Since day one of being an EMT, I have prided myself on being an advocate for my patients and community. New Jersey offers a different approach to EMS with its tiered system. The issues I have observed is that many EMTs are afraid to advocate for themselves or their patient, because they are afraid to question a decision by an ALS provider. Today is an example as to why its necessity. BLS and ALS dispatched for a 75 year, possible CVA. Upon arrival patient is unconscious with snoring respiratory effort, VS HR 106 RR 10 SaO2 74% BP 140/90. Hx of CHF MI DM HTN CAD CVA. The suprise was when I examined pupils and they were pinpoint. When I asked the wife about pain meds, she says he takes oxycodone but she administeres and didn't today. However patient does have access. ALS initially stated no to Narcan and wanted to RSI, because they were familiar with the patient and his other medical issues, in addition to his age. Also said no because wife said she didnt give oxy. I said this looks like an OD and has possibility of being an OD. I said why not give Narcan now, and if it doesn't work by the time we get out of house, get orders and draw meds, they can RSI. I even offered to administer out of BLS supply and take responsibility. They agreed to that. By the time he was in truck. He was conscious with normal respiratory effort. I got kudos from the ALS team and it felt good. But it felt good because I did right by my patient. I know many EMTs that would not have picked up on that and had they felt it, would have never spoken up.