Emergency medical services (EMS) professionals, including emergency medical technicians (EMTs) and paramedics, are a critical component of the nation’s emergency response system. Responding to over 40 million calls for assistance annually in the United States, these clinicians are integral to public health, disaster management, health care, and public safety. However, EMS professionals experience occupational injury rates that are more than four times higher than, and fatality rates almost twice as high as, the national average for all workers. These statistics underscore the inherent dangers of the job, which often involves physically demanding work, unpredictable environments, and exposure to violence and infectious diseases. These risks, combined with the intense demands of the profession, likely contribute to the alarmingly high workforce turnover of 25% to 40% annually. This revolving door effect exacerbates staffing shortages, places additional strain on an already overstretched workforce, and compromises the quality, availability, and timeliness of care for communities. Recognizing the urgency of this issue, the Occupational Safety and Health Administration (OSHA) has recently announced a new rulemaking proposal aimed at addressing safety concerns for emergency responders, including those in EMS. This session will examine the current state of occupational safety in EMS, drawing on recent research to highlight the most pressing risks faced by clinicians. Attendees will also learn about the scope of the OSHA proposal, its potential to mitigate risks, and its implications for EMS agencies, employers, and policymakers. Join us for a comprehensive exploration of the challenges and opportunities in enhancing EMS safety. This session will provide a platform for discussing evidence-based strategies, regulatory developments, and next steps. Together, we can chart a path toward a safer and more sustainable future for EMS professionals. Core: Operations