The challenges of emergency calls

Early in the AM on Friday I was called in for backup, the primary crew had taken the patient out of the local area and to a hospital with a specialty. This is all good and well but I was tired and was sleeping good. Ah well I went in and clocked in for a few hours then went home. That night I went in thinking well I was tired but I wasn't really without sleep. We are called for a 911 call for a male with back pain in a rural area maybe 4-5 miles from our base. Requesting no lights or sirens. It is raining and the roads are crappy in that area. We hit one puddle I swore we had fell into HELL! Then I realized it was still raining, which isn't possible there. We arrive and take in the bag to examine the patient. We find a 40ish male lying in bed complaining of lower back pain due to something stupid. He states he was doing some work outside and went to roll a log end over end instead of pulling it with the tractor and had pulled something in his back. He was in too much pain to do...

We receive a call while the primary crew is out for a patient who is turning blue we run hot and hard! The call is nearly 20 minutes driving the speedlimit, due to the roads, traffic, and construction. The dispatch has sent the fire department because they have first responders. They Sheriff's Dept has a deputy on scene and another en route. We arrive on scene and find them in a confusion and we find ourselves in a screwed up situation. The wife comes to the truck door as CPR is being performed, we are waiting to transport because the Fire Dept has been told by her she doesn't want anything done, but we will still need medical control to okay it. We are doing CPR and bagging the patient when the wife comes up and says "Don't you think that is a waste?" We all look at each other, we all see it in each others eyes.... HMMMMMMMMMM what is up with this. This woman seems awful calm and doesn't really act upset. Seems the guy has been having alot of pain an...