The EMS Surge project provides Advanced Life Support and Basic Life Support surge capability to the Montgomery County Fire and Rescue Service and the Prince George’s County Fire/EMS Department by creating readily accessible and deployable caches of ALS equipment to upgrade existing EMS units as need or place additional in service. This capability also includes deployable caches of BLS equipment to place reserve units in service as additional EMS units during a surge. The second portion of this project includes the Handtevy medication calculation system and supporting training to enhance care for pediatric patients in both counties. This is a cell phone based application for easy field deployment. The final portion of the project outfits pre-existing Medical Ambulance Buses with Wireless Vital signs monitors to allow for simultaneous monitoring or multiple patients with minimal providers.