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Another issue is that events like races are often staffed by ambulance crews that sign up for the extra shift. At one track we operated in a decent sized city the ambulance couldn't get a crew together every week to even be there. Not even one crew.. Let alone 2.
Fortunately the fire dept had high end EMTs and a ton of equipment to deal with it appropriately at the track and would call an on duty ambulance 5 mins away when responding to a wreck if it looked like a possible transport.
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