A paramedic in an SUV is no replacement for an ambulance when paramedic-level care can do little to help them and the best thing to do is go to the ER as quickly as possible. An example of this is when you have a stroke and could be treated within 3 hours of the stroke beginning in an ER with the drug activase. Assuming most people delay calling 911 for one reason or another, every minute counts. You can't help this person when your ambulances are all tied up. The paramedic in the SUV is just about