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Hey XRayMan, I hear where you are coming from but I'm not of the school of thought that we should have these in the ambulance. My reason, it's more stuff to put on a already overworked medic. Splint the injury as found, transport the patient to the hospital and let the hospital sort it out. I already have enough to do and enough to learn to not have to add X-ray tech/reader to my list of certs. Plus this will add a new level of billing and expertise that EMS is NOT equipped to tackle at this time. Heck we have enough time dealing with being called ambulance drivers, can you imagine our brains exploding when we get called ambulance xray machine drivers? Some of our peeps on this site (most are gone) would have a stroke and then we'd have to call the Strokulance to come get them. Who will get to bill the patient - the ambulance company, the medic who reads the x-ray initially, or the radiologist who does the final reading or all three? Is this an ALS or BLS skill? What happens if we read it wrong and the patient refuses based upon the incorrect reading and several days down the road the patient finds out that they have a actual fracture and needs surgery? who pays for the mis diagnoses? Lots of issues here. I vote NO