The publication of these Pre-Hospital Standard Operating Procedures, developed by the Medical Advisory Group of the National Ambulance Advisory Council, draw on the current best evidence in key areas of concern to those working in the emergency ambulance service to provide a clear approach to assessment and treatment. The SOP's are also an important step in developing the focus on clinical effectiveness in pre-hospital care. The Standard Operating Procedures will support and strength the ongoing developments in training for emergency medical technician and will prove a valuable resource to all those involved In the provision of emergency care. Equity, Quality of Service and Accountability are key principles underpinning the delivery of health services in Ireland. I have no doubt that these SOP's will be of great benefit in furthering these objectives in the field of pre-hospital care.