Best described as a “Rogue Physician”, Dr Gutman MD, FACEP is an emergency medicine physician Fellowship trained in prehospital care, resuscitation/ critical care medicine, with certifications in maritime medicine and administrative leadership. Dr Gutman has been immersed in prehospital and emergency medicine since 1987 when she started as a volunteer EMT, and has been honored to be the Medical Director / Assistant Medical Director of some of the nation’s largest EMS / Public Safety Departments including Shreveport LA, Cincinnati OH, and Cape and Islands EMS. She has been awarded EMS Physician of the Year multiple times, and will continue to ride-along as long as her back holds out! After years as a Department Chair of Emergency Medicine, she stepped down to she seek out new experiences in community medicine, cruise ship medicine and international medicine. Dr Gutman loves teaching and believes education should be for “for all learners” – from the first day as a volunteer, to fifty years on the job. Her passion project is the EMS-ED-ICU Bridge (www.EMSEDICUBridge.com), which is dedicated to improving patient outcomes by starting the process of critical thinking and critical care at the first moment of patient contact. After years of attending this conference as a provider, this is her second year as a presenter and she is thrilled to be invited back to this wonderful conference.