In Washington, DC, a diesel ambulance was on the road when the diesel vehicle's emissions system detected that the particulate trap was plugged. The emissions system caused the vehicle to shut down for a regeneration cycle, in which the particulate trap is heated to a high temperature and diesel fuel injected to cause a controlled burn of the carbon buildup in the trap.
Unfortunately, the ambulance was in the process of transporting a shooting victim to the hospital. There was a seven minute delay before a second ambulance could arrive and continue the transport. The patient died at the hospital.
http://www.washingtonpost.com/blogs...he-epa-caused-a-seven-minute-ambulance-delay/
Starting in 2008, diesel trucks have included DPF filters which require periodic regeneration cycles. Most of the time, these cycles occur automatically, without driver input. If the conditions required for a regen (generally, a period of driving at highway speed to heat up the system) are not met, then the emissions system flashes a light on the dash to inform the driver to perform a regen manually. If the driver doesn't comply within a few miles, the warning light starts flashing faster. Finally, if no regen cycle is performed, the vehicle's check engine light comes on, the engine goes into "limp home" mode, and a trip to the dealer is necessary to reset everything.
In the Washington DC case, it's not clear if the ambulance driver saw the warning lights, or understood what to do. It's possible that the emissions system was faulty in some way. An investigation is underway to sort it all out.
This is not the first time emissions control equipment has interfered with the operation of emergency vehicles. Since a fire engine or ambulance often idles for long periods at the scene of an emergency, carbon buildup in the DPF happens faster than in vehicles that are driven more. In 2012, the EPA modified its rules for emergency vehicles to avoid problems with shutdowns during emergencies. However, the vehicle owner is responsible for purchasing and installing the extra equipment necessary to take advantage of the rules, and many owners have not done so.