John (J.J.) MacIsaac MEd, B Tech, Advanced Care Paramedic, is the Nova Scotia Health Emergency Preparedness Manager—Projects and Planning. He previously worked for over 25 years as an Advanced Care Paramedic in the Emergency Health Services System for the province of Nova Scotia. In addition to his role with Nova Scotia Health, J.J. serves as the Director of Professional Development for the International Association of Emergency Managers (IAEM)— Canada Council. Through this article MacIsaac talks about the evolution of medical transport systems. He contrasts the early days of simple transportation with the current sophisticated approach that emphasizes patient-specific care, specialized teams and expanded scope of practice for field providers. I began my paramedic career in the early 1990's at a time when the prehospital system in my home province of Nova Scotia consisted of a variety of ambulance operators, which included those affiliated with funeral homes, taxi companies and the old adage "you call, we haul" epitomized the straightforward approach of medical transport. Historically, this phrase reflected a time when the primary role of emergency medical services (EMS) was to transport patients to the nearest hospital as quickly as possible. However, the healthcare system's technological advancements have rendered this simplistic model obsolete. This culture shift is thanks to many visionaries like Dr. Ron Stewart, a key player in modernizing EMS systems across North America and highly influential globally. Today's medical transport systems embody a more nuanced and sophisticated approach, emphasizing patient-specific care, efficient resource allocation, and innovative treatment modalities....Read more

Teleradiology is the backbone of modern diagnostics, connecting radiologists and clinicians to deliver insights that save lives. But rising imaging volumes and complex cases are pushing the departments to their limits. Too often, they rely on legacy systems that require manual processes, lack interoperability and create digital silos. As the systems fall short of delivering the requirements of modern care, radiologists are burdened with heavier workloads, while clinicians wait longer for accura... Read more