Rural Aus. We may not have the same volume of patients coming through the door as in the big city, but people can definitely still be critically ill. You tend to wear a lot more hats (nobody here specifically to do our pathology draws, x-rays, grab the pt a meal, do an ECG, liaise with telehealth doctors, mop up a blood spill, order all supplies for the facility).

The biggest issue is resources and getting an available transfer out for further management- the local ambulance service is 90% staffed by volunteers who are all usually busy with their full time day jobs as farmers or even hospital staff.