Universal protocal's ?

[JPINFV]

BLS is nothing but first aid to begin with. Why would the state micromanage that?

Basics are on ambulances. Basic level ambulances respond to "emergency" calls for service [accessed either through the 911 system or directly through the company's dispatch center]. Basics show up and decided, regardless of if basics should or shouldn't be, if the patient needs paramedics and/or emergency transport is needed. Deciding not to call medics on a patient who needs a medic is a good way to kill a patient through inaction. Emergency transport presents a risk/reward relationship to the public at large (how big of a risk to the public is allowable for how little of a reward to a patient).

That sounds like a good reason to provide a high level of oversight at the EMT-B level.

[Dustdevil]

No argument there. But some simple professional guidelines is not what this guy was asking about.