DESCRIPTION CONTINUED:  Speech controlled, hands-free contemporaneous recording of actions taken based on the above Clinical Decision Support (CDS) information - Capture of digital photographic images of the scene attended by the Paramedic - Monitoring and recording of patient vital signs - Generation of a central multimedia database holding the above information, providing the nucleus of an Electronic Patient Record (EPR) - Radio transmission of the data gathered by the computerised UECS at the scene/in the ambulance to the multimedia database - Timely delivery of the above recorded information to a computer system accessed by the A&E team  'Sit. Rep.' ahead of patient arrival if required. (This would in future feed an A&E Clinical Information System.)  The trial is being run using a number of Surrey Ambulance Services' vehicles and contributes a preliminary study to their 'Surrey Emergency Care System' (SECS) project.