Proponents of the “load & go” emergency care philosophy argue that resusitative attempts & intravascular volume replacement at the scene of an injury are ineffective & therefore paramedics should concern themselves solely with transport. However, this view is challenged by the work of the Seattle Fire Department with Aurora Bridge jumpers. Two findings were:a 20-fold reduction in the rate of jumpers DOA at hospital emergency rooms; & a 3-fold increase in the survival rate of injured jumpers.