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In our area, an MVA on the street or highway gets the same response with a Rescue Engine and a Squad(which is an ALS transport unit manned by at least two firefighter/paramedics. It is also equipped with SCBA's and hand tools for a fire response as well). The Squad will pull past the accident and the Rescue Engine will stop short of the accident and "nose" out into traffic with her wheels cut into to traffic just as you do and for all of the same reasons. Our rule of thumb is to "ALWAYS" block the lane that we are working in and at least one lane next to that.
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