Today, Wednesday November 6, 2013 marks the start of the 34th Annual Virginia EMS Symposium. This is an educational conference for Emergency Medical Services providers that offers over 250 classes for continuing education. The conference attracts some of the best and brightest speakers from across the nation and world and in my opinion is the best EMS conference in the United States. I am humbled and extremely grateful to teach at the conference this year. I am also thankful to have one of my photographs grace the cover of the symposium brochure for the second year in a row.