way you’re going to die on the ambulance ride over is if it gets T-boned by a semi truck, or you annoy the crew so much that they throw you out the back of the ambulance while doing 70mph down the highway.

Which brings us to class 5. You’re dead. You’re obviously dead and no amount of life-saving measures are going to bring you back. Usually they’re not even going to actually take you away in an ambulance, they’re just going to say someone with medical training can go “yep, that’s a corpse” in case the cops on-scene are even dumber than usual and didn’t see you breathing, they’re going to throw a white sheet over you and let the coroner come around later to scrape you up. Unless you’re Mitch McConnell apparently.

Kind of similarly, my wife tends to come home from work and get changed right into her pajamas, and I think that kind of flips a mental switch for her saying that she’s done doing stuff for the day, and so she kind of struggles to get any chores done after work or on her days off. She also kind of has trouble sleeping sometimes.

I tend to get dressed and stay that way until it’s time for bed, and I feel that I tend to be a bit more productive at home than her.

And I feel like that kind of helps create more of a mental divide. If I’m up and wearing clothes it’s time to get stuff done, if I’m wearing pajamas it’s time to relax and get ready for bed.

My old dog was a puppy when the local baseball team won the world series. We took him outside after the game, and our neighbor behind us started lighting off some pretty big fireworks.

The first one or two startled him a little, but he saw that we weren’t reacting and quick settled down. Then he started to enjoy them. He’d watch the neighbors light one up, watch it shoot into the sky and explode, and then back to the neighbor, tail wagging waiting for another one.

After that, any time he heard them going off somewhere he’d run around to the windows trying to get a better look. If he could find a good angle he’d happily stand there and watch the entire show.

My current dog just doesn’t react to them at all. We got her at about a year old, so I don’t know what, if anything, her previous humans did to desensitize her, but at most she just kind of groans and rolls over if they’re close enough to disturb her nap. I actually use them as a good excuse to take her for a walk because she is kind of dog-reactive and I know no one else is going to be out walking their dogs during the fireworks.

My parents quit smoking a few years ago, my mom had tried unsuccessfully to quit a few times, and what finally did it for her was getting a really bad cold during a really bad cold snap so she really didn’t want to go outside to smoke. Then since she quit I think my dad just kind of hopped on the bandwagon with her.

But I remember one time, a year or two later, being at a party at their house with some friends sitting outside, and my one friend who is a smoker lights up, and she told him to come sit next to her because she still really liked the smell.

So different strokes for different folks I suppose.