Concisely describe the aims of study, methodology, short- and long-term objective and the significance of the study to health problems in Saudi Arabia. The Emergency Medical Service (EMS) is a vital part of the any healthcare system. They are the first responders to any, and all emergency situations. Being charged with the vital task of initial assessment of the patient at the scene, they have to overcome the obstacles of safe and fast transport to the appropriate medical facility, and initiation of life saving measures to provide the patient of the highest possible standard of care. Protocols and guidelines have been developed all over the world to provide a working template for the paramedics exposed to cases in the field. In this study, we are hoping to investigate how closely our EMS providers are adhering to the set protocols, and how their adherence, or lack thereof impacting on the patient presenting to the emergency department in critical condition. In completing this study, we hope to uncover any shortcomings that we may find in the existing EMS system that are potentially correctable, and in doing so propose a solution to improve on the current service, be it through the provision of better or missing equipment or improving on the training level of our paramedics in service, to raise the standard of care to its maximum. We are not looking for blame, we are only looking for avenues of improvement.
