Did you read any of the other posts? The point is, private ambulance companies respond emergent to calls where there is already an EMT on site, who is managing patient care and HAS NOT called for ALS. They do this ONLY to meet time requirements in the contract. That is simply dangerous and reckless.
I have no issue with first responders making a hot initial response if the dispatch criteria warrants. i.e., a reported cardiac arrest or severe respiratory difficulty. I also have no problem with medics making a response to an emergent ALS call, if the dispatch criteria is met.
Yes but it should be illegal to go hot for any reason that i did not mention.