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No matter what our BLS rig goes lights and sirens to scene unless told not to by dispatch. Sometimes we do use lights and sirens for BLS only transport, the only times that we don't are mental transports and anything stupid (like someone showing no obvious signs of severe distress).
Why does your agency transport emergent to the hospital on most calls? The very vast majority of EMT patient encounters do not involve "severe distress" and even the ones that do can often be transported non-emergent without detriment to the patient.