Tom The breaks are quite different I think Up here we can NEVER be interrupted during our break UNLESS we decide to take the additional annual payment. This payment is made in our April salary and covers the period of 1st april to 31st march each year. Those who took it this year had to inform the service that they wanted it by the end of February this year. So, if a call came in during that paramedic's meal break, he/she would be unaware that the call existed. He/she would not be refusing this call, but had infact refused to attend all/any calls during his/her break time up to thirteen months earlier (depending on the time of year that the call takes place). Scottish Paramedics do use thromoblytics, but only for MI's with evident ST elevation in at least two/three leads (not too sure as I am a techie). Hope this helps