The book presents creative, solution-oriented, effective, and efficient projects from the quality and risk management of pre-hospital emergency medicine. The ideas include learning potential, represent optimization opportunities, and address future questions with new paths and visionary approaches. The cross-border networking of the authors, their practice-relevant questions, and their tested and evaluated solutions contribute to the formation of a think tank for current and future challenges in preclinical emergency medicine. It covers all important areas of work in emergency and rescue services, the interfaces, and the collaboration with system partners such as emergency dispatch centers, air rescue, emergency services, and emergency departments. The content ranges from service realization to risk minimization.