<  ALL Resources

2023 ESO EMS Index

Insights and Best Practices for EMS Agencies

Understand the big-picture performance of EMS agencies across the United States as outlined in the 2023 ESO EMS Index.

Based on data from more than 2,500 agencies and departments across the country and representing 11 million EMS responses between January 1, 2022-December 31, 2022, the Index helps EMS leaders answer questions such as:

  • Is my organization performing similarly to other organizations around the country when it comes to best practices surrounding certain clinical presentations, such as stroke identification and assessment?
  • Are we properly monitoring patients following our use of ketamine in emergent situations?
  • Are we practicing judicious use of lights and siren?
  • Are we above or below the national average when it comes to responding to overdose events?
  • What best practices can my organization implement to help measure and address disparities in prehospital care?
  • What are the best practices for each metric in this Index and how can I make sure we are following these at our organization?

Now in its sixth year, this Index not only examines the performance, but makes comparisons to the previous year’s data. ESO’s research team has designed this report to give EMS organizations a benchmark or point of reference for evaluation and improvement. This provides agencies a starting framework to continually refine strategies, increase efficiency, improve outcomes, and allocate resources appropriately. 


Read the Index for analysis of stroke assessment performance, ketamine administration, overdose encounter trends, and more. Access the 2023 Index here or, to have it delivered to your inbox, complete the form.

Get It In Your Inbox