While we need improvements we need it from PreHospital Medical Professionals combined with safety experts rather than fire designing ambulances. But this will probably come about because of all the in fighting that takes place in EMS. At this moment I move we as PreHospital Medical Professionals whether fire based, LE based, or EMS only join forces to make a loud voice and take control of what should be an honorable profession. I even want to reach out to the volunteers that act more professional than some of our paid "professionals"(used that very loosely for some of the losers in our field). Let us all get together and hammer out some basic minimum standards that exceed the crap that so many live down to. Then we can have are specialtys addressed at a later date. For those like in my case that need things that those in the city never need do not throw a fit as mentioned we are only establishing the minimums and your service can still wish to establish even higher levels. Lets move forward and do whats right. Lets do it now.