AMPDS can be really good, in that Omega calls get sent straight to Psiam (the clinical advice desk), which is manned by a paramedic or technician. So if someone phones up because they have an earache - one of the first calls I ever took - I have great pleasure in transferring them to Psiam. But what really gets me is someone who knows the system. With one patient last week I spent ten minutes trying to get the address, which proved very difficult because he was drunk as a skunk at 11am, and then because he didn't seem to be able to give me a chief complaint, I went through the questions for 'sick person'. It then transpired that not only did he have chest pain, he also had extreme difficulty breathing! Funny, why did he not mention these things before? Because this guy knew how to play the system, we had to send an ambulance on blue lights and sirens (and also the police on grade 1, because he had a past history of extreme violence) to someone who just wanted someone to abuse.