As a Black-led community response to the lack of ambulance services in Pittsburgh, this service trains African-American personnel to provide previously unheard standards of emergency medical care for patients en route to hospitals.

Freedom House staff listen in on police radio frequencies to get news of emergencies and then speed to the site of the incident, often arriving before the police.

Sometimes police officers threaten to arrest the paramedics unless they turn the response to an incident over to them. Despite this initial pushback, the service will eventually become the model for the Emergency Medical Technicians (EMTs) that follow.