Maybe this is an exception to the rule but we were called for a patient with severe breathing difficulties at a surgery. The GP was excellent having put the patient (22 years old athletic male, no previous medical history ever) on 100% O2, had given him salbutamol through nebuliser, taken BP, RR, etc and copied his notes for handover to A&E. Only disappointment was at the other end when the nurse looked at us asking why we had brought him in. I realise the nurse hadnt seen our patient in the ambulance using all accessory muscles (and more) to breathe and sweating like a reformed alcoholic in a guiness factory, but why question us bringing the patient in?? We gave him some more salbutamol which eased his breathing considerably and made him look less like he was dying. Obviously looked too well to be treated by this nurse at this point