I agree. There is nothing so hopeless and frustrating as to have to stand by and watch someone willfully harm themselves whether it be physically, or via drugs or drink etc. I guess 8 times out of 10 most patients 'surrender' to ambulance crews as they want/need/know they are going to be helped in some way. The girl in question probably didn't know she was asleep on the bus for a start and certainly wasn't up for being helped - but what do you do? I'm sure it is hard to get those haunting images out of your mind but at least you care enough to be bothered by it...and that unfortunately is all you can do. I'm equally astonished by the millions of people in this world who give people like that girl a reason to resort to such a desperate way of surviving. I chose that word on purpose - surviving not living. Indescribably sad. I really hope something happens whereby she can get some help.