This morning before my shift started, I pulled the shift super out into the parking lot and got a few things off my chest. We have a new dispatcher who apparently doesn't know county code and is sending BLS units to ALS calls. This happens so regularly that I'm either turning down every call or taking calls way out of my scope. Every run, run after run, all day long. I've had one call in the last month that was within my scope. Look, I said, let's just cut down on the worst of the most retarded calls. If we get a call for a hip fracture, which is right here on the list of calls outside our scope, then have them call 911. Right? If we get a call for SOB, let's get an o2 sat and a respiration count. If it's elevated temp... what's the temp? The shift super was kind of noncommittal on the whole thing. Yeah, he agreed, but said he'd still send us to assess. But what about the stroke calls? These people are in imminent danger of irreversible brain damage and time is of the essence. Why send us to a stroke call? We can't assess appropriately. Don't make these people wait for 90% of their Golden Hour for an EMT that can't assess. Our first call of the day comes in. F%$kin AMS, which is an ALS call in my area. I told dispatch, AMS is an ALS call, this is a BLS rig. Why are we going? He says to evaluate. AMS can be a stroke. We can't check for diabetic hypoglycemia, we don't have glucometers. We can't check for hypoxia with a pulse oximeter, we don't have any. And as of this week, we can't run code, because we need some new certification to flip on the lights. WTF. Why am I running 45 minutes to a call that can potentially need to be under the knife or on throbolytics within an hour to avoid PERMANENT BRAIN DAMAGE??? OK Fine, I'm enroute. Hope it's not a stroke and this pt doesn't need to be in the ER any time soon. Get to the pickup, and lo and behold, the pt has one-sided weakness, one fixed/dilated pupil, and is trying to open his eye with his opposite hand. No speech, A&Ox1 or 0 depending on who you ask, and one foot cold one foot warm. It's a stroke. Dispatch, this is XX, it's a stroke. Nice call. Congratulations. Please advise. Silence. More silence. Dispatch, this is XX. This is a status post-stroke, the patient's family is here, they have a cat scan negative for cranial bleed from last night. Please advise. Dispatch? hello? We take the pt to the ER, and two supervisors are in a rig in the parking lot, apparently writing me up. I walked over and tapped on the window, hearing my regular supervisor on the phone with the GM, apparently setting me up for something. I tapped on the window and told him not to bother with all that bull****, I quit, gimme a ride back to the station. Lots of whispering. Whatever, I'm done with this **** job and the crap they pull. I'd rather sell insurance.