Expert insights and best practices for enhancing prehospital care.

2026 ESO
EMS INDEX

When working to optimize outcomes at your agency, you deserve insights that help you make decisions with confidence. The 2026 ESO EMS Index delivers exactly that – 7 data-backed metrics that paint a powerful picture surrounding the care you deliver day in and out, and where you can drive meaningful improvement.

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2026 ESO EMS Index Report

17+ million
EMS Encounters
4,459
Agencies
8.8 million
Longitudinal Records

What’s Inside

This year’s Index shines a light on some of the most pressing issues in prehospital care today, answering timely questions such as:

Is our response to patients with opioid-related emergencies aligned with the national average, and does a field-initiated buprenorphine program make sense for our agency?
Does training dispatchers to recognize potential stroke symptoms improve EMS stroke bundle completion?
How does our agency’s performance around 12-lead ECG acquisition on syncope patients compare to top performing agencies?
Are we following the most up-to-date guidelines for treating hypertension and hemorrhage in pregnant and postpartum patients?
Does a whole blood program make sense for our agency?
Who are our repeat 911 callers and how can we improve care for these patients?

EMS professionals in ambulance

Translate the Index insights into real-world improvement.

Capture the data you need to measure performance, identify areas of improvement, and track progress over time. See the “ESO in Action” section in each section of the 2026 ESO EMS Index to learn how data flows through ESO’s connected intelligence platform – including ESO EHR, ESO Insights, and Logis Dispatch – to make the insights in the Index possible.

Ready to dive in?

Gain access to 19 pages of invaluable insights and best practices for your team.