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> Remember that the comments made by Charles Brault are pertinent to his situation in Canada > and thus are entirely irrelevant to the original question posed on a UK-based mailing list. Has got a point though. Paramedics and BASICS and I'm sure A&E have a harmonious approach to patient care. We all treat to the same priorities, allbeit with differing skill levels. I must confess, I never presume to "take over". I ask what I can do and sometimes "suggest" things. As a regular pre-hospital provider, I rarely now come across a crew I don't know, and we work well together. But we all know of nightmares. A freshly qualified houseman, feeling he must take charge, the consultant psychiatrist taking over the cardiac arrest - badly. To work effectively in the pre-hospital field, as we have already stated, needs a high standard of training and experience. It works smoothly, most of the time, because BASICS docs, and I'm sure HEMS are working as a team, with people whose training we understand, and a large amount of mutual respect. Without it, I feel many a British paramedic would feel exactly the same as Charles, and still do when coming across an eager doc keen to help. Best wishes Jeremy %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%