no one ever said you trash talk the ambulance, but let me ask you this: your a single company house, and in your first due you get two calls at the same time, one for a cardiac arrest, and one for a structure fire in a vacant dwelling....... its your decision, which are you going to? honest answer? I would trust them to handle any traumatic injury..... would I have the same level of confidence in treating a Tricyclic Antidepressant overdose? ehhh...... so you advocated for your patients, and filed a complaint with the department of health right? forcing patients to go to the hospital against their will is kidnapping (a criminal offense), and if you have medics who are threatening their patients, than they don't deserve to be medics, and should have their certs yanked. So you or your supervisor had a chat with their battalion chief right? In all honesty, if the ambulance is already there, there is no need for first responders (unless there is a need for additional hands). But if they are cancelling themselves inappropriately, why have their not been formal complaints raised up the chain of command? define an unsafe scene..... an overdose? an assault? a drunk? a medical call as a location with a history of violence? ehhh, I've been first in on all of those, rarely with an issue. Plus if I'm on an engine with 4 people, I'm pretty sure we can handle it. even a shooting or stabbing on the outside, do a drive by and see what is going on. Now if you are talking about active assault in progress, active gun fire, penetrating trauma inside a structure, or whatever, that's their issue and that sounds more like an organizational culture issue.