I remember one day I was sitting at base when my supervisor then TOES975, came running out and said "come on we have an accident at the bottom of hill". Which is Pittsburgh, We responded and arrived on scene to find a car on its side no one around and another car with a female sitting in drivers eat c/o head pain, she walked towards me and collapsed I caught her layed her on a LBB strapped her, put the CID's on and we loaded and transported, from the time on scene to the time we loaded her, was 7 minutes!
As we pulled away PGH M-12 and Engine 20 arrived and there quarters is a block away. They were very pissed off we transported the patient a "Level 2" trauma patient. They said "we left the worse patient there" Funny part the 2 patients they "found" were ok, 1 walked (typical PGH) and one in w/c, but they had the worst???? anyway....
I work for a private service that does emergencies at 7 nursing homes in pittsburgh nd a borough of 5,000, we stumble across many accidents and have transported. For the record, a wheelchair van driver from my company called this MVA in. I have had the argument of what hospital to go to, I let patients choose or suggest what is better for them, like the hospital's specialty like burns, ortho, etc.
I hope I didn't go off-topic!!!
My keyboard is smoking form all this typing!!!!