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Transporting their patients to the hospital at 100 or 150 MPH (speeds on the sections carrying an ambulance could probably be increased and other vehicles routed aside) even at rush hour is a city emergency-room doctor's dream. Far too often, the "Golden Hour" in which many critically-ill patients can be saved is squandered in their ambulance's painful, siren-blaring fight through rush-hour-clogged streets. SkyTran vehicles carrying someone critically ill could often travel directly from their building (SkyTranEqualsElevator) to a designated operating room in the hospital where the surgical team is monitoring them remotely and preparing for the procedures they need (a much more critical analogue of SkyTranFreightDelivery of assemblies and parts for ExtremeJustInTime manufacturing, directly to the work cell that needs them on the factory floor.)

The weight and size limits of a SkyTran emergency vehicle would be crucial design issues, as they are today for helicopter medical rescue. A neighborhood paramedic team or SkyTran-dispatched ambulance crew would load the patient and a lightweight emergency kit into a standard (with the seats folded) or specialized SkyTran vehicle. Then either an EMT (perhaps selected for light weight!) or robotic equipment controlled from the hospital would continue first aid for the few minutes until he arrived in the OR. If the patient is conscious, he can see the emergency doctors on-screen and respond to help their diagnosis, and family members and friends (at home, or traveling in the vehicle behind them as family members follow an ambulance today) for reassurance. A standard ambulance would still be dispatched in cases where a patient needed continuous attention with lots of equipment, and when traffic conditions (greatly improved by so many ordinary commuters being off the streets) allowed.