Maryland’s ER wait times — the time spent in the emergency room before being admitted to the hospital or being sent home — are the longest in the country

...In response, Montgomery County Fire and Rescue has instituted a program called Direct to Triage. The goal of the program is to identify patients stable enough to wait their turn in the emergency department lobby, and let them sit in the waiting room, freeing up the ambulance to leave to be ready to take other calls...

https://wtop.com/montgomery-county/2020/02/montgomery-county-er-ambulance-wait-times/