Maybe I'm being a bit bias, but when reading all the comments I come to the conclusion that experience plays a big role in responding to emergency calls (well in the EMS field, with valid reason.......). I also agree that in a sense its unfair to load a 19 - 22 year old fresh from training with the responsibility to be in control of a response vehicle. But then I would also think that even when a 30 year fresh from training are to respond for the first time without training or know how the same issues would surface. Which bring me to all the issues when a accident is caused by a paramedic, for example public safety, delayed treatment of the patient, equipment lost not to mention all the legal, ethical issues and in some services loss of skill.