Going to say a few things, hope I don't offend anyone as its not intended.... firstly not sure about everywhere else, but were not drivers, I know its only a little thing to some, but its a long hard slog to be just a Trainee Tech, let alone an EMT or Para, and although there are lots of different levels, none of us like to be called drivers as we do a lot more than that. Secondly about the A4 sheet, its a cracker of an idea, and it is so very helpful, I have come across a few and it really does make a difference. There was a comment earlier on about us asking questions, I don't know about Tom, but I always start off with just one question.... usually a name and if you can answer that quite clearly then I know how much I can continue questioning. We also look at you, if your struggling and using accessory muscles to get the air in, then someone else can tell me your name, or I will just call you George for the time being. We are meant to get a peak flow, I rarely do with someone who is really struggling, I can't think of anything worse to put an asthmatic through, the only exception is those that have a little wheese and can answer questions, I don't mind giving it a go then. If you are really struggling to breathe, I do not know of anyone in the ambo service who would do a peak flow or ask lots of questions. If they are like me, they just get the neb started and worry about the paperwork and other bits later once the drugs start to work and you can breathe again. But then most of the questions would be unnecessary if you had a handy card....