Episode 178 is Nick Nudell. Nick has over 25 years of EMS and health care experience and has used his visionary skills to improve health care systems designs and performance. Nick is one of the founders of the American Paramedic Association, which published their manifesto this month. Though this podcast was recorded before the manifesto was made public, we discuss the manifesto, the APA, and other organizations Nick is associated with. Should all EMS providers be called Paramedics? Nick answers this question as well as we discuss the state of EMS and Nick’s cross country travels.