More than 150 instances of life-saving staff being assaulted have been recorded across Tayside and Fife in five years.
Scottish Ambulance Service staff have been spat at, punched, kicked and threatened with knives and bottles.
Since 2012, three attempts have been made to kill ambulance staff, with the most serious attacks in Montrose, Kirkcaldy and Cupar.
Indirect assaults and clinical assaults, such as staff being struck by patients suffering fits, are also recorded. In all, 154 assaults, physical and verbal, were committed on ambulance workers.
A Scottish Ambulance Service spokesperson said its staff are abused on an almost daily basis.
A Scottish Government spokesperson said: “Attacks against NHS staff are despicable and the perpetrators must be dealt with in the strongest possible terms.
“We continue to encourage all NHS organisations to support criminal proceedings against anyone who assaults a health worker.”