I have yet to see what I would call a "progressive" system, or for that matter happy paramedics, in a state that has restrictive statewide, or even multi-regional, protocols.
Waxaan soo arkay degaan isbedelay , hadii ay tahay isgaadhsiinta jidadka oo sahasha "arbitration" degaamaynta degaamada dal leeyahay ama bilicda caasimadaha iyada oo ay caasimada dal ay tahay muraayada ama halka ugu muhiimsan ee laga dheehan karo wadankaas.