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on discovery of a serious road traffic accident while out cycling, and through lack of knowledge unable to do anything to save the lives of the victims, the author felt a sense of uselessness, a guilt that he was unable to help, so he took up first-aid, never to be in the same position again. this book details his wide range of experiences in the voluntary, national health and private ambulance sectors. not written as a diary or a blog, the book describes the reasons for joining, the training, and explains the deep feelings and emotions felt when undertaking very stressful and sometimes very dangerous scenarios. the book is both happy and sad, written lightly to help subdue the painful emotions, yet still explain the deep sadness sometimes experienced, that carried on affecting him many years after leaving the role. proud of his training, his experiences, his work and abilities, ambulances are now in his blood. 'once a ambulanceman - always a ambulanceman!'