Edited sentence: Contrary to popular belief, when Ambualnce Victoria was formed it was believed amongst its staff that this skill would also be available to Paramedics in the Metropolitan region - this is not so, and is shown in the release of the latest edition of CPG's with the notation "selected rural" where the CPG for chest injuries calls for emergency chest decompression.in a clear indication that the service does not trust its staff, only Rural Paramedics who were trained under the auspices of the now defunct RAV are allowed to decompress tension pneumothoracies