An example system includes a virtual emergency medical record (vEMR) to be dynamically generated for a patient encountered by emergency medical services personnel, the vEMR created to store and organize patient information obtained from the patient at an emergency site to be transferred to an electronic medical record for the patient at a healthcare facility. The example system includes an image recognition and search service to identify the patient based on one or more obtained images and to provide information to the vEMR. The example system includes a prior history service to search for prior clinical information for the patient and to provide information to the vEMR. The example system includes triage decision support to process patient information and prior clinical information via the vEMR to provide a) at least one of a treatment guideline and a diagnosis protocol and b) an instruction for transfer priority to a healthcare facility.