On further reflection, in additional to my earlier post:
While there is still quality here, what we are now missing, and I think it is a tremendous loss, is the knowledge and experience of two people well beyond what we see in our extremely narrow view of health care; paramedicine.
One of the things I miss about working in a hospital based system is exposure to advanced diagnosis and outcomes. Once we drop the patient off, especially in a busy system, how often do we get to find out exactly what happened to that patient? And I mean the thinking process of doctors and diagnosticians, the end result of our field interventions, (is that thing we did really useful? could we do this technique differently? ) and how did the patient do?
With only part of the picture, we wind up feeling warm all over about the wrong things, thinking we did a good job because we followed protocols and/or worked within the collective wisdom of our peers. Think about all those EMT-Bs putting on 15lpm via NRB for every medical patient and then being all upset when medics rip it off the CO2 retainer.
This is what Vent and Rid were trying to give us - a much bigger picture than we would normally be exposed to. And the result - angry, insulted EMS because how dare they get short with us when we obviously know everything we need to know.
This is really really sad.