I think the article had more emphasis on ambulances in rural areas not being single manned which makes sense as if you need to convey, your back up could be hours away which isn't cool if you're the solo on scene. At least in the cities backup is (geographically) not far away and so it's down to control to make a sensible decision to keep running and not divert them. I agree, so many times it seems as once there is somebody there to stop the clock in sub 8mins then its a victory, but for the poor bugger left with the patient on their own for any length of time it's really not fun. Have to disagree slightly with you Tom about techs on cars. With the exception of your example on fitting, techs are still very a useful resource. What can a para actually do single manned at a cardiac arrest?; you could argue about lines in and drug adminisatration but at the end of the day the most effective treatment is CPR and defibbing which can be done by a tech, not playing around with cannulas