Now I understand fully that in different areas there are different protocols. Now all the LAS guys I talk to and people in my own service have similar guidelines to follow (yes I know guidelines are just that, but bear with me) It is a good thing to have to follow a set protocol, this enables us to make our clinical judgements, now I know we are just lowly techs, or paras, we don't have the years of training that the likes of Dr Crippen have (and I assume by your name, you will have in the future) however we are not stupid, we do however expect support from the medical professionals that we come across in our work, (the majority of docs round our way are superb, we have brilliant A&E consultants who are "pro" ambulance and very helpful, both when receiving patients from us and giving advice to us) Regardless of what the GP thinks, there are always exceptions, there is always a possibility of normal pain free patient that will catch you out. Now whilst I agree that the treatment we give the patient may not differ dependent on the ECG what we do next is quite important. While Dr Crippen and other GPs wonder why we are sitting in the car park doing nothing, we are in fact as medical professionals working as a team to decide the best route for us to follow. Are we happy that the ECG is ok for us to follow the GPs request to go to A&E? or do we want to follow our own "guidelines" and go down the route of a direct transfer to a cathlab, getting the patient the angiogram that The Junior Doctor speaks of. Now bandying about insults isn't going to change anything, whilst I think sometimes I would agree with some of them, we all have our opinions. What would be helpful is if the minority of GPs and Docs who for some reason feel threatened by us ambulance crews actually found out what we do. For this reason I think it would be a great idea if every doctor came out on the road for a few days with us and actually see what we do. We may not have the qualification of Doctor, but we learn everyday, we take advice from those that wish to give it, and we do the job that we love to the best of our ability. But as usual, we are the ones to be blamed.... Wouldn't be nice if Dr Crippen had accepted that we have our own job to do too, we don't have the full weight of the Medical Council behind us when it arrives at coroners, in some cases we don't even get the backing of the trust. A very wise man told me once that if you deal with everything as a worst case scenario, the patient cannot loose, they will just receive the very best treatment that they deserve. If its alright with everyone else, I am going to do just that thanks....