SIPTU say that the ambulance service needs €50m worth of investment to bring it up to scratch.
The union is calling on the Minister for Health to publish the HSE national ambulance review - which he has had a summary of since December 2014.
Ambulance service SIPTU members will meet over the coming month to consider strike action to secure publication of the review.
HIQA has heavily criticised the ambulance service in reviews, but SIPTU say they need significant investment in order to meet standards.