The px doesn't decide. The 911 crew generally is directed to the closest ER. In some cases the OMD or ER charge Dr will direct to another facility based on the info relayed from the crew. Such as Level 1 trauma center, need for a helo, other factors.
In an emergency don’t drive yourself, so often someone doesn’t want to call 911 and uses POV. On way to ER the medical episode worsens and they cause an accident, oftentimes causing serious damage of fatality to others. Please don’t be that guy.
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