The world of EMS is exciting, challenging and dynamic. Staff and managers are equally responsible for the success of the organisation and to this end, each staff and manager must do their share. EMS by virtue of its nature of operations makes the industry dynamic and paramedics need good leadership together with strong management so that the core objectives of EMS become easier to achieve. A formal managerial qualification is beneficial to managers since it empowers them with the knowledge to make informed decisions. Managers should make it their duty to arm themselves with the proper qualifications so that they can justly execute their duties. Leadership skills should be seen as a tool to strengthen management and staff relations and must be used effectively to gain maximum result.