These are my personal opinions and not those of the University of Virginia where I am employed.

Transport caregivers intiial findings (including date/time), interventions, responses to those interventions, and contact information for futher questions need to be presented legibly in writing to the care team prior to leaving the facility.  That information is actually used by clinicians in the care of patients.  For instance, when a neurosurgeon estimates anoxic periods - we use the EMS sheet. If they want to know how soon they can perform physical exams without paralytic interference, they use EMS info. Many more examples exist.

On a seperate note, there must be an efficient manner to assure EMS electronic documentation makes its way into patient records throughout hospitals in Va.  Hopefully there will be EMS & hospital collaborative efforts towards this end.