No matter what aspect of emergency medicine you work in (EMS, fast track, main ED, rural, remote, urban, suburban, or whatever else), you need to be a resuscitationist in my book.  This is entirely my opinion, but I believe it is important one worth your time in both reading and listening. ​Envision a busy night shift.  It is three in the morning and somehow you still have a waiting room full of people waiting to be seen in your small ED that is hours away by ground to tertiary care.  Scattered thunderstorms and overwhelmed emergency services have made it difficult to transfer out patients.  You would swear it was a full moon, but when you were outside just to get a quick breath of fresh air from all the chaos you look up and it is not.  Suddenly, you hear sirens in the distance and EMS reports are all coming in at once...