The Texas EMS/Trauma System brings many partners to the table: DSHS, Governor’s EMS and Trauma Advisory Council, 22 Regional Advisory Councils, trauma and stroke facilities, and thousands of health care and emergency medical personnel. Texas can build a unified, comprehensive, and effective EMS/Trauma system through a combination of partnerships, funding and support of education for emergency personnel and for the public. This vision of the future includes an EMS/Trauma System poised to move beyond 9-1-1 response into disaster response, using paramedics to alleviate staff shortages in emergency departments and providing community preventative care services as part of the emergency health care system in Texas.