I too enjoyed the paper by Cooper et al,¹ and I was gratified to see that Suzanne Mason had read the paper and responded. My thoughts on the suitability of the comparison between the paramedic and emergency care practitioner (ECP), however, differ from Dr Mason’s. While I accept the comments in her letter with particular reference to the training and education of paramedics and thus their ability to carry out a similar role, I have to ask the question: With whom should we be compared for the purposes of this type of paper? …