Episode 223 is Michael Sayre. Michael is the Medical Director for the Seattle Fire Department and works as an EM Physician at Harborview Medical Center. He also serves as the Medical Director for the Michael K. Copass Paramedic Training Program at the University of Washington. Our discussion takes us from Cincinnati, Pittsburgh, and to Seattle as we explore Michael’s path in medicine and EMS. We spend time talking about the Seattle Fire Department, their Paramedic Academy, their response to COVID-19, and the future of EMS.