The post was not for any specific language ( spanish, russian,etc) and remember it was just a question. Also, did you mean ( vent) emt's are not involved in the fd anywhere? or am i just reading it wrong? I have met emt's that do 911 that are not connected with the fd. How do you know it s not 911? Vent, i believe you when you say there are hospitals that don't speak english as the main language, but if you look at my original post you will notice it says pennsylvania. Im not sure if you are from pa or not but pa is a very conservative state, and even though i have not been to every hospital in the state i can say from what i heard and read that the majority of the hospitals here english is their main language.