National Preparedness Month is a time for each person to reflect on his or her level of preparedness for the next emergency. This article challenges those in the Emergency Medical Services (EMS) to do the same. Whether training for Basic Life Support (BLS) or progressing to Advanced Life Support (ALS), all EMS personnel are created equal at their respective levels. They must learn the same skill sets and protocols and pass the same certification exams as all other EMS personnel within their jurisdictions. That, however, is where the “equality” ends.