New to this posting thing, however as an ER Nurse and Medic both active. I run on a MICU and 911 service. My Micu Trips I need a second medic no doubt or I am setting my EMTB up for failure or risk of being out of scope, the non acute als/bls trips that we do locally to keep up the revenue to support our Micu could go either way. It will always depend on the EMTB vs Medic you are judging. There is no don't I know EMTB's that could run circles around some of our medics, but truth is they don't have the happy little piece of paper that allows them to play with the cool stuff. Our perception is our reality and we can all sit here and pretend for what if's and worse case scenarios, but when a jury of 12 peers is judging you and your actions as long as you can say you did everything in your power and acted to the best of your obligations does it really matter what the initials are of the person next to you? Are you really going to perform better because you have an equal next to you, or the fact that you have two medics in the back both searching for a line and you realize thats its been 3 min since the patients last been ventilated because nobody is performing BLS skills? I have seen both and great outcomes both ways. Several of our rural squads bringing patients in through my ER doors are often BLS and yeah its a hell of a lot of work for us when they come in, but they have had AED access (mandatory in my State for all squads), intubated and usually decent CPR so I can honestly say in my neck of the woods it depends more on the crews themselves and their effort then what initials they have behind there name. And on the flip side I have some real lazy double Medic crews that hate to be bothered for the 5am dead guy and we are lucky to see an oral airway in place. So again I close with our perception is our reality.