I am a paramedic and have been in EMS for over 25-years. The basic plot of this movie is two competing ambulance companies attempting to embarrass each other. It's been my experience that EMS'ers within the SAME agency do a better job of harassing, embarrassing, terrorizing, undermining and ridiculing each other than folks from the "other outfit." This movie is funny. Lots of gross, squeamish scenes. Lots of flesh, but distinctly NOT gross flesh. Lots of colorful language. In other words, just like a normal day at work (okay, maybe a REALLY fun day at work) The actors look like they had heaps of fun making this movie, and that was pretty contagious. It is the current generation's "Mother, Jugs and Speed." At an east coast EMS service we would pull many of the same stunts documented in the film on our best friends. Throughout the film, I would enjoy flashbacks: "Hey, Mambo did that!" "We called that a Garcia special," "take away the dwarf and it's the same as a Sludge Slam" and "Spanky invented that, but he'd wear a rubber bodysuit." Now that I am in San Diego, I loved seeing some of our beautiful city featured in the movie. Hopefully "Bay City" has a more secure pension system. I actually worked in the ambulance that the producers purchased to be the D.I.C. vehicle. Wait, what does that say for me? If you are in E.M.S. you will like this movie. If you are thinking about a career in E.M.S. you will be scarred by this movie. Have fun!