RULES TIGHTENED ON THE DIVERSION OF AMBULANCES
Mayor Koch yesterday established new guidelines aimed at reducing the diversion of emergency ambulances that carry heart attack victims to hospital emergency rooms and coronary-care units in New York City. Hospitals have refused to accept some ambulances because of overcrowding.The guidelines establish strict conditions for diversions and time limits on any delay in care resulting from them. The Mayor said the new guidelines were ''a responsible beginning for our continuing efforts to safeguard the effectiveness of the city's 911 emergency medical system.''