Emergency call handlers were left "in disbelief" when a man dialled 999 because he could not find his trousers.
The man was one of four people who inappropriately rang for an ambulance in the early hours of Saturday, during a busy night for the emergency service.
Another caller rang from Birmingham's Broad Street to say a 32-year-old "couldn't walk from too much dancing".
West Midlands Ambulance bosses said people should consider whether it was appropriate to call 999.
A third caller, this time from the Low Hill area of Wolverhampton, stated another 32-year-old had a finger injury.
The man was "extremely drunk" and it transpired the injury had been sustained two days earlier, said the ambulance service.
And the final call was from an 18-year-old man who had a toothache.
An ambulance service spokesman said: "At one of the busiest times of year it would have been helpful if these people had first thought about whether dialling 999 was appropriate.
"In the last of these cases medical help was required but not from the ambulance service."