Jeffrey M. Goodloe, MD, NRP, FACEP, FAEMS is Chief Medical Officer for the EMS System for Metropolitan Oklahoma City and Tulsa, comprising over 2500 personnel collectively answering over 265,000 911 medical calls per year. He is Professor and EMS Section Chief in the Department of Emergency Medicine at the University of Oklahoma School of Community Medicine in Tulsa, OK. He has been continuously certified as a paramedic since 1990. With a dedicated medical oversight team, he has spearheaded innovative EMS clinical advances in metropolitan Oklahoma City and Tulsa that include low titer O+ whole blood, video laryngoscopy, tiering of ambulance responses and empowering EMTs in an ever expanding scope of practice, and establishing a nationwide role model of reducing clinically unnecessary use of lights and sirens in emergency apparatus response.