JB no disrespect intended I have been involved in Emergency Services and in ems in particular since 1998 I know they are used in some areas and are functioning well for those agencies. All we are simply asking is to either allow the option to turn off the portion that automatically makes it transport the patient or allow an option for the regular or rescue engine to treat someone to say 50% or treat class A and some B patients fully like a fly car does. Because non transport paramedic engines exist and I would bet outnumber actual engine ambulances 3 to 1 in any area. I can think of a half dozen major cities that run bls or even als staff on every single engine and routinely treat patients on scene. We don’t want the engine ambulances to go away we just want additional realistic options!!!!
I'm from SolCal retired now and thats how most (not all but most) of Cali is all Paramedic staffed Engines, Cal-Fire even have some Engines Paramedic staffed.