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"The 43.5-second mean time savings does not warrant the use of lights and siren during ambulance transport, except in rare situations."

https://www.sciencedirect.com/science/ article/abs/pii/S0196064495702679
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Google AI summary of guidelines
for ambulence siren use:


Ambulance drivers can and should use discretion with their sirens, activating them only when necessary for a critical situation and when the potential benefits of a quicker arrival time outweigh the disruption caused by the noise, particularly in non-emergency or stable patient transport situations.

Drivers should consider the patient's condition and whether a rapid arrival with sirens is truly necessary for optimal care.

Traffic conditions:

In light traffic, sirens might not be needed, while heavy traffic might warrant their use to clear a path.

Community impact:

Ambulance drivers should be mindful of noise pollution, especially in residential areas, and use sirens only when absolutely necessary.

Local regulations:

Each jurisdiction may have specific guidelines regarding when an ambulance can use its siren.

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Fridley City Hall has monumentally failed, true to form.