Bad EMS, for one, is a term used to describe Emergency Medical Services (EMS) that are not up to the standards of care that are expected. This could include inadequate staffing, lack of proper equipment, or inadequate training of personnel. The crossword solution for this term is SPA, which stands for 'State Paramedic Association'. This is an organization that sets standards for EMS personnel and provides resources to ensure that EMS services are up to the highest standards.