There are too many factors to have a one answer fits all. The "correct" action depends on the type of incident, the quality of EMS folks on scene, the quality of the responding medics, the transport time, etc. etc. Any event like that should have a qualified EMS staff working the event that will have a complete report ready for the paramedics when they arrive so care can be transferred efficiently and completely, including things like complete vital signs (taken at least every five minutes for a trauma), patient medications, past medical history, and so on. That being said, it's not uncommon for paramedics to ignore the EMTs on scene and re-do the entire assessment - sometimes justified due to crappy EMTs on scene, sometime unjustified due to arrogant paramedics. But reducing on-scene time should always be a priority, always. If information gathering is delaying transport, you got a problem, but one with a solution - that's what radios are for - let the PD or EMS that stays on scene get the info you need and update the transport team and/or ER.
Working as an EMT in town with relatively short transport times, there have been instances when we could have used medics but didn't call them as intercepting with them would have doubled transport time. But if they're already on scene, then they're in charge, and they're almost always very welcome. I've been in the back of the truck watching someone's throat close up - that can make even a short transport seem like hours - and I've been very glad that there were medics on board. But like all EMTs, the medics are all different as well - some do "phart" around needlessly, some will correctly push you to transport ASAP.
But all of this is why it's important to have good people in EMS - you can have all the protocols you want, but when you're in an uncontrolled situation, and it's really critical, you need people who can think on their feet and act.
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Today's Featured Article - Fire in the Field A hay fire is no laughing matter-well, maybe one was! And a good life-lesson, too. Following World War II many farm boys returned home both older and wiser. One such man was my employer the summer I was sixteen. He was a farmer by birth and a farmer by choice, and like many returning soldiers, he was our silent hero: without medals or decorations, but with a certain ability to survive. It was on his farm that I learned to use the combination hand clutch and brake on a John D
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