Interesting post but to take everyone to hospital reynolds "as I'm not a doctor" is a bit of a cop-out isnt it? Its been clear in my experience that many of our patients dont need to go to hospital (either they're simply not sick or spending many hours sitting in an ED is not in their best interests ie better to see their local doctor etc) and by us simply taking the easy route and taking them to hospital is only contributing to the problem of hospital/ED overcrowding. When I work with experienced ambo's I watch in awe as they sort the wheat from the chaff so to speak. Anyway, my two cents.