Gingernut, as you well know that is a directive from the UKCC (can't remember at the moment what the new name is) that we have a duty to help even when off duty. It is called being stuck between a rock and a hard place. You may be damned if you do help and most certainly will be if you don't and it is dicovered that you were present at the incident. The airlines need to think hard about covering those who do give help. There is a very good In Flight Nursing course available but it is expensive (just about a month's salary when travel and accommodation is taken into account) and my employer is insisting that I do it in my own time and at my own expense. I am prepared to do it as I travel in the region of 48 - 72,000 miles a year and want to be as fully up to date as possible both for my own sake and that of anyone I may need to help. I agree with 5th, we have to help to the best of our ability.