Probably, there are others who have done this before, and others will do it later, but you posted it on the web and therefore have to justify it... The times change. A few years ago, I think people listened more to medical advice. Or else, they had family around that could either persuade them to go to hospital, or look after them if they didn't - at least to a larger degree than they do today. I don't understand why so much responsibility sits on the shoulders of ambulance workers. While it seems you are getting better and better training, it is still doctors who should have the life-and-death-responsibility (that's what they (we) get paid for, isnt' it? some of it, at least). Of course, everyone needs to be responsible in their jobs, but you shouldn't walk around with the fear of being sued for the things you do. (on a sidenote: The americanisation of the health system saddens me, the fear of being dragged to court makes us do a lot that we really don't need to do except to "cover all eventualities". It is bad medicine and expensive.)