"The problem is this, the people up in Control aren't allowed to use the 3lb of grey squishy stuff nestled between their ears to determine how important a call is. They have to mindlessly follow a computer script, if they deviate from the script they'll miss out on any chances for promotion." Ah yes, let me guess: Dr. Clawson's "Priority Dispatch" system? I will also venture that they have a sign outside the dispatch center that says "Please Leave Your Common Sense At The Door." Now, there is no doubting that dispatchers have a tough job. Some of my best friends in EMS were dispatchers. They are in the same boat you are, in that either you do what they want you to do, or you get canned. The problem is that the decision makers who procure these CAD's are either: 1. Managers that have never worked on an ambulance/dispatch board a day in their lives, or; 2. Medics and EMT's that climbed the ladder up through management and forgot to look down and remember where they came from. I would have opted for a combo of option 1 and 2. Taken her to the hospital to fulfill my obligations, and then let her have it all the way there as to what an abuser of the system she is. I have done that in the past..... Zen breathing Tom, Zen breathing......