I am writing to support changing the documentation requirements of EMS providers. Currently, patients can be taken to a level one trauma center and no documentation is required for up to 24 hours. As a neurosurgeon that is called upon to evaluate critical patients when they arrive, the lack of any field documentation hinders patient care. The verbal report is inadequate for the evaluation of complex patients and field assessment of neurological function and condition as well as treatment which has been rendered is needed for the trauma team to make the best care decisions as quickly as possible. I strongly urge that a full EMS field report needs to be provided in writing at the time of patient delivery to help facilitate patient care and decision making.