It is very hard to comment on individual jobs, even harder when you are not the person who is in attendance. With the exception of those people in the house at that time, no one is qualified to comment on the best way to transport the patient from house to ambulance. Just like Tom, I too tend to walk as many patients as possible. If the legs are still working and are able to keep the body upright, then why put three people at risk by chairing them. I am also with Tom on why it should be just one single person who gets the blame. While it is a very sad story, and my heart goes out to the family involved, there is an obvious catologue of errors going on in this story. Has the patients previous notes been taken into consideration? Has anyone looked into the treatment that she recieved when she attended surgery/hospital? Unfortunately Tom is also right on the other point that is made, we are cheaper to train..... it is easy to replace someone like us, a great deal of GPs look down their noses at us, they see us as a taxi. (a prime example is of the post about the lady having a seizure) As for completing the correct obs, I had an interesting job the other night, called to a dementia patient who was deteriorating, now I won't go into too much detail, but we decided that rather than drag this poor patient out into the cold and down to A&E on a Friday night at 2am, we would contact an out of hours gp to do a home visit. They did so and arranged for the patient to go into hospital, I know this as it just so happened that I was the crew that attended him later on in the morning to get him in. He bypassed A&E and things were a lot better for him in that respect. My point however was the note that we were given as the letter to the medics. All his obs were strangely enough exactly the same as when I had done them 3 hours earlier. Now why did the GP who attended him not do any of his own obs? What if something had changed? And to make matters worse, he even copied down my initial obs rather than my post treatment obs, which showed he had a low blood sugar (which I had taken action on at the time and administered dextrose tablets and got his levels up to what they should have been) tut tut. Now if I had done that, I do believe I would be in a rather lot of trouble now, however it doesn't really matter as I can be replaced a lot easier than a doctor can't I?