Narrative:

We asked ramp tower for pushback. Ramp tower asked; 'can you do a quick pushback and taxi out; due to a flight coming in; in a bit; with medical emergency?!' I said; 'yes.' he cleared us to push. We did all checklists and asked for taxi. He cleared us to taxi; and taxi quickly (the flight with the medical emergency just landed and would be turning that way shortly). I told ramp tower I would switch to ground at spot X. Ramp tower told me specifically 'do not switch to ground control until after spot X and the right turn on taxiway as soon as possible.' I immediately switched to ground (didn't miss a half second) as we turned right on taxiway and contacted ground. Ground cleared us via taxiway to runway and then chewed us out. We told him we did exactly what ramp tower told us to do because of the medical emergency. He said I have my 'space' and he has his 'space' and he cannot clear you in my area (or something to that effect). He also said some comment about 'I have told you before' (I don't know who he was referring to; but it was not us). I told him we did exactly like we were told by ramp tower; but we were sorry. I wish ramp tower and ground ATC would get on the same page. We got caught between 2 'ground' turf wars.

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Original NASA ASRS Text

Title: B737-300 FLT CREW WHILE TAXIING FOR TKOF HAS A TXWY INCURSION.

Narrative: WE ASKED RAMP TWR FOR PUSHBACK. RAMP TWR ASKED; 'CAN YOU DO A QUICK PUSHBACK AND TAXI OUT; DUE TO A FLT COMING IN; IN A BIT; WITH MEDICAL EMER?!' I SAID; 'YES.' HE CLRED US TO PUSH. WE DID ALL CHKLISTS AND ASKED FOR TAXI. HE CLRED US TO TAXI; AND TAXI QUICKLY (THE FLT WITH THE MEDICAL EMER JUST LANDED AND WOULD BE TURNING THAT WAY SHORTLY). I TOLD RAMP TWR I WOULD SWITCH TO GND AT SPOT X. RAMP TWR TOLD ME SPECIFICALLY 'DO NOT SWITCH TO GND CTL UNTIL AFTER SPOT X AND THE R TURN ON TXWY ASAP.' I IMMEDIATELY SWITCHED TO GND (DIDN'T MISS A HALF SECOND) AS WE TURNED R ON TXWY AND CONTACTED GND. GND CLRED US VIA TXWY TO RWY AND THEN CHEWED US OUT. WE TOLD HIM WE DID EXACTLY WHAT RAMP TWR TOLD US TO DO BECAUSE OF THE MEDICAL EMER. HE SAID I HAVE MY 'SPACE' AND HE HAS HIS 'SPACE' AND HE CANNOT CLR YOU IN MY AREA (OR SOMETHING TO THAT EFFECT). HE ALSO SAID SOME COMMENT ABOUT 'I HAVE TOLD YOU BEFORE' (I DON'T KNOW WHO HE WAS REFERRING TO; BUT IT WAS NOT US). I TOLD HIM WE DID EXACTLY LIKE WE WERE TOLD BY RAMP TWR; BUT WE WERE SORRY. I WISH RAMP TWR AND GND ATC WOULD GET ON THE SAME PAGE. WE GOT CAUGHT BTWN 2 'GND' TURF WARS.

Data retrieved from NASA's ASRS site as of January 2009 and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.