This episode explores the overuse of sirens by emergency services, questioning their necessity and effectiveness. Against the backdrop of a noisy Brooklyn neighborhood, the host investigates the surprisingly high frequency of sirens, leading to a deeper examination of their impact. More significantly, the interview with Dr. Arlene Bronzaft, an environmental psychologist, reveals that sirens are dangerously loud and cause significant health problems. For instance, a study in Berrien County, Michigan, demonstrated that reducing siren use by half did not negatively affect patient outcomes but significantly decreased accident risks. In contrast, a national study by Jeff Jarvis showed that only a small percentage of siren-accompanied calls resulted in life-saving interventions. The discussion then pivots to the influence of the TV show "Emergency!" on shaping public perception of emergency response, highlighting how this cultural expectation contributed to the overuse of sirens. Ultimately, the episode suggests that the widespread use of sirens is a vestige of a bygone era, and a more nuanced approach is needed, prioritizing patient safety and the well-being of first responders.