I work for a private company who provides BLS transport for the county. My company's protocols say any fall with +LOC is an ALS call. Today we're dispatched to a 61 y/o who fainted and fell. He had +LOC, Hx of head trauma years back, also Hx of seizures. His BP was 150/70 pulse 60. He had a pretty nice sized Lac on the side with previous head trauma. The engine on scene cancelled the rescue and wanted us to transport. We advised that this was an ALS call under our protocols. The crew got pissed. They ended up sending their medic with us. Was it wrong to upgrade or would you have transported? Keep in mind I'm at the BLS level. We were 20 min from the closest ED and traffic was heavy.