In EMS we have a history of performing interventions not because of evidence-based medicine but because we have always done it that way. Oxygen administration, c-collars, spinal immobilisation, long spine boards and the list goes on and on. We are now under more scrutiny then ever yet one of the most dangerous actions we can take is responding to a call. How often do we find upon arrival that our patient is far from critical and the use of lights and sirens completely unnecessary? What is the cost of such liberal usage of the emergency response? If you (like many of us in the job for more than 5 minutes) have wondered about such things the following video will be of great interest.