When you're working and come across a MVA are you obligated to stop

As others have said, things do vary. If you're in EMS, you absolutely must know your local EMS policies in regards to "still alarm" calls. These may also be known as "on-view" or any similar term where basically you were flagged down or saw any kind of incident that may need medial assistance and there were no other services on scene yet. Where I'm at, any ambulance that isn't already encumbered by a patient on board is obligated to do 2 things when they come upon such an event: 1) stop and render aid, and 2) notify Fire Dispatch of the incident. Things get a little trickier when a patient obviously needs transport. Any ambulance can transport to a hospital if the patient is critical/in-extremis. Even if not, the aid rendered can include transport. However, it's preferred that non-911 ambulances wait on scene for the 911 ambulance to arrive and then turn over care to the 911 crew.

If you do have a patient on board, your primary duty is to your current patient. In the event you see something and you have a PA system, broadcast that you see them, you cannot stop, you're calling 911 for them (so they understand what you're doing) and immediately call it in to your local 911 dispatch.
 
Say you get waved down, you check patients and you have one that is serious and 911 (transport) units are 20 minutes away and you are 10 minutes from the hospital, or 10 and 10. You don't transport: pt gets worse, or dies. Who is at fault? and wore who gets sued?
I would figure there would be just as much paperwork if not more for NOT transporting; cause then you have to document it to your department, the medical director, the lawyers, etc. plus court time.

Plus as someone says why be in EMS if you can't do your job.

Our company I used to work at we pull up on a MVC, or get waved down (family calls 911, runs outside to wait for them and we drive by; they don't know we aren't 911). We would work the scene and transport if need be.
I worked in a major metro area, but went out of town a lot; we would be first on scene on MVC's all over Indiana, (worse, first on scene in a blizzard outside of Milwaukee WI (we worked out of Indianapolis).
On the way back to Indy: we were waved down by a WI state trooper for what he thought was a stroke or diabetic emergency (turned out to be an MI). He had been told it would be at least 20 minutes for a transporting ambulance. he led us to the closest (large) hospital (about 15 minutes away), I called our medical director for Chest Pain/.MI protocol approval while the medic in the back treated the patient. He laughed and told us to do what we needed to do, and give the doctor at the hospital his phone number if there was a problem. doctor there had no problem, he thought it was funny too.
Local EMS that were at the hospital helped me clean up the truck and cot, and was asking about it; one of them commented that was "a hell of a mutual aid response" I commented back "and we beat you to the scene".
 
We are not strictly IFT. We do both 911 and IFT. Like I said though bls trucks usuallyyyy do mostly IFTs but we do get 911s when needed and depending what area were working. I'm assuming I was told I couldn't transport because of the injuries he thought required ALS. But like I said I'm still new, I don't know. I didn't see any obivous trauma injuries, everyone was out of there cars walking around and talking and two kids were placed in another vehicle both alert and acting as kids would, no obvious injuries, so I'm not sure how dispatch got the info that there was major injuries.
 
It wasn't just a little "I rear ended you at 10 mph" It looked bad, one car was flipped another damaged pretty bad and that's why I stopped and check it out.
 
Actually had this very thing happen at the end of my shift today when I was on the way back (bumper to bumper traffic and consequently, bumper to bumper cars). Everyone was alright, we just called dispatch and told them everyone was ok and to call it in to city for us. Once the necessary folks arrived, we went on about our business. I had no patient, so no reason for me to not stop. We run plenty of city calls, so I wouldn't be wrong to potentially transport someone if needed.
 
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