Divided into two major parts, this report summarizes the findings, recommendations, and conclusions of the National Academy of Sciences and National Research Council's analysis of the current function and potential capacity of congressionally appointed federal agencies relative to providing emergency medical care services. More specifically, the study was concerned with: (1) establishing a national focal point for Emergency Medical Services (EMS), (2) providing technical consultation and guidance to states, communities, citizens, and organization, (3) establishing an information center, (4) coordinating inter-department and inter-agency EMS activities, (5) establishing an EMS data system, and (6) developing five total emergency medical systems as demonstration projects. The demonstration sites selected were: (1) Arkansas, (2) a 3-county area of Southern California, (3) a 7-county area of Northeastern Florida, (4) State of Illinois, and (5) a 7-county area of Southern Ohio. Contents of the report include: (1) introduction and recommendations on initiative by the Executive Office of the President and the Department of Health, Education, and Welfare, and (2) implementation of emergency service programs. (SN)