It's always a good idea to keep in mind who is chewing you out. At some level 1 trauma centers they are training residents, including residents from fields other than EM (IM, ortho etc). So sometimes the "docs" you are getting yelled at don't know a ton about EM. On the other hand if you are getting chewed out by the chair of the department/experienced attending I'd really think about what they said and talk it over with your medical director to make sure the protocols are clear. If you are following protocols and the ED doc is chewing you out that's when it's time for the docs to fight it out.