Fair comment... but then, us techs gotta stick together ;0) On more than one occasion i know of vehicles who've attended surgeries where no ECG has been done yet an AMI has been discovered by the attending crew. In one case, my own station, the chap had hardly a hint of an AMI but had actually had, what is referred to as, a barn door MI! (one glance at the ecg and it's as blatant as the wrinkles on the back of my hand) Like Sam, we have a long run to hospital so any advanced readings would always be most welcome. If the dots are already in place then attaching the ambulances' monitor is quick an easy but attaching leads and dots in the right places in a moving ambulance is bl**dy dangerous. Never mind that, as mentioned before, doing a reading on the move isn't worth the paper it's churned out on. Manual BPs should be taken for accuracy and, again, you try listening in the back of a bone-shaker. Never mind all the things a paramedic has to do there are plenty to keep a double tech crew occupied before one can consider moving. I do not believe in extended stay n play but once has to weigh up the situation for what it is and might be. In a very grey world with many black and white rules which colour is king? I should add that some surgeries in the area i look forward to attending as the GPs are cluey and courteous. And it works both ways. Bureaucracy seems to set brother vs brother some days!