Overall you work your employees to death. Dispatch completely unorganized in their run scheduling which makes the crews look bad when showing up late to calls. Most of the ambulances very poorly maintained and equipment poorly organized. I was almost completely when coughing constantly through a 96 hour shift and requested to leave to go to the ER till I felt like crap. Turns out I had a collapsed lung which NO ONE knew about because no one even bothered to listen to my lungs. If a crew member is actively having a severe Myocardial Infarction and tells his partner he needs the other paramedic on duty for 911 assistance for himself, that Paramedic needs to be in the truck and off to them…not pawning them off on the Transport/Backup 911 truck.