Suzanne Martens provides a medical director report on EMS/Trauma activities in Wisconsin. She discusses revisiting the concept of a just culture that balances accountability with good intent. As medical director, her activities include advising various EMS councils and committees, reviewing protocols, and investigating a dozen cases. Her latest project is developing additional training for EMRs to administer IM epinephrine for anaphylaxis. Future projects include further protocol edits, defining new EMS roles, and improving data collection and resources.