My partner and I responded to an unresponsive woman--massive CVA. He needed to use RSI on her and asked me to call for another paramedic, per protocol, for backup. When I call, dispatch asks me what is RSI--as in why am I calling for another medic. The other night during snow storm she argued with a unit about sending fire dept, when they requested them--they didn't get any help. In fact they were told to leave the scene and return to their call area with two people trapped at the bottom of a ditch for 45 minutes. I'm assuming they weren't injured but.... Anyway since when does dispatch dictate what resources I receive?? My partner and I sent in a formal complaint and they were "exonerated" so I guess someone with little or no training and zero field experience can tell me what I need on a scene. This is a county EMS system and I come from a combined system-fire/ems. If they don't understand what I've asked for and need clarification that's one thing but DO NOT sit in the bat cave and tell me you know better than I do what I need!!! Typically the only reason we ask for help is if we are up to our as- in alligators. I don't have time to explain to you what a RSI is and you do not need to know. We don't have any first responders ems or otherwise. This is a rural area and the next closest help may be 15+ miles away. I haven't gone and jumped up and down in the office yet and probably won't cause I like a paycheck. Anyway has anybody else run into this? Can anybody think of a logical professional sounding arguement to make to management? I seriously can't believe I need to say that but... I want to say ARE YOU INSANE?!!!