The project began in 2018, but we never anticipated that a straightforward movie about New York City EMS could take this amount of time from start to finish, but after the experience we have a much better understanding. During 2018, a former EMT, Michael Kaufman, who has ties to the film industry was randomly introduced to movie director Jean-Stéphane Sauvaire who wanted to make a film about NYC EMS. Jean-Stéphane then asked if he knew anyone in the NYC EMS with whom he could speak.