Two o clock in the morning and we are called to a 999. 'Male, 23 y/o complaining of a swollen thumb...has had it for three weeks!' This 'gentleman' demanded to be taken to A/E to get his thumb looked at! Even though I explained diplomatically that he would not get seen until long gone seven in the morning due to the back log in a/E he still insisted on going to hospital. My next tack was to educate him about the misuse of emergency services...did'nt bother him...his thumb hurt and he wanted it sorted. Next tack was to look in more detail at his thumb and give it a proper examination. Yep it was slightly swollen and yep it hurt...especially when I checked for range of movement. It was probably infected and he needed to see his GP to get antibiotics. He still wanted to go to A/E. I then said okay, get walking you should be there in about 5 minutes! He lived less than a half mile from the A/E!!! At my suggestion of him walking there he started swearing at me...'Thankyou and good night!' We left and relayed to control his abusive behaviour. A complete and absolute tosser who cared for no one but himself and had the logical prowess and reasoning ability of a turd!!!