One thing I did fail to mention is that if the on-duty ALS provider is a CRT/EMT-I, and I as an EMT-P turn patient care over to that individual, I can be held legally responsible (both civilly and criminally) for patient abandonment, if the call were to head south. The same thing would be true if I were to down grade the call to BLS and turned patient care over to the BLS crew and the patient took a turn for the worse or I failed to recognize a life-threatening condition. Pete