At the invitation of the Soviet Committee for Systems Analysis, I visited Moscow in May 1975, to discuss mutual research interests with Soviet scientists and managers. One of the discussion sessions focussed on emergency medical services (EMS), centering in particular on ambulance and associated services in the city of Moscow. Though brief, this session provided a valuable exchange of information, research results, and ideas. It also provided a useful basis for future discussions. This paper presents main points about Moscow's EMS distilled from the session, augmented by parallel research, and notes areas that could fruitfully be pursued in further discussions.