(NECN) - If you are in the thick of a medical emergency, nothing is more reassuring than the arrival of well-trained EMTs, preferrably in a state-of-the-art ambulance.

But their business is about a whole lot more than sirens and emergencies. From training to transport to technology, the man in charge of American Medical Response in New England and the east.

How is the industry being affecting by bigger trends in healthcare, such as the Affordable Care Act? Plus, how has cutting edge technology changed their work?

Tom McEntee, East Region CEO of AMR, shares his insights.