Dr. Angie Loza-Gomez is double board certified in emergency medicine and emergency medical services. She is an attending physician at the Los Angeles General Medical Center and EMS Director in the Department of Emergency Medicine, as well as the Medical Director for several municipal EMS agencies in Los Angeles County. Dr. Gomez shares her extensive experience in emergency medicine and pre-hospital care, discussing the intricacies of balancing structured protocols with creative problem-solving in high-pressure scenarios. We explore the concept of just culture, the importance of robust communication, and the unique challenges faced by EMS personnel. Dr. Gomez also highlights the influences and lessons she has drawn from working with police and tactical EMS teams, and she challenges listeners to be mindful of their mission and clarity in communication.