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At my hospital we have near-weekly cases of patients arriving in cars to the front of the Emergency Department, necessitating a resus crew operating out of the car->trolley->resus bay

There's nothing preventing you from calling 911 enroute, or coordinating with the operator to pull over for ambulance pick up once you know that they are very close.

I'm picturing someone expiring in his car outside the hospital because nobody was around to get him into the ER. The ambulance crew does more than just drive - otherwise you might as well take a taxi.

Even a taxi driver could make sure the patient can exit the car.

I'm picturing an unconcious guy arriving in a car and expiring in the car outside the hospital.

You can always call the hospital from the car to tell them your emergency and mention them your plates.