The “Eagles,” a de-facto coalition derived from the Metropolitan Municipalities EMS Medical Directors Alliance, is comprised of most of the jurisdictional EMS Medical Directors for the 60 to 70 largest cities’ 9-1-1 systems in the United States, and the chief medical officers for several pivotal federal agencies such as the FBI, U.S. Secret Service, White House Medical Unit, as well as numerous global counterparts – from Paris to Auckland and from Berlin to Manila. This small but cohesive cadre of leading emergency medical services specialists are responsible for stewarding the medical protocols and respective training for all aspects of day-to-day 9-1-1 / 9-9-9 / 1-1-2 / 0-0-0 type emergency responses within their respective jurisdictions, encompassing well over 1/3 of the US population and more than 120 million citizens worldwide. They seek and drive the best practices for early resuscitative interventions for trauma, stroke, cardiac care and other critical emergencies, not to mention the medical aspects of homeland security, public health emergencies, and disaster management in these high-risk venues. Their ability to deal with these significant responsibilities is, in many ways, facilitated by the close cooperation of this unique convocation of physicians, who remain in daily contact through both email and mobile communication, as well as in weekly webinars and large national annual conventions. Of note, the Eagles generally serve as the main interface between local government and the medical community at large in these high volume metropolitan municipalities. Armed with a large volume of data and veteran experience in these large population settings, the Eagles are always eager to share their findings, experience, and practical knowledge with others.