I am an EMT-B. We are all volunteer. Our closet ALS assist is at least 15 minutes away. Depending on the type of call we may have ALS dispatched at the same time or we may have to request them once we arrive on scene and then meet them enroute. What we can do is the basic EMT-B items such as assesment, vitals, collars, boards, O2, control bleeding, CPR, resuce breathing, etc. Once the medic gets on scene or meets us we then assist them with IV set-ups, heart monitar (we can put everything on the pt. with this and start it so the medic can read it). We have received so many compliments from the medics for our service unit as having everything done and waiting for the medic. Most say we are better prepared then the paid units are.