Inside EMS

When most people see red tape, they stop. Darin Johnson saw an opportunity. In this episode of Inside EMS, Chris and Kelly welcome Darin — a paramedic, operations supervisor and now urgent care owner — to break down how he helped spearhead Utah's House Bill 14. The goal? Allow paramedics to practice to their full scope outside of traditional EMS settings. What started as a frustrating moment working in mobile IV therapy spiraled into a full-on legislative effort that took over 3 years to realize. And guess what? It passed. But Darin didn't stop there. He then launched Mod Doc, a fusion-style urgent and primary care center in Draper, Utah, run with a team of paramedics, flight nurses and a nurse practitioner. The mission? Community-centered care that blends traditional and holistic approaches — and gives paramedics a real seat at the table. This episode is a playbook for anyone ready to stop asking “Why not?” and start saying, “Watch this.” Top quotes from Darin Johnson “I'm just trying to create fusion medicine. Kind of like when you go to a restaurant and you get fusion food. I just want to bring all the best parts of medicine together and provide the best care for people so they can have good quality of life.” “Paramedics should be expanding their scope of practice. We really should be utilizing our ability to operate in remote environments and in homes and everywhere else.” “I had a moment where I just stopped and went, ‘Wait, huh? You'll let me do all these things if I'm working for an EMS agency, but if I have all the same things in place working private than I can't do that.' And it started this whole journey of wanting to understand why paramedics weren't recognized for their scope of practice in the private setting.” Enjoying the show? Email the Inside EMS team at theshow@ems1.com to share ideas, suggestions and feedback, or let us know if you'd like to join us as a guest.

It's EMS Week wrap-up time, and Chris Cebollero and Kelly Grayson are back in classic form in this episode of the Inside EMS podcast. From jokes about Sloppy Joe leftovers from Hospital Week to heartfelt gratitude for the medics still grinding it out day after day, this episode hits all the notes. Chris and Kelly talk about why EMS Week still matters; more than just stickers and slogans, it's about recognizing the quiet pride, the commitment and the transformation that EMS professionals bring to their communities every single day. The hosts challenge listeners to advocate for the profession, share their stories, and — most importantly — support one another. Whether you're still running lights and sirens or mentoring the next generation, this one's for you. Memorable quotes “You may be in EMS if you finish a trauma report while chewing beef jerky at 3 a.m.” — Kelly Grayson  ”We need to treat EMTs, paramedics, dispatchers and supervisors with respect and do things for them 51 weeks of the year, and then take EMS Week off.” — Kelly Grayson “This isn't a flashy job, it's not always recognized ... but it's real. And it gets in your blood.” — Chris Cebollero “Keep on being the rumpled angels of healthcare.” — Kelly Grayson Enjoying the show? Contact the Inside EMS team at theshow@ems1.com to share ideas, suggestions and feedback, or let us know if you'd like to join us as a guest.

When it comes to taking criticism, EMS professionals are … not great. In this episode of Inside EMS, cohosts Chris Cebollero and Kelly Grayson get real about why criticism hits so hard and how we can start to deal with it like grownups (instead of defensive toddlers). They break down Chris's recent article, “10 practical tips for responding to criticism,” sharing personal stories of defensiveness, arrogance and the long road to emotional intelligence. From learning to separate emotion from feedback to asking for clarification and recognizing when there's truth in someone's harsh words, this episode is a masterclass in professional and personal growth. The duo also explores how criticism ties into self-awareness, communication with partners, and even romantic relationships. Whether you're a seasoned medic or a brand-new EMT, these tips will help you take feedback like a pro without letting it wreck your day. "We do not want our medicine criticized. We do not want our work ethics criticized. We just do not want criticism.” — Chris Cebollero "Experience comes from mistakes. Mistakes come from lack of experience." — Chris Cebollero  “Back in the day, I didn't care. I used to say the same thing. People either love me or hate me; there's no in the middle. But you know what? I wasn't looking at the bigger picture.” — Kelly Grayson Enjoying the show? Email the Inside EMS team at theshow@ems1.com to share ideas, suggestions and feedback, or let us know if you'd like to join us as a guest.

In this episode of the Inside EMS podcast, hosts Chris Cebollero and Kelly Grayson dig deep into one of EMS's most overlooked (and often forgotten) topics — toxidromes. You might remember the word from paramedic class, but today's street calls demand more than a vague memory. With patients taking everything from grandma's Ativan to street-made speed, understanding toxidromes is crucial for making quick, accurate clinical calls. The crew breaks down the five major toxidromes every medic should know: anticholinergic, cholinergic, opioid, sympathomimetic and sedative-hypnotic. From classic mnemonics like “mad as a hatter” to real-life stories of fire ant poisonings, this episode serves up practical knowledge with EMS-grade humor. Chris and Kelly cover telltale signs (sweaty vs. dry skin, pinpoint vs. dilated pupils), treatment pearls of wisdom (easy on that naloxone, folks), and the real-world complications of polypharmacy. Plus, they touch on lesser-known players like serotonin syndrome and hallucinogens. This one's a refresher you didn't know you needed — but you'll be grateful when you respond to your next overdose call. Memorable quotes “Antidotes are overrated. Supportive care will take care of most of the toxidromes out there.” — Kelly Grayson “If they're pleasantly stuporous but breathing effectively, it's not an overdose. It's just a dose.” — Kelly Grayson “Narcan is not a punishment, it's a treatment. You don't slam it, you bump it just a little bit, just enough to get them breathing again.” — Kelly Grayson Enjoying the show? Email the Inside EMS team at theshow@ems1.com to share ideas, suggestions and feedback, or let us know if you'd like to join us as a guest.

This week on the Inside EMS podcast, hosts Chris Cebollero and Kelly Grayson tackle a metabolic monster that every EMS provider needs to master: diabetic ketoacidosis (DKA). They kick off with a common (but critical) 911 scenario: a 19-year-old with a history of Type 1 diabetes, confusion, vomiting and a blood sugar of 500. Sound familiar? Kelly dives into the physiology of DKA, explaining how glucose can be sky-high while cells starve, triggering fat breakdown and ketone production that spirals into life-threatening acidosis. The hosts hit the must-know pathophysiology, signs and symptoms (hello, Kussmaul breathing!), and what providers often miss — like dehydration, vomiting and abdominal pain. They break down how to spot DKA with capnography and EKG changes, especially when hyperkalemia mimics a STEMI. From EMS management tips (don't shut down those fast respirations!) to fluid resuscitation caveats, this is a crash course in saving DKA patients before they crash. Whether you're running calls or managing chronic patients, this episode arms you with the clinical know-how and common-sense insight to handle DKA with confidence. Memorable quotes  “We're starting to see more increasing calls for type one diabetes, insulin-dependent type two diabetes ... and we need to be able to understand what we're doing. — Chris Cebollero “One of the big clues in the scenario is the vomiting. Lots of DKA patients will have vomiting and abdominal pain.” — Kelly Grayson “A lot of times, these hyperkalemia patients and these acidotic patients are going to be handled just fine by correcting their fluid deficits and correcting their glucose with an insulin drip. Just getting their glucose back down to normal level is going to manage the lion's share of the hyperkalemia.” — Kelly Grayson Enjoying the show? Email theshow@ems1.com to suggest episode ideas or to pitch someone as a guest!

What does accountability actually look like in EMS? In this episode of the Inside EMS podcast, cohosts Chris Cebollero and Kelly Grayson get into the gritty details — beyond the management-speak — and outline the 7 pillars of accountability that can make or break an EMS organization. From character and unity, to urgency and evolution, they explore how each pillar builds a culture that supports excellence, trust and growth in the field. The discussion gets into metrics that actually matter (and no, “we're doing fine” isn't a metric), urgency that respects both speed and precision, and how to develop a reputation that earns trust from coworkers and ED staff alike. Whether you're in a leadership role or still riding the bench seat, this episode is a masterclass in personal and organizational accountability. Memorable quotes “Integrity is how you behave when no one's looking.” — Kelly Grayson “You don't let anybody dictate your own professionalism.” — Chris Cebollero “If you can't measure it, you can't improve it.” — Kelly Grayson “Do you want speed or accuracy? I want both.” — Chris Cebollero “If you're practicing EMS like you did 5 years ago, you're behind the times.” — Kelly Grayson Enjoying the show? Email us at theshow@ems1.com to share ideas or suggest a guest!

Guest host Rob Lawrence joins Kelly Grayson to reflect on the recent EMS on the Hill Day. Rob offers a behind-the-scenes look at his experience leading the California delegation and provides insights into how EMS professionals can influence policy on issues like Medicare reimbursement, community paramedicine and workforce development. Kelly questions whether EMS on the Hill Day efforts actually drive change, while Rob defends the impact of consistent grassroots advocacy. The episode highlights key legislation, including expanded telemedicine and veteran recruitment into EMS, and makes the case for staying politically engaged to secure the future of the profession. Whether you're a seasoned advocate or just starting to engage in the political side of EMS, this episode will leave you with a deeper understanding of the stakes — and the power of your voice. Key quotes "Our national associations are now hunting as a pack, which is a good thing." — Rob Lawrence "You can be at the mercy of EMS politics, or you can learn to play EMS politics and affect the outcome." — Kelly Grayson "All politics is local, and we all have a voice. More importantly, we all have a story." — Rob Lawrence "Politics is made of people who show up." — Kelly Grayson Timeline 01:02 – Rob discusses his recent travels and involvement in EMS on the Hill 01:45 – Rob explains what EMS on the Hill is and how it works 03:11 – Rob shares his thoughts on the bipartisan support for EMS legislation 06:05 – Kelly asks about the amount of time spent with legislators 09:02 – Rob highlights his meeting with Representative Eric Swalwell 10:28 – Kelly expresses skepticism about EMS Week and EMS on the Hill 12:10 – Rob responds to Kelly's skepticism about EMS advocacy 14:00 – Rob discusses key bills on Medicare reimbursement and community paramedicine 16:06 – Rob shares details about the bills being presented this year 20:01 – Rob talks about workforce development and veteran recruitment initiatives 22:01 – Rob and Kelly discuss EMS advocacy and the importance of grassroots involvement 25:36 – Rob explains the EMS caucus and invites listeners to get involved 28:20 – Rob concludes the podcast, urging listeners to advocate for EMS and engage in political processes Enjoying the show? Email the Inside EMS team at theshow@ems1.com to share ideas, suggestions and feedback, or let us know if you'd like to join us as a guest.

In this episode of the Inside EMS Podcast, co-host Kelly Grayson is joined by international guest host Rob Lawrence for a candid and timely conversation on one of the most pressing issues in EMS today: fatigue and its impact on provider safety and wellness. The discussion begins with a heartbreaking story out of Georgia, where a nurse, after working consecutive night shifts, fell asleep at the wheel, leading to a fatal crash. It's a tragic reminder of the very real risks that come with long hours, disrupted sleep and chronic fatigue in healthcare—and EMS is no exception. Kelly and Rob reflect on their own experiences with sleep deprivation, shift work and the toll it takes on performance, decision-making and personal safety. They dive into the need for fatigue management policies, smarter shift scheduling, and how EMS leaders can — and must — prioritize provider health. Timeline 00:00 - 00:05: Rob introduces himself as the international correspondent for Inside EMS, stepping in for Chris Cebollero. 00:05 - 00:33: Kelly and Rob discuss the swap between Chris and Rob, along with their roles in the EMS community, providing context for the conversation. 00:33 - 03:10: Rob and Kelly discuss the tragic accident in Forsyth County, Georgia, where a nurse fell asleep behind the wheel after a night shift. They reflect on the broader issue of fatigue in healthcare professions. 03:10 - 07:01: Kelly shares his personal experience with fatigue, recounting instances of feeling like a "zombie" after long shifts and the dangers of working extended hours. 07:01 - 10:35: Rob and Kelly dive into the challenges of managing fatigue in EMS, the ongoing debate about shift lengths, and the need for policies to improve rest and working conditions. 10:35 - 12:23: The hosts discuss the importance of leadership in managing fatigue, with Rob emphasizing the need for downtime between shifts. 12:23 - 15:02: Kelly talks about his previous employer's fatigue mitigation policies and how they ensured safety through workload monitoring, proper shift lengths, and adequate pay. 15:02 - 18:00: Rob reflects on his work in California, including meetings with lawmakers to address EMS workforce issues during EMS Week. 18:00 - 23:07: The hosts discuss the systemic issues that contribute to fatigue, including poor wages, long shifts, and the overall working conditions in EMS. They conclude with a call to action for better policies and leadership to ensure the well-being of EMS professionals. Enjoying the show? Contact the Inside EMS team at theshow@ems1.com to share ideas, suggestions and feedback, or let us know if you'd like to join us as a guest.

Note: Thanks for following the Inside EMS podcast! Enjoy this special EMS One-Stop crossover episode with host Rob Lawrence, who will also join Kelly Grayson as a guest cohost during the month of April.   In this episode of the EMS One-Stop podcast, Dr. Dave Williams discusses an exciting new master's-level course designed for EMS and fire leaders, focused on advanced improvement science. Along with Mike Taigman, Dr. Williams is leading this program, which aims to equip leaders with the tools and methods necessary to achieve results-driven improvement in their EMS systems. Over the course of 12 months, attendees will work on real-world projects, gaining the skills needed to make data-driven decisions and improve patient care outcomes within their organizations. Dr. Williams also dives into the core concepts of improvement science, including understanding of variation and the importance of creating organizational systems that support sustainable improvements. He shares insights into the curriculum, the significance of benchmarking and how the course will help EMS leaders tackle systemic challenges by applying proven improvement methodologies. This conversation also touches on the future of EMS leadership and how innovation in data management, process design and leadership will shape the profession moving forward. Timeline 02:22 – Dr. Williams explains the background of the course, highlighting how it builds on improvement science to drive better results in EMS systems. He and Mike Taigman aim to teach EMS leaders to use data and evidence to improve patient care outcomes. 06:16 – Quality improvement: Dr. Williams discusses the gap in EMS leadership regarding quality improvement, emphasizing that quality needs to be integrated into the leadership team's responsibilities, not treated as a separate function. 11:01 – Why data matters: The conversation shifts to the importance of data in EMS improvement efforts. Dr. Williams highlights how collecting and analyzing data helps organizations understand system performance and drive change. 15:43 – The fleet management example: Rob shares a fleet management story where data was used to improve vehicle downtime, highlighting the real-world impact of using improvement science to solve practical challenges. 19:29 – Project-based learning in the course: Dr. Williams elaborates on the project-based nature of the course, explaining how each participant will bring a real-world project that directly impacts their organization and use improvement science to solve it. 23:09 – Practical applications: Dr. Williams talks about how the course will blend online learning with in-person workshops, providing practical tools and methods that participants can apply to their projects throughout the year. 31:08 – Course logistics: Dr. Williams discusses course deadlines and important dates, including the application deadline of April 18, 2025; and the course's first workshop in September 2025. 54:05 – ROI and the course's value: Dr. Williams emphasizes the return on investment for attending the course, explaining that solving organizational problems through improvement science will ultimately save money and improve results for EMS services. 1:00 – Final thoughts: Rob and Dr. Williams close the conversation by reiterating the uniqueness of the course and its potential to reshape EMS leadership through the application of improvement science. ADDITIONAL RESOURCES Next-level improvement science: New master-level course equips EMS and fire leaders with advanced improvement science skills Course application deadline: April 18, 2025 Course start date: July 22, 2025 Workshop dates: September 2025; February 2026 Mastering data and EMS performance metrics with Mike Taigman: Exploring how data informs change, improves clinical outcomes and drives leadership decisions Improve EMS quality with a model that works: The simple yet powerful Model for Improvement holds the key to making real changes to an EMS organization

In honor of First Responder Wellness Week, Inside EMS hosts Chris Cebollero and Kelly Grayson go beyond the surface-level tips and dig into what true wellness looks like in this profession. Spoiler: it's messy, personal and sometimes terrifying. Kelly shares his deeply personal journey from a spinal surgery and a near-fatal pulmonary embolism to dropping over 140 pounds and reclaiming his life. At his heaviest, he was 410 pounds. Today? He's neck-and-neck with Chris on the scale, rocking a 40-inch waist after shedding a whole foot from his midsection. But this episode isn't about bragging — it's about honesty. Kelly gets vulnerable about depression, self-doubt and EMS culture's toxic relationship with self-care. He also drops hard-earned advice on meal prepping, smarter snacking and how to make real progress without crash diets or guilt trips. If you've ever looked in the mirror and not liked what you saw — or felt the creeping realization that this job might just break you — this one's for you. Kelly's story isn't just about weight loss; it's about survival, resilience and building a new life, one lap at a time. Memorable quotes "EMS is not an active profession. It's 23 hours of boredom and an hour of blind panic." "It's not simply a matter of willpower, but support, attainable goals, and short increments add up over the years." "You have to get serious about what you want to feel like, what you want to look like." "I said, 'What are you doing this for? Are you doing this to die, knowing what killed you?'" Enjoying the show? Contact the Inside EMS team at theshow@ems1.com to share ideas, suggestions and feedback, or let us know if you'd like to join us as a guest.

Billions of dollars from opioid settlements are flowing into communities, but how does EMS get a slice of the pie? In this episode of the Inside EMS podcast, host Chris Cebollero is joined by Corey Carlson, EMS segment lead at Lexipol, to break it all down. Carlson simplifies the complex world of opioid settlement funding, sharing exactly where the money is, who controls it and how EMS agencies — both public and private — can apply. From funding for training, mental health support, AEDs, cardiac monitors, ambulances and even K-9 units, there are countless ways EMS can use these funds. The key? Knowing who to ask and how to frame the request. If your EMS agency could use a financial boost (and let's be real — whose couldn't?), this episode is packed with actionable advice to help you claim your share of the $56 billion (and counting) in opioid settlement funds. Additional grant-funding resources: EMS grants: 5 steps to success Debunking the top 5 EMS grant myths: Insights for success 10 books every EMS grant writer needs Guide to securing Congressionally directed funds This episode of the Inside EMS Podcast is sponsored by ZOLL Medical. Learn more about ZOLL's products for EMS at zoll.com/solutions/ems-and-fire. Enjoying the show? Contact the Inside EMS team at theshow@ems1.com to share ideas, suggestions and feedback, or let us know if you'd like to join us as a guest.

Sitting for the National Registry exam might rank up there with colonoscopies in terms of excitement, but EMS educator Dan Limmer recently took the test. Why? To stay sharp, to keep his licenses and to see firsthand how the test has evolved. And guess what? He walked out impressed. In this episode of Inside EMS, Dan sits down with host Chris Cebollero to break down his experience, share study strategies and offer test-taking wisdom for new and seasoned medics alike. He highlights how the test isn't just a memory game — it's about judgment, application and truly understanding why you make the decisions you do in the field. From tackling the anxiety factor to navigating new question formats (hello, multi-response and scenario-based questions), Dan gives practical advice for anyone gearing up for the exam. Whether you're an EMT candidate or a veteran paramedic thinking about challenging yourself with a retest, this episode is packed with useful takeaways. Memorable quotes “Nobody ever comes out of the registry exam saying, ‘Oh, that was easy.'” “I was in awe of the way they give you a little bit of information, but then make a big ask, and the different ways they can ask questions — I just think it's a good exam.”  “If you read your book and you paid attention and did well in class, when you finish your class, your book shifts from a primary source to a reference.” RATE & REVIEW Catch a new episode of the Inside EMS podcast every Friday on Apple Podcasts, SoundCloud, Amazon Music, Stitcher, Spotify, and RSS Feed. Enjoying the show? Please take a moment to rate and review us on Apple Podcasts. Contact the Inside EMS team at theshow@ems1.com to share ideas, suggestions and feedback, or let us know if you'd like to join us as a guest.

In EMS, where the stress is high and space is tight, conflict is bound to happen. Whether it's a personality clash with your partner, frustration over unclear responsibilities or a disagreement with leadership, knowing how to navigate workplace tension is a crucial skill.   In this episode of the Inside EMS podcast, hosts Chris Cebollero and Kelly Grayson break down conflict resolution strategies. Whether you're dealing with an overbearing supervisor, a partner who won't pull their weight or just the everyday stress of the job, this episode will arm you with the tools to handle conflict effectively.  Memorable quotes: “My way of dealing with these conflicts is, I try to remind myself that they're not so different from me. They want the same things in life. They just differ in how they want to get there.” — Kelly Grayson  “We hear all the time that perception is reality, but what does that really mean? It means, if somebody thinks that you've slighted them, you've slighted them.” — Chris Cebollero   “Regardless of how good you are at practicing the art and science of leadership, conflict always happens, right?” — Chris Cebollero  Additional resources:   Toxic partners: The damage they do in EMS  EMT partners: ‘The people that really make it happen' on calls  The 3-part EMS assessment: Your patient, your partner and yourself  How to tell if your EMS partner is a jerk  When crew dynamics disrupt patient care Enjoying the show? Email theshow@ems1.com to share ideas, suggestions and feedback, or let us know if you'd like to join us as a guest!

New Year's celebrations in New Orleans are always a spectacle, but this year, tragedy struck at 3:15 a.m. A truck barreled into the crowds, triggering what first responders feared was a vehicle-ramming attack. Within moments, New Orleans EMS was in full mass casualty mode — triaging, treating and coordinating with law enforcement amid the unfolding chaos. But things quickly escalated. As Chief Bill Salmeron recounts, responders soon discovered not only multiple critical patients, but also a shootout, a downed suspect and the chilling realization that explosive devices had been planted nearby.  In this gripping episode, Chief Salmeron shares the inside story of how his team handled one of the most intense incidents in recent New Orleans history. He walks through the initial response, communication challenges and how well-drilled interagency coordination played a pivotal role. But beyond the logistics, he also speaks to the emotional toll — how EMS crews handled the psychological weight of triaging patients, working alongside grieving families and processing the magnitude of the event in the days after.  Top quotes “You don't see that many fatalities in one place with possible explosives, an active shooter — or at least you shouldn't in a civilian EMS world — but we do.” — Chief Bill Salmeron "Anybody can command a scene. You don't have to be a paramedic. You don't have to be a chief or a doctor or whatever it is." — Chief Bill Salmeron Enjoying the show? Contact the Inside EMS team at theshow@ems1.com to share ideas, suggestions and feedback, or let us know if you'd like to join us as a guest.

In this episode of Inside EMS, hosts Chris Cebollero and Kelly Grayson are joined by Nick Maltby, chief of service for New Hartford Volunteer Ambulance Service, and a clinical psychologist specializing in anxiety and PTSD. Nick brings a unique perspective, blending frontline EMS experience with mental health expertise to tackle one of the biggest issues in EMS today — mental health support that actually works. Memorable quotes “Depression is a voice that whispers to you that you can't do all the things that bring you joy.” — Kelly Grayson “The first step to a problem getting worse is thinking, ‘I can't tell anybody, because if I did, they would ostracize me, they would fire me, they wouldn't be my friend,' but it's all in your head.” — Nick Maltby Enjoying the show? Contact the Inside EMS team at theshow@ems1.com to share ideas, suggestions and feedback, or let us know if you'd like to join us as a guest.

In this week's episode of the Inside EMS Podcast, hosts Chris Cebollero and Kelly Grayson discuss some of the biggest news stories in EMS from the month. First up: A fire chief in Colorado is under investigation for running nearly 300 medical calls on an expired paramedic certification from 2019. What happens when leadership sets a bad example for their crews? The pair also discuss several mental health initiatives, including the University of Washington's new first responder training program and the mental health teams supporting evacuees of California's wildfires. Plus, Chris reacts to an idea floated by the new White House administration to reduce FEMA's role, and Kelly gives his take on why the agency – despite its flaws – is a necessity. Have an EMS-related news story you want Chris and Kelly to analyze? Send an email to theshow@ems1.com. Memorable quotes  “If you don't want to pay for it, then, then don't gripe about poor response times ... or inadequate care, because you wouldn't pay for it.” — Kelly Grayson “ You know, during COVID, we were heroes.  And we squandered that goodwill and let ourselves be pushed onto the back burner until something horrific happens to California. And then firefighting leaps into the breach again. Then, those citizens are incredibly grateful, but when this is all over, they'll fade back into obscurity again.” — Kelly Grayson This episode of the Inside EMS Podcast is sponsored by Philips. Time to take pre-hospital emergency care to the next level. Time for Tempus. Enjoying the show? Contact the Inside EMS team at theshow@ems1.com to share ideas, suggestions and feedback, or let us know if you'd like to join us as a guest. 

In this episode of Inside EMS, Chris and Kelly are joined by Tim Redding, founder and CEO of Emergency Education Consultants, to explore a topic that's reshaping how we think about medicine: male-centric healthcare. Tim shares insights from Dr. Alyson J. McGregor's groundbreaking book, “Sex Matters”, which explores how medical research and education have historically centered on white male patients, leaving women underserved and misdiagnosed. From cardiac care to drug research, Tim explains how biases have permeated everything from symptom recognition to treatment protocols. Did you know that women experiencing heart attacks rarely exhibit the “classic” symptoms, like chest pain? Or that 8 out of 10 drugs pulled from the market between 1997 and 2001 were due to severe side effects in women? If you're someone passionate about improving patient outcomes, this episode will make you rethink what you know – and don't know – about women's health in EMS. Memorable quotes “Medicine historically has been white males doing the doctoring, writing the textbooks and doing the studies. So, what that has led to, by no one's fault, is to this very male-centric view of medicine.” “The most accurate tool for confirming and diagnosing MI in women is an MRI and that really blew my mind.  I can't think of any time that I've heard a doc say, ‘Let's get an MRI for that cardiac female patient.'” Enjoying the show? Contact the Inside EMS team at theshow@ems1.com to share ideas, suggestions and feedback, or let us know if you'd like to join us as a guest.

Ever wonder what really happens inside the body during shock? This week, Chris Cebollero and Kelly Grayson dive into the renin angiotensin aldosterone system (RAAS).  From vasoconstriction to fluid retention, they break down this complex topic with real-life examples, a sprinkle of humor and practical tips for how EMS providers can apply this knowledge in the field. Kelly shares the importance of understanding the “why” behind shock presentations, from recognizing when fluids won't work to knowing when vasopressors are the answer. With anecdotes like treating a sepsis patient on ACE inhibitors and using pulse ox waveforms for clues, this episode blends science with field-tested wisdom. Whether you're an EMT, paramedic, or just an anatomy nerd, you'll walk away with a clearer picture of how the RAAS keeps us alive – and how we, as EMS professionals, can work smarter alongside it. Memorable quotes “It's called, ‘The Renan Angiotensin Aldosterone System – not just a planetary belt in Star Wars'”. — Kelly Grayson “So, the kidneys now say, ‘We're not getting enough blood. Here's this renin that we're gonna send out because we've gotta fix this problem.' What the body doesn't know is that Chris Cebollero and Kelly Grayson and you are out there trying to fix it. So it's trying to fix itself.” — Chris Cebollero Related resources: Understanding push dose pressors Understanding prehospital vasopressors: Dopamine, epinephrine or norepinephrine? A basic overview of shock for EMS Compensated vs. decompensated shock: what you need to know ABOUT THE SPONSOR Whether replacing radio reports, alerting specialty teams, or managing mass casualty incidents, Pulsara simplifies communication. Pulsara scales to meet your dynamic communication needs. From routine patient alerts to managing large-scale emergencies, every responder and clinician connects seamlessly. Familiar yet powerful, Pulsara streamlines your response, from routine transfers to regional disasters. One tool. Every day. Regardless of event. Discover more at Pulsara.com. RATE & REVIEW Catch a new episode of the Inside EMS podcast every Friday. Enjoying the show? Contact the Inside EMS team at theshow@ems1.com to share ideas, suggestions and feedback, or let us know if you'd like to join us as a guest.

In this episode of Inside EMS, hosts Chris Cebollero and Kelly Grayson explore leadership insights drawn from a recent post by The Humbled Medic blog, which highlights lessons from the hit Apple TV show “Ted Lasso.” Known for its humor and heart, the show serves as a surprising but fitting blueprint for leadership, especially for EMS educators and professionals.  The hosts discuss the importance of embracing the philosophy “be curious, not judgmental,” a guiding principle that urges EMS providers to set aside assumptions about patients and colleagues. Other takeaways include the value of challenging oneself to grow, the significance of second chances, and the power of building a trusted support system.   From embracing discomfort, to cultivating belief in others and finding small ways to show kindness, the episode encourages EMS professionals to lead with both heart and purpose.  ABOUT THE SPONSOR  Whether replacing radio reports, alerting specialty teams, or managing mass casualty incidents, Pulsara simplifies communication. Pulsara scales to meet your dynamic communication needs. From routine patient alerts to managing large-scale emergencies, every responder and clinician connects seamlessly. Familiar yet powerful, Pulsara streamlines your response, from routine transfers to regional disasters. One tool. Every day. Regardless of event. Discover more at Pulsara.com.  RATE & REVIEW  Enjoying the show? Email theshow@ems1.com to share ideas, suggestions and feedback, or let us know if you'd like to join us as a guest. 

This year, EMS brought more than its fair share of jaw-dropping moments, and as we wrap up 2024, we're revisiting five of the craziest stories that made headlines. From a massive chemical plant fire in Texas prompting a shelter-in-place order, to a sand hole tragedy on a Florida beach, these events highlight the unpredictability of EMS work. Ever had a crash victim ejected so far from their vehicle, they landed on a roof? That's exactly what happened in Michigan. Or a tractor-trailer cab dangling precariously off a bridge? Louisville firefighters made a daring rescue of a semi-driver in just such a predicament. And let's not forget the aquarium at a Texas hospital that literally cushioned the blow of a car crashing into the ER. Turns out, those tropical fish weren't just for decoration after all. These stories remind us that no call is ever routine, and the unpredictable nature of EMS keeps us on our toes. It's also a good reminder to revisit training and be ready for the “what-ifs,” from trench rescues to chemical response protocols. Quotables “In public safety, everybody's an expert about someone else's call.” “If you work a wreck after midnight and don't find a drunk, keep looking — someone is missing.” “The body can take a crazy amount of trauma and still survive.” “All I can think is some hospital administrator somewhere is saying, ‘See? That aquarium was worth it.'” “Dark humor isn't always the best coping mechanism, but it's how we survive the job.” Top 5 craziest EMS calls of 2024 Aquarium likely saved lives when car crashed into Texas ED 2 dead, dozens injured in hazmat leak at Texas refinery 911 calls from fatal Fla. sand hole collapse released Ejected in fiery crash, Mich. driver lands on roof of house Dash cam video shows Ky. truck left hanging off bridge after crash Enjoying the show? Email the Inside EMS team at theshow@ems1.com to share ideas, suggestions and feedback, or let us know if you'd like to join us as a guest. ABOUT THE SPONSOR Whether replacing radio reports, alerting specialty teams, or managing mass casualty incidents, Pulsara simplifies communication. Pulsara scales to meet your dynamic communication needs. From routine patient alerts to managing large-scale emergencies, every responder and clinician connects seamlessly. Familiar yet powerful, Pulsara streamlines your response, from routine transfers to regional disasters. One tool. Every day. Regardless of event. Discover more at Pulsara.com.

EMS pay and retention – or the lack thereof – is at the heart of this week's episode of Inside EMS. Hosts Chris Cebollero and Kelly Grayson tackle a news item out of Dougherty County, Georgia, where a recent exodus of EMS professionals spurred long-overdue pay raises and bonuses. The discussion then shifts to Pickens County, Alabama, where a lack of funding led to a total EMS shutdown. Chris and Kelly explore how underfunded systems collapse under the weight of low reimbursement rates, poor public understanding of EMS costs, and systemic inaction until tragedy strikes. Through real-world examples, the hosts unpack why it's essential to “vote with your feet” as an EMS professional and how agencies can keep talent by either paying well or fostering loyalty – though they can't afford to fail at both. If you've ever wondered why EMS seems stuck in a financial rut, this episode offers insights that hit close to home. ABOUT THE SPONSOR Whether replacing radio reports, alerting specialty teams, or managing mass casualty incidents, Pulsara simplifies communication. Pulsara scales to meet your dynamic communication needs. From routine patient alerts to managing large-scale emergencies, every responder and clinician connects seamlessly. Familiar yet powerful, Pulsara streamlines your response, from routine transfers to regional disasters. One tool. Every day. Regardless of event. Discover more at Pulsara.com. RATE & REVIEW Enjoying the show? Contact the Inside EMS team at theshow@ems1.com to share ideas, suggestions and feedback, or let us know if you'd like to join us as a guest.

In this week's episode of the Inside EMS podcast, cohosts Chris Cebollero and Kelly Grayson dive into a vital topic: the culture of accountability in EMS. Sparked by FireRescue1's Chief Marc Bashoor's thought-provoking article, "Where is our culture of accountability?", the hosts explore why change is so difficult to embrace, how leadership impacts culture and what steps agencies can take to help foster accountability across an organization. From managing expectations to addressing fairness in discipline, our cohosts discuss the challenges of enforcing standards and avoiding the normalization of deviance. Whether it's implementing safety protocols or shifting organizational norms, this episode unpacks how leaders and teams can work together to inspire meaningful change. Quotable takeaways “The only one who likes change is a wet baby.” — Kelly Grayson “If you don't correct something, that thing becomes the new standard.” — Kelly Grayson “Vision is where we're going; strategy is how we're going to get there and culture is the behavior of the organization in reaching the vision.” — Chris Cebollero “Turnover isn't the end of the world.” — Kelly Grayson ----more---- ABOUT THE SPONSOR Whether replacing radio reports, alerting specialty teams or managing mass casualty incidents, Pulsara simplifies communication. Pulsara scales to meet your dynamic communication needs. From routine patient alerts to managing large-scale emergencies, every responder and clinician connects seamlessly. Familiar yet powerful, Pulsara streamlines your response, from routine transfers to regional disasters. One tool. Every day. Regardless of event. Discover more at Pulsara.com. RATE & REVIEW Enjoying the show? Contact the Inside EMS team at theshow@ems1.com to share ideas, suggestions and feedback, or let us know if you'd like to join us as a guest.

EMS agencies are facing mounting challenges, from staffing shortages and rising operational costs to increasingly complex compliance requirements. However, advanced data systems and integrated technology offer solutions to these persistent issues.   In this episode of Inside EMS, Clinical and Business Consultants Jason Bartholomai and Chuck Sweeney of ZOLL Data Systems discuss how robust EPCR systems and streamlined workflows can reduce inefficiencies, improve patient care and ease the burden on EMS teams.   Here are top takeaways leaders can learn from this episode about overcoming today's EMS challenges. 1. Staffing shortages: Doing more with less Use technology to reduce workload inefficiencies and support field personnel.   Staffing shortages are a top concern for EMS leaders nationwide. Long shifts, redundant documentation and poor integration between field and dispatch operations exacerbate the stress on paramedics. EPCR systems can alleviate some of these pressures by: Streamlining documentation with intuitive workflows that reduce time spent on reports Improving coordination between field crews, dispatchers and billing teams through integrated software solutions Enhancing employee satisfaction by minimizing administrative burdens and allowing more focus on patient care and recovery time By implementing systems that improve efficiency, EMS agencies can help retain personnel and maximize the output of limited resources. 2. Compliance made simpler: Staying ahead of standards Holistic software ecosystems can simplify compliance and improve data accuracy.   Compliance with NEMSIS standards and other reporting requirements is growing increasingly complex. Leaders must ensure that their systems capture accurate data to meet clinical, operational and legal standards to: Prevent incomplete reports from moving forward Highlight missing critical fields, such as patient signatures or demographic data, which can stall reimbursement Provide real-time feedback for quality improvement (QA/QI) Integrating compliance directly into workflows ensures fewer errors and smoother billing cycles, saving agencies time and resources. 3. Faster reimbursement through smarter workflows Improving cash flow starts with high-quality data entry at the source.   EMS leaders often overlook how documentation practices impact financial performance. Efficient EPCR systems improve clean claim rates by: Guiding paramedics to include all required information during documentation Automating processes like importing EKG results and demographic data Flagging incomplete or incorrect entries before claims are submitted By speeding up documentation and addressing gaps early, EMS agencies can ensure faster reimbursements and predictable cash flow. 4. Breaking down silos: Building an integrated ecosystem Aligning workflows across departments enhances efficiency and collaboration.   EMS operations are not limited to field crews. Dispatchers, billers and managers play critical roles in delivering care and sustaining operations. Integrated systems ensure that: Dispatchers, paramedics and billers share a unified platform, fostering communication and reducing friction Teams are trained holistically to understand each other's roles and responsibilities Operational, clinical and financial data flow seamlessly across departments Such alignment reduces redundancies, boosts productivity and allows agencies to operate more effectively under tight constraints. 5. Preparing for legal challenges with better documentation Accurate, detailed reports protect EMS providers in legal scenarios.   In EMS, thorough documentation is not just a requirement – it's a safeguard against legal liability. EPCR systems help paramedics document essential details clearly and accurately, reducing the risk of errors that could be exploited in court. Training crews to use these tools effectively ensures that charts provide a source of truth in any legal or compliance review. Final thoughts Jason Bartholomew summed it up best: “Doing something is better than doing nothing.” EMS agencies should start small, focusing on one area for improvement, such as data validation or staff training, before expanding into comprehensive ecosystem integration. Chuck Sweeney emphasized the importance of buy-in from all levels, noting that shared understanding and collaboration across departments are critical to long-term success.   By adopting robust technology and fostering teamwork, EMS leaders can tackle the headaches of staffing shortages, compliance demands, and financial uncertainty – all while improving the quality of patient care.   EMS1 is using generative AI to create some content that is edited and fact-checked by our editors. About the sponsor ZOLL Data Systems' cloud-based solution suite of EMS and Fire solutions covers the scope of your operations, from dispatch to patient care, to incident and operational reporting, to billing. Learn how ZOLL software can help improve clinical, operational and financial performance of your organization at zolldata.com. Rate & Review the Inside EMS Podcast Catch a new episode of the Inside EMS podcast every Friday on Apple Podcasts, SoundCloud, Amazon Music, Stitcher, Spotify, and RSS feed.   Enjoying the show? Please take a moment to rate and review us on Apple Podcasts. Contact the Inside EMS team at theshow@ems1.com to share ideas, suggestions and feedback, or let us know if you'd like to join us as a guest.

This week, Chris Cebollero and Kelly Grayson host a virtual book club as they count down the top 10 essential texts that paramedics should have on their shelves – a mix of useful references, anatomy and physiology deep dives, and heartfelt memoirs that capture the essence of EMS work. From learning resources, to comic relief, there's something for everyone in this list. Did our cohosts exclude a favorite EMS-focused book? Send your suggestions to editor@ems1.com for inclusion in a future article. Memorable quotes “I think that a good paramedic is someone who is proficient in their knowledge and their skills, and keeps up to date. That's a good paramedic. A great paramedic adds empathy and compassion to that list. And that's what differentiates the confident ones from the great ones.” — Kelly Grayson “The central message is that Teddy Roosevelt quote: ‘People don't care how much you know, until they know how much you care.'” — Kelly Grayson ABOUT THE SPONSOR Whether replacing radio reports, alerting specialty teams, or managing mass casualty incidents, Pulsara simplifies communication. Pulsara scales to meet your dynamic communication needs. From routine patient alerts to managing large-scale emergencies, every responder and clinician connects seamlessly. Familiar yet powerful, Pulsara streamlines your response, from routine transfers to regional disasters. One tool. Every day. Regardless of event. Discover more at Pulsara.com. RATE & REVIEW Catch a new episode of the Inside EMS podcast every Friday on Apple Podcasts, SoundCloud, Amazon Music, Stitcher, Spotify, and RSS feed. Enjoying the show? Contact the Inside EMS team at theshow@ems1.com to share ideas, suggestions and feedback, or let us know if you'd like to join us as a guest.

How old are you in EMS years? Are you using clinical skills that should be put out to pasture? Listen as cohosts Chris Cebollero and Kelly Grayson debate the effectiveness of “retired” EMS skills, like nasal and digital intubation, and whether the value of those skills has held up over time. Memorable quotes “If you're not proficient with all the tools in your box, what does that say about your training?” “I take a lot of pride in having a deep bag of tricks to pull from. And I can't count the number of times that some obscure piece of knowledge, or an assessment or treatment technique worked for me in the field when everyone else had given up or not even considered it.” ----more---- ABOUT THE SPONSOR Whether replacing radio reports, alerting specialty teams, or managing mass casualty incidents, Pulsara simplifies communication. Pulsara scales to meet your dynamic communication needs. From routine patient alerts to managing large-scale emergencies, every responder and clinician connects seamlessly. Familiar yet powerful, Pulsara streamlines your response, from routine transfers to regional disasters. One tool. Every day. Regardless of event. Discover more at Pulsara.com. ENJOYING THE SHOW? Contact the Inside EMS team at theshow@ems1.com to share ideas, suggestions and feedback, or let us know if you'd like to join us as a guest.

Last week, Inside EMS cohosts Chris Cebollero and Kelly Grayson laid out the top 10 indications of a bad EMS supervisor (Did you miss it? Catch it here!). This week they're tackling the top signs of a bad employee, such as poor attendance, lack of initiative and a bad attitude – that's not you, right? Listen as our duo reflects on each characteristic and where they have seen (or exhibited!) those traits in their career. Memorable quotes "If you're emotionally intelligent and honest with yourself, you probably see yourself in some of these things."   "It's not over until the paperwork – or the ambulance – is ready for the next day."   "Being disengaged shows up in things you don't think matter, like documentation and keeping the ambulance stocked."  ABOUT THE SPONSOR Whether replacing radio reports, alerting specialty teams, or managing mass casualty incidents, Pulsara simplifies communication. Pulsara scales to meet your dynamic communication needs. From routine patient alerts to managing large-scale emergencies, every responder and clinician connects seamlessly. Familiar yet powerful, Pulsara streamlines your response, from routine transfers to regional disasters. One tool. Every day. Regardless of event. Discover more at Pulsara.com. RATE & REVIEW Enjoying the show? Send an email to the Inside EMS team at theshow@ems1.com to share ideas, suggestions and feedback, or let us know if you'd like to join us as a guest.

The What Paramedics Want in 2024 report, produced by EMS1 and Fitch & Associates, found respondents to the 2024 EMS Trend Survey ranked leadership No. 4 in the critical issues facing EMS today (behind only retention, funding & reimbursement, and career development). In this episode of Inside EMS, cohosts Chris Cebollero and Kelly Grayson expose the unpleasant side of EMS leadership by naming the top 10 signs of a bad manager. From communication breakdowns to micromanagement nightmares, they explore what makes some managers, well … not so great, while dishing out hard truths about inconsistent leadership, the dangers of favoritism, and the importance of empathy. Want to know if your manager is part of the problem – or if you're on your way to becoming one? Check it out! TOP QUOTES "Communication is the language of leadership." “When you show no concern for the employees, for their interests, you have a breeding ground for developing a toxic work environment.” “The true measurement of workforce success is how engaged, satisfied and productive the workforce is – nothing else matters.” “You need to care about these people and love them a little bit, as well.” ABOUT THE SPONSOR Whether replacing radio reports, alerting specialty teams, or managing mass casualty incidents, Pulsara simplifies communication. Pulsara scales to meet your dynamic communication needs. From routine patient alerts to managing large-scale emergencies, every responder and clinician connects seamlessly. Familiar yet powerful, Pulsara streamlines your response, from routine transfers to regional disasters. One tool. Every day. Regardless of event. Discover more at Pulsara.com. REACH OUT Enjoying the show? Please contact the Inside EMS team at theshow@ems1.com to share ideas, suggestions and feedback, or let us know if you'd like to join us as a guest.

Welcome to this special crossover edition of EMS One Stop and Inside EMS, recorded live at the EMS World Expo 2024 in Las Vegas. Hosted by Rob Lawrence and Chris Cebollero, this episode features insightful discussions with Dr. Ray Barashansky and Tracy Loscar, EMS Deputy Director at Matanuska-Susitna (MatSu) Borough Department of Emergency Services, Alaska. The episode covers key themes such as leadership development, emotional intelligence in EMS, and the importance of mentorship programs like "Stand and Deliver," aimed at cultivating the next generation of EMS speakers. Memorable quotes “The next generation of EMS leaders is here, and it's our responsibility to pass the torch with the lessons we've learned." — Rob Lawrence “We need to stop staying siloed. Growth happens when we learn from each other's experiences and different perspectives.” — Chris Cebollero “Designating EMS as an essential service is critical, but without form, function, and funding, it's just words on a page.” — Dr. Ray Barashansky “Stand and Deliver is about giving everyone a chance to step up, present their ideas, and get real-time feedback from experienced national speakers." — Tracy Loscar Highlights Leadership Transition in EMS. The influx of new attendees at the Expo reflects the need to develop the next generation of EMS leaders. Rob and Chris highlight the importance of passing the torch to younger EMS professionals. Emotional intelligence in EMS. Dr. Ray Barashansky emphasizes how emotional intelligence impacts supervisors and leaders in EMS. He discusses his presentation on this topic, sharing insights on how emotional intelligence can shape better leaders. Stand and Deliver Program. Tracy Loscar introduces the "Stand and Deliver" initiative, a program that identifies and mentors emerging EMS speakers, offering real-time feedback from national experts. EMS as an essential service. Dr. Barashansky discusses his recent editorial about EMS being recognized as an essential service and the need for formal structure, funding and legislative support to ensure its sustainability. Mentorship and learning from each other. The hosts and guests stress the importance of learning from one another, breaking silos within EMS, and continuously evolving as professionals through shared experiences. ABOUT THE SPONSOR Whether replacing radio reports, alerting specialty teams, or managing mass casualty incidents, Pulsara simplifies communication. Pulsara scales to meet your dynamic communication needs. From routine patient alerts to managing large-scale emergencies, every responder and clinician connects seamlessly. Familiar yet powerful, Pulsara streamlines your response, from routine transfers to regional disasters. One tool. Every day. Regardless of event. Discover more at Pulsara.com.

This episode of the Inside EMS Podcast is sponsored by Verizon Frontline, the advanced network and technology for first responders. To learn more, visit verizon.com/frontline. The 2024 anniversary of 9/11 marks 23 years since the tragic events that forever altered the course of history and the landscape of public safety. As we move further from that fateful day, the significance of remembering and learning from 9/11 grows even more critical. For many, especially younger generations, 9/11 is transitioning from a lived experience to a historical event, making it essential for public safety professionals to ensure that the lessons identified are not only remembered, but actively applied in today's ever-evolving emergency response environment. In this special crossover episode of the Policing Matters, Better Every Shift and Inside EMS podcasts, Co-hosts Jim Dudley, Aaron Zamzow and Rob Lawrence highlight the importance of remembering 9/11 not just as a historical event but as a continuing influence on how public safety agencies operate today.

This week on Inside EMS, our cohosts discuss a recent study out of UC Davis Health that highlights the benefits of using naloxone in opioid-associated out-of-hospital cardiac arrest response. Chris and Kelly discuss the results and debate how this knowledge could impact OHCA protocols. Top quotes “If you look at the … survival of hospital discharge, the number needed to treat was 26. So 1 in 26 patients you would do this to has a chance of surviving the hospital discharge. That's pretty compelling. It's going to change my practice.” — Kelly Grayson “It's obviously needed information considering how bad the opioid overdose epidemic is in the United States. The numbers are compelling – the fact that this affects so many of our out-of-hospital cardiac arrests and that this actually shows pretty strong evidence of improved outcome.” — Kelly Grayson “We think about over the past 20 years, and now with fentanyl being part of that process, we're starting to see a lot more [drug-related cardiac arrests] and there's an urgent need for this evidence that allows us to now figure out if Narcan can make a difference in OHCAs.” — Chris Cebollero This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com.

This week on the Inside EMS podcast, our hosts delve into a heated discussion on the topic of time requirements and response times in EMS – are they necessary or a nuisance? Listen and watch as Kelly Grayson and Chris Cebollero go back and forth on the history, the reliance and the continued use of response times as a standard metric in EMS.   Top quotes "We are in a mess and a corner we painted ourselves into with response time standards." – Kelly Grayson "The dislike of response times really has to be respectful of how the response times came about. We were trying to develop a system and show that we can make a difference." – Chris Cebollero "We created this expectation and no one is going to change this expectation if not us." – Kelly Grayson This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com.

In this episode of the Inside EMS podcast, host Chris Cebollero walks cohost Kelly Grayson through his recent emergency trip to Italy after his sister experienced a major medical crisis while on vacation in the country. He talks through his shock at certain protocols that would never be found in the U.S., leading to a discussion about necessary care vs. defensive medicine and how that dichotomy is stark between the two countries. Top quotes “The quality of care or the TLC, if we call it, is significantly less than what we're used to over here. There were a couple of days when my sister was laying on a bed with no sheets. There were a couple of days where she was naked and I asked about getting her a gown or something.” — Chris Cebollero "[The U.S. healthcare system] will enthusiastically commit to what other countries would consider futile care.” — Kelly Grayson “How much stuff do we do in the United States because of defensive medicine and the differences in our legal and our court system than everybody else?” — Kelly Grayson This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com.

“Marijuana use is becoming part of a societal norm.” Our cohosts tackle one of the more contentious topics in the industry, as Chris Cebollero and Kelly Grayson debate the logistics and implications of allowing EMS providers to consume marijuana in their off-duty time. The use of federal money by most agencies in the country makes this a difficult task. Listen as the discussion tackles the debate from all sides.  Top quotes “We don't require that people not be impaired from alcohol while off duty.” “There's no test for impairment. For alcohol use, the test is literally about reaction time and fine motor skills. It's literally a test to see if you can operate heavy machinery. And there is no such thing for marijuana use.” “I think it's time we started to look at this realistically rather than this condemnation of marijuana as the devil's lettuce.” This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com.

“You need to set the standard; the standard starts and ends with you.” On this week's episode of Inside EMS, our cohosts discuss how industry leaders can motivate frontline personnel to become the best clinical version of themselves. Chris and Kelly also preview their upcoming presentations at the Star Life Rural EMS conference, touching on topics ranging from airway management to personal development and leadership in EMS. Top quotes “The true measurement of leadership success is how engaged, satisfied and productive the workforce is.” — Chris Cebollero “When we focus on the workforce as being the most important component to the success of the organization; when the workforce grows, the organization grows.” — Chris Cebollero “Your vision statement is the most important document inside your organization, and it amazes me when leaders in the organization don't know their own vision statement.” — Chris Cebollero This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com.

“All of EMS is volunteerism.” This week, host Chris Cebollero is joined by industry advocate and EMS1 columnist Nancy Magee to discuss the current state of volunteerism in the profession. The conversation explores how leaders can balance the demands placed on volunteers with proper recognition, support and understanding, while also being responsive to the community's needs. Top quotes from the episode “Volunteering is its own reward. It really can help you in your head space, but you don't get that until you try it.”  “People have to know that what they do made a difference. You're important to the agency. We need you and what you do every day, whether it's putting a little old lady back in her bed or recognizing that she's decompensating and not that she dropped the remote this time.” “It has to be understood by the community that EMS costs money. And you're getting a great bang for your buck if you have competent, local, readily available volunteers.” This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com.

This week, our Inside EMS cohosts discuss the rise in popularity of semiglutide drugs – like Ozempic – used for weight loss. Chris and Kelly discuss what providers should know about the use of these drugs, for their personal use and how complications may present in patients. Top quotes "If you're using semiglutide drugs purely as your only means of weight loss, you're going to rebound."  “You eat at odd hours, you eat at odd intervals. You eat something nuked in a microwave at a 7/11. Those are horrific eating habits, and it teaches your body to just hoard calories and food, and you wind up gaining weight that way. There's a lot of fat people in EMS, myself included, that are proof of that.”  "A lot of drugs out there came on the market for something and now we're using it for something else."  This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com.

“We've got to be on top of our game when it comes to clinical dosing of medications, from oxygen to ketamine.” This week, Inside EMS cohosts Chris Cebollero and Kelly Grayson dive into an article by Joshua Davies on the use of chemical restraints in the field. They discuss the pros and cons of different medications, including a lively discussion on the use of versed and why ketamine is a good drug … when dosed and used properly. Top quotes "You should have a fairly extensive formulary of antipsychotic and sedative agents available to you." "We need to stop worrying about what we're seeing in the news and train our providers." "We really have to be able to give our medical director confidence that whatever is in the protocol and whatever they want to give us in the protocol, we have the competency to do that work and do that skill." This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com.

“If you're the smartest one in the room, you're in the wrong room.” Education is the word of the day on this episode of Inside EMS, as cohosts Chris Cebollero and Kelly Grayson dissect the impact of higher learning on providers' career longevity and advancement. Plus we dig into all this: Starter EMS agencies. “Some agencies might just have to be the minor leagues, the starter programs and the feeders to the real EMS agencies." Prioritizing your professional growth. “We're in charge of the career ladder. I shouldn't have to worry about my organization putting something in place for me to grow. They don't owe that to me. It's my job to market myself and create the opportunity." Big picture impact of higher education. “When people say, ‘I don't need an education to be a paramedic,' they don't know what they don't know. It's not until you get a little older and a little wiser that you realize the value of that education." This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com.

“Even after all these years of being in EMS, I still want to learn.” Flying solo this week, Chris Cebollero takes a note from EMS1 columnist Tim Nowak, walking listeners through his “11 keys to success for the rookie EMT.” Though directed at new EMTs, Cebollero makes the point that Nowak's list of advice is really poignant for anyone at any point in their EMS career.   Listen to learn:  The role ego plays on scene … and how to move past it  How to test your quick-thinking reflexes and level-up  The slow creep of complacency and how to avoid it  Top quotes  "When someone needs you and needs your ability and needs your knowledge and needs your skill, you don't need to be looking for the OB kit."  "Never settle for the minimum, whether it's the standard of patient care, compassion, continuing education hours."  “You are going to make mistakes. You need to learn from your mistakes. You need to make sure that you don't do those mistakes again.”  This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. 

“When your communication is intuitive … that's what makes EMS an art for me.” This week, our cohosts discuss what makes a good EMT partner and a supportive paramedic mentor. The discussion was inspired by EMT-B Clay Gilman's recent EMS1 poem submission, “To my medic, from your EMT.” The conversation also touches on: The use of BLS intercepts in place of paramedic intercepts  How empowering EMTs can provide staffing relief  Why EMTs should be taught to think above all else  This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com.

This week on Inside EMS, MedStar's Matt Zavadsky joins the show for the 10th time as a guest host to discuss potential changes to how the organization operates in the City of Fort Worth … as well as a change to Zavadsky's personal career path. The pair also discuss: The four options on the table for transforming MedStar What a MedStar change means for the 13 surrounding cities it serves How the economics of EMS have changed since the pandemic This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com.

“We wanted to build something to solve the problem and help the paramedic, not hinder them.” Clive Savacool, CEO and founder of LogRx, joins the podcast this week to discuss preventing drug diversion/theft. Host Christ Cebollero and Savacool discuss: Who sets the tone for compliance accountability in an EMS organization The practice of gatekeeping narcotics from “drug seekers” Modernizing documentation practices to increase accuracy The LogRx smartphone platform and solution for tracking narcotics and other drugs This episode of the Inside EMS Podcast is sponsored by LogRx. Learn a better way to track your narcotics at LogRx.com.

Inside EMS cohosts Chris Cebollero and Kelly Grayson delve into a legal case out of New Jersey in this week's episode, in which law enforcement officers and EMS providers were recently charged with the in-custody, in-ambulance death of a patient under the influence of bath salts. The discussion also discusses a similar incident out of Colorado in which two paramedics and a police officer were convicted in the 2019 death of Elijah McClain after he was injected with ketamine. Chris and Kelly share vulnerable moments from their careers when they regret not advocating for their patient in the face of law enforcement actions, plus we dig into all this: The growing legal scrutiny of EMS practices How to use de-escalation techniques to mitigate contentious situations with law enforcement partners The ethical responsibilities of EMS providers This episode of the Inside EMS Podcast is sponsored by LogRx. Learn a better way to track your narcotics at LogRx.com.

“Sometimes we made decisions and wound up getting corrective action where maybe a culture of coaching would have taught me to grow.” Kelly Grayson puts the spotlight on fellow cohost Chris Cebollero this week as the pair discuss whether progressive discipline still has a place in EMS or if a move to a culture of coaching, as written about extensively by Chris, would have a more positive impact on retention rates, turnover, burnout and overall career satisfaction. Top quotes “Experience comes from mistakes and mistakes come from lack of experience.” – Chris Cebollero "I've gotten enough progressive discipline, enough paper that I can wallpaper a small closet." – Chris Cebollero “This isn't about me wanting to fire you. This is about me wanting to make you the very best that you can be.” – Chris Cebollero This episode of the Inside EMS Podcast is sponsored by LogRx. Learn a better way to track your narcotics at LogRx.com.

“Sometimes we make a decision, and it snowballs.” Our cohosts get vulnerable on this episode of the Inside EMS podcast, sharing times in their career when they suffered from cascade bias – using incorrect supplied or assumed information, which led to mistakes that compounded to the detriment of the patient. Have you experienced this in your career? Plus, we dig into all this: How to enhance your decision-making skills during times of uncertainty Which U.S. Air Force acronym can help with bias reassessment How experience can work against providers when it comes to bias This episode of the Inside EMS Podcast is sponsored by LogRx. Learn a better way to track your narcotics at LogRx.com.

This week our cohosts are talking about everyone's favorite activity: public speaking. While you may not love talking to a crowd, knowing how to effectively deliver a presentation is not just for leaders. Providers at all levels should know how to communicate on a complex topic to a group of people. And who knows more about expounding on complex EMS topics than Chris Cebollero and Kelly Grayson? The pair highlight their extensive experience as educators and industry speakers, discussing: The key components of effective public speaking How to make presentations more dynamic Why you should be intimately familiar with your material Tips and tricks for new public speakers This episode of the Inside EMS Podcast is sponsored by LogRx. Learn a better way to track your narcotics at LogRx.com.

In this week's episode of the Inside EMS podcast, host Chris Cebollero and guest host Rob Lawrence delve into the dynamics of EMS leadership, legislative challenges and the pursuit of better reimbursement practices for EMS services. The conversation also digs into EMS on the Hill Day and how providers can impact legislation through advocacy. Memorable quotes "We say, 'When is someone going to do something?' And really, the charge is, 'When is everyone going to step up and do something?'" — Chris Cebollero "We have to battle hard to increase our reimbursement, which therefore equates to income, which therefore equates to wages. It's not a case about we all want to go home in a Rolls-Royce.” — Rob Lawrence "To get things done in EMS, we actually have to be good at convincing our locally elected officials." — Rob Lawrence "The power of the folk out there, when they put their uniform on, when they get in front of these elected officials, is absolute." — Rob Lawrence This episode of the Inside EMS Podcast is sponsored by LogRx. Learn a better way to track your narcotics at LogRx.com.

Chris Cebollero is flying solo on this episode of Inside EMS as he details the impact of authenticity and integrity in EMS. Through anecdotes and insights, he illustrates how credibility influences leadership effectiveness, team trust and the reputation of the EMS profession. Memorable quotes “EMS is a very egotistical business; it's the egotism that keeps us from asking ‘why?'” “Experiences come from mistakes and mistakes come from a lack of experience.” “Never allow your emotions to dictate your actions.” About the sponsor This episode of the Inside EMS Podcast is sponsored by LogRx. Learn a better way to track your narcotics at LogRx.com.

In this week's episode of Inside EMS, cohosts Chris Cebollero and Kelly Grayson delve into situational awareness, and the complexities and challenges faced every day by EMS professionals. The discussion emphasizes the importance of staying alert and prepared in emergency situations, following Cooper's Colors – a model illustrating different states of awareness from "tuned out" to "comatose." This week's conversation touches on:   The significance of situational awareness in EMS and how it can be the difference between life and death in emergency scenarios. Strategies for maintaining and improving situational awareness on the job, including practical applications of Cooper's Colors and mental preparation techniques. The psychological and emotional challenges of EMS work, offering insights into how EMS professionals navigate stress, uncertainty and the complexities of emergency response. Memorable quotes "I think that paramedics are great at ensuring the scene is safe. I think paramedics and EMTs are poor once we say the scene is safe ... we forget about what's going on." — Chris Cebollero "'Safe scenes' are what get EMTs killed because we don't go into unsafe scenes. It's the scene that we initially deemed safe that gets you killed because you don't see it coming." — Kelly Grayson About the sponsor This episode of the Inside EMS Podcast is sponsored by LogRx. Learn a better way to track your narcotics at LogRx.com. EMS1 uses generative AI to create some content that is edited and fact-checked by our editors.

The latest episode of the Inside EMS podcast features a conversation with Mic Gunderson, president of the EMS Quality Academy and editor-in-chief of the International Journal of Paramedicine. The discussion offers insights into the evolution of EMS publications and the importance of quality and research in advancing the field. Memorable quotes "The people that most need to read current EMS research are the people most or least likely to read it." — Kelly Grayson “It isn't really the people that were sitting in the cubicle with the red pen, marking up, you know, paper charts you know, and playing quality cop in the corner that were going to change process and system design and fundamentally improve the quality of what we do. It's really about the whole way the organization is managed.” — Mic Gunderson Key takeaways The evolution of EMS publications. Gunderson detailed the journey from the inception of the National EMS Management Association (NEMSMA) to the creation of the International Journal of Paramedicine. Highlighting the shift from a quality manager's focus to a broader management perspective, the conversation underscored the journal's role in elevating EMS discussions through scholarly discourse. A platform for diverse discourse. The International Journal of Paramedicine aims to expand beyond clinical topics to include operations, administration and science, offering a wide lens on EMS practices. The challenge of engaging the frontline. A significant portion of the discussion revolved around engaging EMS practitioners in research and quality improvement. The podcast highlighted the need for accessible and relevant research to inform practice and encourage progressive changes in prehospital care. Community and collaboration. The podcast underscored the importance of community involvement in advancing EMS research and quality. Gunderson's call for volunteers and contributors to the journal reflects a commitment to inclusivity and collaboration within the EMS field. The episode serves as a reminder of the vital role of research, quality improvement and community collaboration in advancing EMS practices. About the sponsor This episode of the Inside EMS Podcast is sponsored by LogRx. Learn a better way to track your narcotics at LogRx.com. EMS1 is using generative AI to create some content that is edited and fact-checked by our editors.

In this episode of the Inside EMS Podcast, cohosts Chris Cebollero and Kelly Grayson discuss Orange County, Florida's adoption of live stream technology for 911 calls, a move that promises to enhance the quality of emergency response through better triage and patient care. This episode of Inside EMS Podcast exemplifies the ongoing evolution of emergency medical services, marked by technological innovation, educational advancements, and the importance of leadership and community engagement in shaping the future of EMS. Learn more: Fla. county launches livestream option for 911 calls Cebollero and Grayson discussed how integrating video technology into 911 dispatch can improve EMS response in the following ways: Enhanced triage accuracy. Live streaming allows dispatchers to visually assess the situation, leading to more accurate triage and resource allocation. This visual context can be crucial in determining the urgency and nature of the response needed. By providing dispatchers with a live visual feed, EMS teams can be better prepared upon arrival, knowing what to expect and potentially improving patient outcomes. Supporting scene safety. Live streaming video in 911 dispatch can significantly improve scene safety for emergency medical personnel by providing real-time visuals of the incident site before their arrival. This advanced insight allows paramedics and EMTs to assess potential hazards, understand the severity of the situation, and prepare appropriate safety measures in advance. This technology empowers responders with crucial information, enabling them to make informed decisions about their approach and ensuring they can protect themselves effectively while delivering critical care. Improved dispatcher-patient interaction: The ability to see the caller and the scene in real-time enhances communication between dispatchers and those in need, fostering a more empathetic and effective exchange of information. Efficiency in emergency response. Visual cues obtained through live streaming can help in quickly identifying the nature of the emergency, potentially reducing response times and increasing the chances of a positive outcome. Enhanced training opportunities. Recorded live streams can serve as valuable training tools, offering real-life scenarios for emergency responders and dispatchers to learn from and improve their skills. Cross-agency collaboration. The integration of live streaming technology encourages collaboration between EMS, fire departments, police and other emergency services, enabling a more coordinated response to incidents. While enthusiastic about the potential of new technologies, Cebollero and Grayson also discussed the need for caution and the anticipation of unforeseen challenges, particularly concerning the privacy and security of live streamed 911 calls. Also in this episode Innovations in EMS. Chris Cebollero shared his new role with QuickMedic and their innovative approach to utilizing paramedics for urgent care in collaboration with healthcare partners, indicating a shift towards more versatile roles for EMS professionals. He emphasized the importance of leadership and vision in developing effective teams across multiple states. Education and training. Kelly Grayson shared experiences from teaching a new accelerated paramedic program, stressing the importance of rigorous standards and personalized feedback to ensure student success, highlighting the evolving educational methodologies in EMS training. About the sponsor This episode of the Inside EMS Podcast is sponsored by LogRx. Learn a better way to track your narcotics at LogRx.com. EMS1 is using generative AI to create some content that is edited and fact-checked by our editors.