The field of EMS is constantly evolving. The level of knowledge and skill continue to show no limits in the ability to provide the best pre-hospital care to the residents in which we serve. North Lauderdale will be the first in Broward County to carry the Butterfly IQ portable Ultrasound machine on the ALS Ambulances. This new device can assist the paramedics to recognize bleeding from trauma in the abdomen, chest or lungs, assist in care of cardiac arrest, recognize venous access and much more. The machine works with the departments smart phones and can store the images as part of the patient record and even send directly to the physician while en route to the hospital. What we have previously envisioned as a patient ultrasound machine has been replaced with a probe, a cord and the department’s smart phone. We look forward to continuing on the front lines of patient care and improving our services to the citizens of North Lauderdale.