Michael Spigner is a resident physician in the Emergency Department at the University of Cincinnati (USA). He currently serves multiple prehospital roles, including Team Physician for Cincinnati Police Department SWAT, Flight Physician for UC AirCare, and Assistant Medical Director for Reading Fire Department and Evandale Fire Department. He is a former Ambulance Unit President of the Manhasset-Lakeville Fire Department (NY), where he served as a firefighter, EMT-Critical Care, and member of the Technical Rescue Team for seven years. He has also held national leadership positions with the Emergency Medicine Residents’ Association, including as the Chair of Prehospital and Disaster Medicine. He is a former Assistant Medical Director of the Colerain Township Fire Department (OH). He has a vested interest in promoting evidence-based medicine in the prehospital environment, and empowering prehospital providers to advance their field through critical thinking and personal accountability.