Episode 142 is Dr. James Woodson. James is the founder and Medical Director of Pulsara. Pulsara is a care coordination company focused in the acute care setting of healthcare. Pulsara set out to answer the following questions: How can we improve patient care in our facilities? How can we help our healthcare system pursue improved quality of care at a lower cost? James states that he is a start-up entrepreneur stuck in an Emergency Medicine Physician body. After completing his Emergency Medicine specialty training at Carolinas Medical Center. James joined Leading Edge Medical Associates. James is a frequent contributor to JEMS and was named an EMS 10 Innovator in 2016. Around 5 years ago he and his family left their home in Texas and moved to Bozman, Montana to launch Pulsara. Our conversation takes us on this journey and his path into Emergency Medicine. James discusses his special interest in decreasing medical errors and written about this topic. We discuss the good and the bad about technology that is used in EMS. We also spend time talking about Pulsara’s mission.