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Twenty years after the publication of the 1996 Agenda, FICEMS and NEMSAC recommended to NHTSA that it was time to review the status of the recommendations of the 1996 document. Based on those suggestions, the EMS Agenda 2050 team was established. Following community input, regional meetings around the country and discussions, the EMS Agenda 2050 was released in 2019 [86]. This document, projecting the EMS world in 2050, changed the patient‐centered focus of the 1996 document to a people‐centered focus to include not only the patient, but the patient’s family, community, and the EMS clinicians. Acknowledging the difficulty in predicting the clinical and technological capabilities that would be available in 2050, the goals of EMS systems at that time will be based on six guiding principles: adaptable and innovative, inherently safe and effective, integrated and seamless, reliable and prepared, socially equitable, and sustainable and efficient (Figure 1.1). These guiding principles have also been adopted as the tenets of NEMSAC.

Figure 1.1 The six guiding principles of EMS Agenda 2050.

Source: [86].