BOTH could be-- but we still prefer one over another...! I like CODES and new onset arrhythmia's/STEMI/anaphalactic shock/ allergic reactions/ DIB~ (Many of the multitude of s/s I am having right now with that response!!!)
Definately medical hands down. I like the challange of having to think quickly and plus you get the opportunity to see your results. With trauma it is pretty much scoop and go. Then do what you can en route. The problem is 9 times out of 10 you aren't able to fix their problem, only a surgeon can.
And if your response to the hospital time is less than 10 minutes I would agree.
Now enter the rural setting. Your time to the hospital maybe more than 2 hours. It is important to note some very small company hospitals ( common refured to as clinics in VERY rural) send out the critical to the big hospitals resulting in a 4 hour patient transport time. No choppers as they monitor the bottom line. Now enter the fact that there are no ALS units.... You get the idea. And yes Virgina there are areas with little to no ALS.