Andy Swain is Associate Professor in Paramedicine at AUT, Medical Director of Wellington Free Ambulance, Clinical Lecturer in Emergency Medicine at the University of Otago Wellington, and Clinical Director of Wellington Helicopter Emergency Medical Service. He works and teaches in Wellington Free Ambulance and in the Emergency Department of Wellington Hospital and is familiar with ambulance & helicopter environments. Andy has been involved with ambulance services since 1985 and he led the development of community paramedicine and flight paramedicine in the Greater Wellington Region.