Welcome back to the 120 Podcast – Kenya Series. In this special bonus episode, we’re joined by a guest who offers a unique perspective on the many different roles and opportunities available to paramedics in Kenya. Today, we’re joined by David Maxwell Migoti, a Kenyan paramedic, healthcare operations professional, clinical instructor and emergency preparedness practitioner, whose career spans frontline emergency care, ambulance and healthcare transport operations, quality improvement, risk management, disaster preparedness and emergency-care education. David currently serves as a Transport Coordinator at Avenue Healthcare Hospital in Kisumu and as a Clinical Instructor at Masinde Muliro University of Science and Technology, MMUST. He is also a World Health Organisation Basic Emergency Care Provider and Instructor. Holding a Bachelor of Science in Paramedical Science, David has a particular interest in strengthening EMS systems across Africa through improved operations, quality and patient safety, education, research and digital health. In this episode, we explore David’s career journey, what it’s like to work across both clinical and educational roles, the challenges faced by paramedics in Kenya, the impact of technology on emergency care, access to continuing medical education, and where he believes the profession could go over the next five years. So, what does it really mean to be a modern paramedic in Kenya? And how can education, technology and innovation help shape the future of paramedicine? Join us as we find out more about David’s career, his experiences, and his vision for the future of paramedicine and EMS in Kenya.