Edited sentence: This has led to an unprecidented level of distrust of management by the Paramedics of Ambulance Victoria and is highlighted by a meeting of the Vicorian branch of the Ambulance Employees Australia in Melbourne on Tuesday 4 Ausgust 2009 where a unanimous vote by approximately 400 Paramedics moved a vote of "No Confidence" in the CEO Greg Sassella or AV's Board Of Directors of AV after months of fruitless negotitations and an apparent inability for management to stand by its staff during those negotiations with the Department of Human Services and the Victorian Government