Ambulance Offload Delays

Ambulance offload delays remain a major challenge across California. Dr. Marc Gautreau discusses how Stanford is improving ED flow to support faster offloads—and, as an EMS medical director, shares how new state laws are reshaping accountability, data reporting, and coordination between hospitals and EMS systems.

What is Shreds of Evidence?

Diving deep into the evidence, policies, and politics that shape California EMS. Each episode breaks down the clinical topics, operational challenges, and system-level forces influencing how EMS is delivered across the state. Designed for EMS professionals, healthcare leaders, and policy thinkers who want to understand what’s driving change—and what’s holding it back.