Dr. Gerry Carroll, EMS Medical Director at Cooper EMS in New Jersey, and Dr. Gene Hern from the California Bridge Program were among the first in the country to bring buprenorphine into the hands of EMS providers. In this episode, they share how it all started—the early challenges, the first successful cases, and how they each got their systems off the ground. They highlight the importance of clinical champions, the operational nuts and bolts, and how EMS can do more than reverse an overdose—it can be the first step into recovery.