Hi Tom, Do you administer adrenaline for asthma patients there? We had an elderly patient who had been suffering an asthma attack for three days before she called us, she was saturating at 56 according to the monitor when we arrived! Salbutamol was administered on scene and adrenaline en-route. Although, in our case, we had a one minute response time (we were parked down the road!!) and we were about 4 minutes from hospital. Craig