sorry, didn't mean to offend. Our med control" guidlines" give us 20 minutes on scene time. You can document in the report why you needed longer. extrication, large patient, whatever. There are, unfortunately, some people who will abuse it. There are probably even some medics, I can honestly say, I don't think CAN start an IV enroute. You are not going to be "tagged"by med control for a few minutes, but people who regularly take 30 minutes or longer are going to be questioned unless a legitimate reason can be documented. Our service area averages from 1 mile to 40 miles to the nearest hospital. I haven't had a problem staying within range of 20 min on scene time and we are an all ALS service with MFR non transport Fire Depts. My pt's don't just get thrown in my rig and treated with Diesel. They get all appropriate care and treatment.