A cover report on the nation's first prehospital ECMO program highlights the February issue, which has a theme of cardiac and stroke care. Other features look at STEMI equivalents and stroke scales, and bonus content examines the effects of an unwell workforce. Additional articles explore EMS suicide risk, cultural competence, a successful approach against opioid abuse, and a novel new station design. Two new columns, Student Corner and Leader's Digest, join Journal Watch and Resident Eagle.