The biggest difference is in Europe, mainly Germany, France, Netherlands, etc they bring the hospital to the patient as opposed to stabilize and transport. It may work for them but their systems don't have EMT's trained at nearly the same level we do. True they got nurses and Doc's but hey, look at the Princess Di crash, can you imagine us EMS folks in the US or Canada hangin on a trauma crash scene like they did for > 45 minutes? She did'nt die till they finally decided to book with her, Anyway my point is if our country and Canada was only as big as some of these countries yea we could probably have an across the board sysytem but it aint gonna happen in my opinion. In Europe the Doc is God & all the other underlings dont do nuthin till a doc says so.Thats been my experience in Germany & some other places. They do have some very good folks and certainly we could take some ideas to use. Ok thanks for the post.