If dispatch had a bit more common sense/flexibility they would be able to see situations which they could send a single responder tech or para to. Yes, it comes down to what information they receive from the caller & call taker but when they rely on an inflexible algorithm (and a sepo one at that) they are stuck. And as its all about times now they will send the nearest available resource. Not being funny mate but why haven't you gone for your para yet? The incident you mentioned above must have been frustrating as you had the skills from your previous life as an a&e nurse but powerless to use them without backlash from management. I am but a 'mere' tech and going through the processes to become a para as i get frustrated in situations where i know i could do more good such as the examples you cited either as a FRV or 2x crew ambo