We went to a statewide protocol a few years back. One of the changes included in this placed medical command in certain areas and the radio systems throughout the state upgraded to accomidate it. One center covers most of the northern part of the state and one other center the southern part. I like the idea of having docs that are up on our protocols to help assure an equal standard of care, but I also think that the receiving doc should be in on the desision process since they are the ones seeing the patients. I do have to admit that things have gotten better in the past few years with the changes that were made, but I really think that the system as a whole needed a little more thought process. For instance, our MCP is on one set frequency, however, the area i run in only has one out of 5 facilities that we go to that also utilizes that same frequency. The others are all on another channel, so the receiving facility doesn't hear what's coming until MCP center calls and tells them, unless we do a second report just to let them know we're coming.