same thing here - we use a system not because it makes sense but because it apparently saves us legally...or so we're told. how long ago was it that your dispatch started using cards? we had paramedics working as dispatchers for a long time and the street crews were always happy with their dispatching skills. now we have new administration, no paramedics in dispatch, and some company's cards that we're paying for, used by civilian dispatchers. it's killing us. everyone seems to get coded as a difficulty breathing because they are always happy to answer "yes" to "are you short of breath?" even if their original complaint was something to the effect of a cut to the hand.