They discovered that the doctors of the two gatherings had accord just over 20% of cases [5]. Ebrahimian and Khalesi moreover discovered that EMS laborers and crisis doctors' concession to the need of 798 clinical patients for transportation was equivalent to 50.14% [4]. In another examination, Challen and Walter found that solitary 65% of each of the 215 patients who had been shipped to medical clinic by EMS required hospitalization [2]. As to differences, Fullerton et al. noticed that transportation-related decisions and choices are made basically dependent on mental procedures and the setting of the crisis circumstance, as opposed to logical proof [12]. This is basically because of the way that EMS staffs have various levels of information, skill, and clinical judgment and decision making capacities [4, 12]. Then again, there is no unmistakable acknowledged definition for "clinical need" [8]. As needs be, choosing about the exactness of EMS staffs' clinical decisions what's more, choices is progressively troublesome. Additionally, despite the fact that the dominant part of EMS missions are performed for shipping clinical patients, indicators of need among these patients for transportation are ineffectively known [3, 4]. Subsequently, investigating EMS staffs' transportation encounters and rules appears crucial.We directed this investigation to lessen this gap.The point of this investigation was to investigate factors influencing EMS staffs' choice about shipping clinical patients to clinical offices.