It's the no-tolerance rule Hunter ambulance officers want reinstated for young drivers who disobey road rules, putting their lives and others at risk.

"When we go to these fatal crashes it's just so frustrating because we know that these kids didn't have to die today," Hunter ambulance service spokesman Paul Alexander said.

"We have had enough. It's just too hard going to these prangs time and time again when we know other choices could have been made."

The call comes days after the Herald reported an 18-year-old boy was sentenced to a minimum four years and three months' jail for causing a crash at Tingira Heights that killed two teenage boys and horrifically injured a 17-year-old girl.

At the time of the accident in November 2006, the young male driver was an L-plater and had been drinking.

A Cessnock paramedic of 12 years, Mr Alexander said Hunter paramedics were called to accidents involving young drivers at least 10 times a week.

He said the youth too often played Russian roulette on the road, a gamble many lost.

"The consequences that I've seen first-hand are truly, truly sad. There's no other word for it," Mr Alexander said.

The service has blamed the Roads and Traffic Authority's licence-points system, saying young drivers have "too many points to play with".

"In the back of their mind they have a safety net or buffer zone. They think if they get caught it's OK because they've got points to fall back on," he said.

Under the RTA demerit point system a provisional P1 driver is allowed to accumulate four points, a provisional P2 driver is allowed 7 points, and a full unrestricted licence holder is allowed 12 points.

It means a provisional P2 driver could be caught driving without wearing a seatbelt and exceeding the speed limit by 15 kmh, and retain their licence.

"It needs to be one strike and you're out," Mr Alexander said.

"It would make them appreciate what they've got so much more knowing they can't afford to make to a mistake."

"Red P-platers are the only ones who lose their licence instantly if caught speeding. But they can still drive without a seatbelt and commit other traffic offences and get away with it."