Inside EMS

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Description

Keeping you on the pulse of what’s happening inside the EMS community. Catch up with Chris Cebollero and Kelly Grayson weekly as they discuss EMS life through good-natured banter and expert perspectives. Their vehicle for delivering the news and know how is that of two medics sitting on the truck between calls. Their mission is to make all listeners, EMS insiders.

Episode Date
Ketamine as an anxiety, depression medication?
22:00

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, cohosts Chris Cebollero and Kelly Grayson discuss the drug Ketamine and its use in EMS. Providers may utilize the drug to assist with many different conditions they encounter in the field. The discussion references a recent article regarding ketamine's possible use in treating anxiety and depression, and the conversation turns to other drugs that are being used to treat similar maladies, such as MDMA, which has been touted as helpful when treating terminal patients.

Additional resources for ketamine use in EMS:

6 ways to avoid ketamine pitfalls

Article Bites: Pain management options

Understanding prehospital ketamine: Dosing to drawbacks

Excited delirium: The Long Beach integrated medical response

Vodcast: Patient with delirium and agitated behavior

Sep 23, 2022
‘Never forget’: meaning, purpose and emphasis
33:53

This episode of the Inside EMS podcast is sponsored by Verizon Frontline, the advanced network and technology for first responders on the front lines. Learn more at verizon.com/frontline.

In this special crossover episode, public safety leaders come together to reflect on the 21st anniversary of the Sept. 11, 2001 attacks and the legacy of 9/11 in the emergency services.

Inside EMS host Chris Cebollero is joined by Policing Matters host Jim Dudley, deputy chief (ret.), of the San Francisco Police Department; and Gary Ludwig, of the Champaign (Illinois) Fire Department, the 2022 IAFC Career Fire Chief of the Year.

Together, they discuss how first responders have continued to move forward for over 20 years now and honor those who made the ultimate sacrifice on 9/11 as recruits enter public safety who were not even born yet at the time.

The focus is on honoring those who made the ultimate sacrifice and lived up to their oath to help others in their time of need, the legacy of lessons learned about responding in a hazardous situation, ongoing vigilance against threats and why “never forget” should not be a cavalier statement, but one made with meaning, purpose and with emphasis.

Read more recollections, as well as how lessons learned are impacting the way first responders of today train and respond to incidents in our 9/11 coverage, sponsored by Verizon.

Sep 06, 2022
Understanding the science of successful leadership with Lisa Giruzzi and Robbie MacCue
29:26

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, cohosts Chris Cebollero and Kelly Grayson are joined by guests Lisa Giruzzi and Robbie MacCue, founders of the EMS Leadership Academy in New York. The robust conversation emphasizes the most important attributes of a leader, and the group discusses what future EMS leaders should know about the current state of the industry and where it's headed. Giruzzi and MacCue also share the philosophy of the EMS Leadership Academy and discuss the upcoming Fourth Annual EMS Leadership Summit. 

Learn more about the summit here

Sep 02, 2022
Putting education standards front and center
21:29

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.

From monkeypox to state licensure, to certification requirements and funding recruitment programs, it’s been a busy few weeks in EMS news. In this episode of Inside EMS, our cohosts run down the biggest news stories of the day, and what they mean for the future of EMS.

Together, they discuss:

  • Monkeypox. With cases now identified in all 50 states, including a handful of pediatric cases, is it time to be anticipatory in preparing for a monkeypox emergency? Chris and Kelly discuss how transmission method, decontamination practices and COVID fatigue all come into play.
  • State licensure. After the Colorado Department of Public Health and Environment announced that it has established an EMS task force to evaluate medical services, systems and a state licensing system, Chris and Kelly applaud their efforts and encourage others to look to other states for programs and solutions to EMS staffing issues.
  • A state-funded EMT class. Pennsylvania is using state dollars to fund an EMT class for underemployed residents, supported by the Johnstown Fire Department, with training provided by Conemaugh School of Emergency Medical Services Program Director Mike Rodgers. Kelly notes this creative solution will hopefully help to grow the EMS talent pool, but cautions, “we don’t have a paramedic shortage; we have a shortage of paramedics who are willing to work in toxic environments.” As long as the graduates are placed in positive environments, he can’t see a downside. “Hopefully this seed corn that Pennsylvania is developing here isn’t spoiled and is allowed to take root in a positive environment with a good agency and help relieve some of the staffing woes there in Pennsylvania,” he comments.
  • NREMT certification proposal. Finally, our cohosts discuss the EMS story that had everyone up in arms. After a lively comment period, the National Registry rescinded a resolution that would have changed EMS certification eligibility criteria. Kelly noted in his opinion, and according to the majority of comments received, this was a potential step backward for EMS. Our cohosts discuss how the comment period worked exactly as it should, and the National Registry listened to the stakeholders, while also putting education standards front and center.
Aug 26, 2022
TXA in the field: Uses, protocols and why it should be considered for shock, trauma patients
17:04

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, co-hosts Chris Cebollero and Kelly Grayson tackle the topic of TXA, including its uses and how to administer it. In a recent article, "Understanding TXA," columnist Jonathan Lee offers an overview on how TXA is becoming a mainstay in the field and makes a case for it to be considered for shock and trauma patients. Grayson, who carries TXA on his ambulance, shares the protocols for the drug's administration and management. 

Aug 12, 2022
REMSA Health’s Adam Heinz on developing a successful EMS system
23:21

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 week's episode, co-hosts Chris Cebollero and Kelly Grayson are joined by Adam Heinz, executive director of REMSA Health in Reno, Nevada. The trio discusses the future of EMS, how agencies should rethink current systems and the role of EMS providers, and the best ways to recruit and retain new career professionals. Adam also shares the four P's for developing a successful EMS system.

Aug 05, 2022
Dr. Joe Ryan on the ‘silver tsunami’
36:37

This episode of EMS One-Stop 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 edition of EMS One-Stop, recorded at the Pinnacle EMS 2022 leadership conference, Host Rob Lawrence chats with Joe Ryan, MD.

Dr. Ryan is adjunct clinical assistant professor of emergency medicine at Stanford University and is well known as a veteran EMS medical director at some of the most notable EMS operations in the country, past and present, including MAST in Kansas City; City of Pittsburgh EMS; Sun Star in Pinellas County, Florida; Santa Clara County EMS in California; and REMSA in Reno, Nevada. 

Dr. Ryan was at Pinnacle to pay homage to his lifelong friend, Jack Stout, whose life was celebrated at the conference.

In the podcast, Dr. Ryan discusses the origins of high-performance EMS and his involvement with Jack Stout as he set EMS systems up. Additionally, Rob and Dr. Ryan look to the future and discuss the “silver tsunami” in geriatric healthcare.

Aug 05, 2022
Greetings from Pinnacle: Bruce Evans, Rob Lawrence, Chris Cebollero on the future of EMS
29:13

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 crossover edition of EMS One-Stop and Inside EMS, hosts Rob Lawrence and Chris Cebollero report together from Pinnacle EMS 2022 leadership conference and are joined by guest Bruce Evans, president of NAEMT. 

During the discussion, Bruce issues a call-to-action to save ambulance services as we know it, in the face political, reimbursement and recruiting pressures. The crew also discusses their favorite presenters and presentations from the conference, and offer a vivid description of the memorial to the late Jack Stout, considered to be the father of high-performance EMS systems.

 

Jul 29, 2022
Solutions to EMS staffing woes from down under
26:42

This episode of EMS One-Stop With Rob Lawrence 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.

There are more paramedics in Australia than there are paramedic jobs!

In this edition of EMS One-Stop, Host Rob Lawrence speaks with Mick Lazell, Neil Noble, Alan Mountford and Colin Allen of Australia EMS.

They are currently in the U.S., leading a study tour of undergraduate paramedic students from various Australian universities. They discuss the over-production of graduate paramedics in Australia and how they hope that visa, and clinical certification and registration hurdles can be overcome to allow Australian paramedics to seek employment in the US.

As we head to the Pinnacle EMS leadership conference, this could provide a key discussion point as we desperately seek to increase our clinical workforce.

Jul 22, 2022
Hot topics: EMT handcuffed by cop at hospital; NAEMSP’s response to NREMT certification change
18:51

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 Inside EMS, co-hosts Chris Cebollero and Kelly Grayson analyze the most popular stories of the week, beginning with an incident in Rochester, New York, where an EMT hit a police officer's squad car that was parked in the ambulance bay with the rig door, leading to the officer eventually handcuffing the provider

Our co-hosts then discuss the statement put out by the NAEMSP regarding NREMT's change to education standards – which is open for public comment until Aug. 17

The talk then turns to an assault of a paramedic and nurse after a patient was placed in triage at a local hospital. Every EMS organization should be aware of the rise in violence and have a plan in place to keep EMS providers safe on duty.

Jul 22, 2022
How reputations are built and can implode
32:59

This episode of EMS One-Stop With Rob Lawrence 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 edition of EMS One-Stop, Host Rob Lawrence welcomes Matt Zavadsky, MS-HSA, EMT, chief strategic integration officer of MedStar Ft Worth.

Matt describes how Walt Disney World’s culture and approach to the guest experience contain important lessons for EMS agencies, our leaders and our providers. The conversation covers:

  • The importance of branding
  • How reputations are built and can implode
  • The importance of “cast member” selection for your agency
  • How paying attention to the 1,000 little things create a magical immersive experience for your employees and patients

EMS1 is the premier media partner at the Pinnacle EMS conference and Rob and Matt also highlight the pre-conference session, “Hot topics in high-performance/high-value EMS,” as well as the AIMHI webinar, “How much funding do you need?” which will be featured in a future episode.

Jul 18, 2022
Taking the stress out of communication
21:12

This episode of the Inside EMS Podcast is sponsored by FirstNet, Built with AT&T. FirstNet uses the latest technology to keep your lines of communication and data open – to help you respond faster, smarter and safer.

In this episode of Inside EMS, our cohosts,  Chris Cebollero and Kelly Grayson, are joined by former EMS Director for the state of Utah, and current FirstNet Board Member, Paul Patrick.

The discussion revolves around communication and making communication a stress-free resource. Patrick shares his knowledge on how communication can be hampered in MCI response, how we changed our communication practice during the pandemic and what we learned for the future of communication.

He then shares some information about the history of FirstNet, how it came about and what it means for the first responder community. 

Jul 14, 2022
Logistics with Joe O’Hare of Boston EMS
37:03

This episode of EMS One-Stop With Rob Lawrence 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.

"Amateurs talk tactics. Professionals talk logistics" — General Omar Bradley

In this edition of EMS One-Stop, Host Rob Lawrence chats with Superintendent Joe O'Hare of Boston EMS. After an illustrious EMS career, O'Hare is heading into a well-earned retirement. Rob and Joe reflect on leadership lessons learned as well as Joe’s experience as EMS commander during the Boston Marathon bombing.

The conversation covers leadership, partnership, cooperation, interoperability, logistics, NIMS, ICS and the Olympic flame.

Jul 11, 2022
Check your ego: Cultivating calm, confident clinicians
23:38

This episode of the Inside EMS Podcast is sponsored by FirstNet, Built with AT&T. FirstNet uses the latest technology to keep your lines of communication and data open – to help you respond faster, smarter and safer.

In this week's episode, co-hosts Chris Cebollero and Kelly Grayson discuss EMS1 columnist Todd Bowman's recent article, "5 ways to build confident providers". The discussion delves into training practices, building confidence with crew resource management, and understanding how call repetition can build the skills for treating patients.

The conversation then turns to the importance of a good quality assurance program, which should be considered a non-punitive process. The final point touches on reassurance, and the power of saying "thank you."

Jul 07, 2022
EMS Shark Tank: Jay Fitch and Tom Judge
21:06

This episode of EMS One-Stop With Rob Lawrence 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 edition of EMS One-Stop, Host Rob Lawrence welcomes Jay Fitch, PhD, of Fitch & Associates; and Tom Judge, executive director of LifeFlight of Maine.

EMS1 is the premier media partner at the Pinnacle EMS conference, and Rob is a part of this year's Pinnacle Shark Tank Innovation Generator pre-conference session. In this series of podcasts, the EMS cast of the Shark Tank will join Rob to discuss their own hot topics.

In this episode of the series Rob, Jay and Tom discuss the upcoming conference and some of its key sessions, as well as current issues that those attending will ultimately look to solve. Rob also asks Jay, who has been operating in the EMS space for five decades as a leading consultant, what he is currently advising his clients as they look to operationally survive.

Jul 05, 2022
Why social work plays a big role in Lexington (Ky.) FD’s community paramedicine program
23:40

This episode of the Inside EMS Podcast is sponsored by FirstNet, Built with AT&T. FirstNet uses the latest technology to keep your lines of communication and data open – to help you respond faster, smarter and safer.

This week, our co-hosts welcome two members from the Lexington (Ky.) Fire Department, Lt. Ken Howell and Firefighter Mackenzie Gross, to discuss the organization's community paramedicine program. Gross also serves as one of two social workers in the program. 

The discussion flows as our guests outline their efforts and share how to progressively develop as a community medic. Gross, who serves as one of two social workers for the LFD, explains the importance of social work in conjunction with a community paramedicine program. 

 

Additional resources

Looking for more information about community paramedicine? Check out these additional EMS1 resources: 

Jul 01, 2022
ATCEMS Chief Rob Luckritz: 100 days in
24:56

This episode of EMS One-Stop With Rob Lawrence 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.

Just over three months ago, Rob Luckritz assumed his new appointment as the Chief of Austin Travis County EMS, Texas. He got the job after a very public selection process where he not only competed against internal, time served candidates, but also a list of very qualified external candidates. Thanks to the transparency of the process, the public, both in Austin, and far and wide, were able to follow the process every step of the way.

In this episode of EMS One-Stop, Host Rob Lawrence catches up with Rob Luckritz to discuss his first 100 days in office. Luckritz describes his reception so far, what he has found and his future plans for ATCEMS. He also offers advice for young EMS leaders aspiring to get a senior job at an organization such as ATCEMS and how to prepare for an EMS leadership career.

Luckritz also takes part in a quick-fire round, highlighting his thoughts on our current EMS challenges from recruiting to available ambulances and everything in between.  

Jun 27, 2022
EMS certifications: How the draft NREMT resolution could impact the profession
20:19

This episode of the Inside EMS Podcast is sponsored by FirstNet, Built with AT&T. FirstNet uses the latest technology to keep your lines of communication and data open – to help you respond faster, smarter and safer.

This week, Inside EMS co-hosts Chris Cebellero and Kelly Grayson discuss a drafted resolution by NREMT that could affect certifications at all levels. 

If the resolution is approved following a public comment period, the National Registry executive director would update the initial certification requirements for all levels of certification (EMR, EMT, AEMT, and paramedic) to include successful completion of an EMS education program that meets or exceeds the National Emergency Medical Services Education Standards and:

  • has an CAAHEP-accreditation, or
  • has been issued a CoAEMSP “Letter of Review,” or
  • has received state EMS office approval.

Listen to the discussion and weigh in below with your comments. 

Jun 24, 2022
EMS Shark Tank: Drs. Ed Racht and Joelle Donofrio-Odmann
38:18

This episode of EMS One-Stop With Rob Lawrence 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 edition of EMS One-Stop, Host Rob Lawrence welcomes Ed Racht, MD, chief medical officer at Global Medical Response; and Joelle Donofrio-Odmann, DO, deputy chief medical officer, San Diego Fire Department, to discuss what the future holds for EMS. The discussion focuses on how we get others in the house of medicine to realize what we do and appreciate it. 

EMS1 is the premier media partner at the Pinnacle EMS conference, and Rob, Mike and Remle are also part of this year's Pinnacle Shark Tank Innovation Generator pre-conference session. In this series of podcasts, the EMS cast of the Shark Tank will join Rob to discuss their own hot topics.

Jun 21, 2022
Bodycam analysis: How providers can ’stop the fight’ with agitated patients
22:47

This episode of the Inside EMS Podcast is sponsored by FirstNet, Built with AT&T. FirstNet uses the latest technology to keep your lines of communication and data open – to help you respond faster, smarter and safer.

On this week's podcast, our co-hosts analyze bodycam footage released by the City of Dallas after a patient died in police custody while being transported in the back of a Dallas Fire-Rescue ambulance. According to a Dallas police deputy, the patient "became quiet and started to lose vital signs" while en route, and died shortly after arriving at the hospital. 

Listen as our co-hosts break down the video and share tips for handling a similar situation. 

Jun 17, 2022
Chris Cebollero’s work to bring reimbursement to community paramedicine
26:28

This episode of the Inside EMS Podcast is sponsored by FirstNet, Built with AT&T. FirstNet uses the latest technology to keep your lines of communication and data open – to help you respond faster, smarter and safer.

In this week's episode, co-host Kelly Grayson interviews fellow host Chris Cebollero about his efforts to create a universal reimbursement plan for community paramedicine work. For the last three years, Cebollero has collaborated with a commerical payer to establish a pilot program that levels the reimbursement playing field, regardless of the type of EMS delivery system – fire-based, public, private, etc. The program is expected to expand to 10 states this year. Cebollero also discusses the logistics of the program, how agencies get up to speed and trained, and what it means for the future of community paramedicine in EMS. 

Jun 10, 2022
Shark tank
32:27

This episode of EMS One-Stop With Rob Lawrence 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 edition of EMS One-Stop, Host Rob Lawrence welcomes Remle Crowe, PhD; and Mike Taigman to discuss research, improvement science and project implementation. Along the way, they also cover the UCLA Prehospital Care Research Forum, a red lights and sirens project update, and their top research projects.

EMS1 is the premier media partner at the Pinnacle EMS conference, and Rob, Mike and Remle are also part of this year's Pinnacle Shark Tank Innovation Generator pre-conference session. Over the next few weeks, the EMS cast of the Shark Tank will join Rob to discuss their own hot topics. 

Jun 08, 2022
The role of EMS in active shooter scenario preparation, response
21:07

This episode of the Inside EMS Podcast is sponsored by FirstNet, Built with AT&T. FirstNet uses the latest technology to keep your lines of communication and data open – to help you respond faster, smarter and safer.

This week, Inside EMS co-hosts Chris Cebollero and Kelly Grayson discuss the recent mass shootings across the country in New York, Texas and Oklahoma. What does the increase in shootings mean for EMS providers and should agencies prepare? Should organizations increase training for these types of scenarios? The discussion also revolves around hardening targets, arming teachers and industry impact. 

Additional resources:  
Jun 03, 2022
EMS response to the current outbreak of monkeypox
33:26

This episode of EMS One-Stop With Rob Lawrence 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 light of the recent monkeypox outbreak, both the CDC and Atlanta’s National Emerging Special Pathogens Training and Education Center (NETEC) have issued specialist guidance to both EMS and healthcare.

To discuss this emerging issue, Rob Lawrence is joined by Alexander P. Isakov, MD, MPH, professor of emergency medicine at Emory University.  He is also the director for Emory’s Section of Prehospital and Disaster Medicine, whose faculty and staff provide medical oversight for 911 communications centers, first responders, and air and ground ambulance services in the metropolitan Atlanta area.

Additionally, Dr. Isakov founded and directs the Emory-Grady EMS Bio-Safety Transport Program, which supports the Emory University Hospital Serious Communicable Diseases Unit and the CDC for the transport and management of persons confirmed or suspected to have a high consequence infectious disease. 

Discussed in the podcast are the signs and symptoms of monkeypox, methods of transmission, precautions for providers and notification requirements. The conversation also includes COVID-19, and the current upward trend in cases.

May 31, 2022
Patient care: What’s your ’perspective’?
20:11

This episode of the Inside EMS Podcast is sponsored by FirstNet, Built with AT&T. FirstNet uses the latest technology to keep your lines of communication and data open – to help you respond faster, smarter and safer.

In this episode, host Chris Cebollero interviews co-host Kelly Grayson about his new book, "Perspectives, Volume I: An Emergency Medicine and Public Safety Anthology." The concept for the book came from a successful excercise on Grayson's blog, in which he would create a fictional patient and elicit the perspective of an ER nurse and a police officer to understand how they see the same patient. 

For his book, Grayson expanded on the concept, and invited a number of public safety and public health professionals to collaborate on the work. Our co-hosts discuss how readers should approach the book, where the idea came from and what a lay person can glean from the pages.

May 27, 2022
Preparing a workforce to deal with emotional trauma
26:42

This episode of EMS One-Stop With Rob Lawrence 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 special edition of EMS One-Stop, Host Rob Lawrence is joined by Mike Taigman, improvement guide at FirstWatch, and Nicole Holm, MA, BCC, a chaplain with Allina Health Emergency Medical Services.  This edition was recorded the day after the school shooting in Uvalde, Texas.

Holm and Taigman discuss resilience and the role of chaplaincy in EMS. The conversation identifies coping strategies and methods to prepare a workforce to deal with such levels of mental trauma in the future.

Read more: Uvalde aftermath: What should we do today? - “Sadly, this isn’t the last time we will see these headlines, but for us, today, put the tourniquet away and focus on the heart and soul of those in our charge.”

May 26, 2022
From the front lines of Ukraine medical operations
35:04

This episode of EMS One-Stop With Rob Lawrence 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  EMS One-Stop, Host Rob Lawrence speaks with Stefan Korshak, senior defense correspondent for the Kiev Post. U.S.-born, now Ukrainian resident Korshak is a journalist and foreign correspondent reporter specializing in conflict zone work. 

Rob and Stefan discuss the general situation in Ukraine, humanitarian and refugee issues, and support being provided to displaced citizens by the Ukrainian Government, and the unity and morale of the general population.

In the second half of the podcast, Stefan recounts a recent visit to the front line and his interaction with ambulance and frontline medical support and evacuation operations.  To conclude, Stefan identifies current needs and it’s ambulances … as long as they are 4x4 AWD and armored.

May 24, 2022
DNR ambiguity: Making the right call on scene
19:47

This episode of the Inside EMS Podcast is sponsored by FirstNet, Built with AT&T. FirstNet uses the latest technology to keep your lines of communication and data open – to help you respond faster, smarter and safer.

In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss a recent news article out of Florida regarding a Fla. patient's Do Not Resuscitate order. The family of the patient alleges EMS providers violated the legal wishes of Celeste Salanitri, 81, who suffered from end-stage Parksinson's disease, after she was treated for a fall at an assisted living facility. 

"There is so much ambiguity when it comes to DNR's that EMS providers need to be up on how to handle when nursing staff or family members say there is a DNR in place," Cebollero says. 

Our co-hosts end the show by describing a series of DNR scenarios to consider how they would respond in the moment. 

May 13, 2022
State EMS associations: From the top
28:57

This episode of EMS One-Stop With Rob Lawrence 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, host Rob Lawrence delves into the essential work of State EMS Associations, their functions and the key legislative activities they are undertaking.

His EMS leader guests for this podcast, recorded at the recent AAA Stars of Life event, include:

  • Terrence Ramotar, director for government affairs for the SE region for Global Medical Response, and president of the Florida Ambulance Association
  • Jimmy Pierson, president and COO of Medic Ambulance Service in Northern California, and president of the California Ambulance Association
  • Chris Anderson, COO of Bell Ambulance of Milwaukee, and president of the Professional Ambulance Association of Wisconsin
May 12, 2022
Don’t push my buttons: How to effectively manage your emotions
20:06

This episode of the Inside EMS Podcast is sponsored by FirstNet, Built with AT&T. FirstNet uses the latest technology to keep your lines of communication and data open – to help you respond faster, smarter and safer.

In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss the concept of self awareness and emotional intelligence. Sometimes people push our buttons, and we allow emotions to dictate our actions – why does this happen? What is the process of analyzing our emotions that allows us to control them when confronted? Cebellero outlines the components of emotional intelligence and offers tips to better understanding through reflection and developing a solid self-awareness.

May 06, 2022
A moment of crisis: TikTok sensation Anna Muller on how EMS saved her life
26:52

This episode of EMS One-Stop With Rob Lawrence 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.

Anna Muller is a TikTok sensation who has been viewed on her channel over 20 million times. Muller now spends her time as a transformational life coach and public speaker.

As a keynote speaker at the American Ambulance Association 2022 Stars of Life Ceremony on May 3, 2022, in Washington D.C., Anna described the moment two paramedics saved her life after she made a difficult 911 call. That call changed her life, and generated a TikTok message that has touched millions since.

In this EMS One-Stop Podcast, Anna tells Rob Lawrence her story of survival, hope, courage and resilience, and how the interaction with EMS changed her life. Anna and Rob also discuss the patients’ eye view of being the patient in crisis and receiving care from EMS. 

May 04, 2022
The fentanyl boogeyman: Is exposure really that easy?
18:45

This episode of the Inside EMS Podcast is sponsored by FirstNet, Built with AT&T. FirstNet uses the latest technology to keep your lines of communication and data open – to help you respond faster, smarter and safer.

In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss EMS1 Editor-in-Chief Kerri Hatt's recent article, "Fentanyl: Separating fact from fiction," which dispels the myths surrounding the drug and details how first responders should safely approach a scene where fentanyl is present. 

Additional resources: 
Apr 29, 2022
Arrogant leadership: Are you alienating your work force?
21:57

This episode of the Inside EMS Podcast is sponsored by FirstNet, Built with AT&T. FirstNet uses the latest technology to keep your lines of communication and data open—to help you respond faster, smarter and safer.

In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss an article included in the most recent Paramedic Chief newsletter by Andrea Abbas, MS, NRP, IP, CP-C, "5 leadership flaws that hold us back." The duo discuss the difficulties of leading multi-generational crews, their own personal management styles, how complacency can cause a disconnect with field crews and more.

According to Cebollero, "the true measurement of leadership success is how engaged, satisfied and productive the workforce is – everything else is extra gravy."

Apr 22, 2022
Naked at the knife edge – A journey up Mt. Everest
30:04

This is a special edition of the Inside EMS Podcast – enjoy a crossover post from Chris Cebollero's Ultimate Leadership Podcast.

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 Ultimate Leadership Podcast, Chris Cebollero is joined by Vivian James Rigney. Vivian is in a relatively small group of individuals to have climbed the highest peaks on all seven continents of the planet. When he summited Mount Everest, Vivian had a life-changing experience, which he recounts in his recently published book, “Naked at the Knife-Edge: What Everest Taught Me About Leadership and the Power of Vulnerability.”

Vivian James Rigney is president and CEO of Inside Us LLC, a boutique executive coaching consultancy, operating throughout five continents. He has helped implement leadership development initiatives for some of the world’s leading companies and their executive teams. As an executive coach for some of the world’s most successful leaders, he is known for building a strong rapport with people and asking tough and incisive questions, with an uncanny ability to help them reveal and become their best version of themselves. 

Apr 18, 2022
’2 nickels and 4 pennies’: Breaking down ATCEMS’ 14-cent raise
19:12

In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss the 14-cent pay increase announced for Austin-Travis County EMS; the first pay increase since 2018 – and not one that delivers a living wage to the members of ATCEMS. The Austin EMS Association was reportedly asking for an increase in EMT base pay from $19 an hour to $27 an hour. 

[Read next: A 14-cent raise. Are you kidding?]

Apr 15, 2022
Meet the youngest certified EMT in Louisiana history
18:56

In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss the success of Trentin Monk, who was one of Kelly's EMT students. Trentin passed the NREMT cognitive exam in only 70 questions; at 15 years and 196 days old, that accomplishment makes him the youngest EMT ever certified in the state of Louisiana. The conversation then shifts to a new course offering from NAEMT. The organization will begin offering Political Academy, an eight-hour seminar designed to educate providers on how best to progress EMS causes in the political arena at the state and federal levels.

Apr 08, 2022
Negligent homicide: How to protect yourself from making medication errors
16:42

In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss a recent court case where a nurse was found guilty of criminally negligent homicide for a medication error that lead to the death of a patient. 

Chris and Kelly discuss the facts of the case and how the verdict could impact EMS. They also outline the steps providers should take to protect themselves when dispensing and administering medication on duty. 

Apr 01, 2022
Gresh, Ott and Taigman: Cyber update
33:21

This episode of EMS One-Stop With Rob Lawrence 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, President Biden announced that Russia is in the planning phases of a significant barrage of cyberattacks against the United States, and reported Russian-sponsored cyber aggression at sustained levels never seen before.

To discuss the implications of the effects of a cyberattack on EMS infrastructure, EMS One-Stop Host Rob Lawrence welcomes EMSA COO, Frank Gresh, and FirstWatch Cyber Security Strategist, Bill Ott.  

Mike Taigman also joins to discuss the recent FirstWatch alert.

Mar 24, 2022
5 tips for becoming the best EMS professional possible
26:07

In this episode of Inside EMS, host Chris Cebollero shares five tips for becoming the best industry professional possible, and stressed the importance of behaving like a leader, regardless of position. 

Cebollero's advice touches on the importance of acting like a leader, focusing on skill growth, staying in control of your emotions, advancing your listening skills and showcasing your professionalism at every turn. 

Mar 18, 2022
Falls, drops and lifts
44:27

This episode of EMS One-Stop With Rob Lawrence 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 edition of EMS One-StopRob Lawrence welcomes an international panel to discuss falls, drops and lifts. Matt Streger, attorney with Keavney & Streger; Brian Hupp, director of EMS at the Maury Regional Medical Center in Columbia, Tennessee, and newly awarded Tennessee EMS Administrator of the Year; and Simon Claridge, CEO of Mangar International, based in the UK, join the show.

While discussing falls, drops and lift, Matt describes a patient movement sim lab used by one of his clients, funded by an insurance company in order to assist with the prevention of paramedic acquired workplace injuries and with the liability associated with dropping patients.

Brian talks protocols and prevention, and Simon identifies UK health and safety law and the requirement for every vehicle to carry lifting devices. He also touches on mandatory training for care home staff and highlights the post-falls management white paper now made available to U.S. services.

Mar 15, 2022
Getting the most out of new EMTs
20:11

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 Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss the challenges we are having with recruiting and retaining good EMS providers. Kelly offers tips for getting the very best out of the new workforce.

The duo focus on the importance of having a normal onboarding process. As most systems are short-staffed, too many agencies are cutting short the onboarding process and throwing new employees to the wolves.

The discussion then moves to the topic of hazing and bullying new employees. It is this behavior that will turn a new employee off to the organization. Chris asks, "is it time to put this practice to bed?"

Read Kelly's article, “Top 10 ways to ruin a good EMT,” and listen to the discussion below.

Mar 11, 2022
Traumatic brain injury: How to treat, manage patients with head injuries
26:41

In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss traumatic brain injuries, following the recent revelations surrounding the death of comedian Bob Saget. Our co-hosts discuss what providers need to know about TBIs, as well as how to treat and manage patients with suspected head injuries. 

Mar 04, 2022
Honoring heroism, courage and enduring sacrifice
32:18

This episode of EMS One-Stop 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 edition of EMS One-StopRob Lawrence welcomes Tony O’Brien (Boston EMS), treasurer of the National EMS Memorial Foundation and Tim Perkins (VA Office of EMS), board member of the National EMS Memorial Bike Ride.

Tony identifies a timetable and the progress towards establishing a permanent monument in the national capital to honor the heroism, courage and enduring sacrifice of all past, present and future EMS providers and to remember and celebrate the lives of those killed in the line of duty.

Tim outlines how the National EMS Memorial Bike Ride honors emergency medical services personnel by organizing and implementing long distance cycling events that memorialize and celebrate the lives of those who serve every day, those who have become sick or injured while performing their duties, and those who have died in the line of duty.

Tony explains that H.R. 1037 – the National EMS Memorial bill – was signed into law by President Donald Trump, becoming public law 115-275 in 2018, starting the formal countdown to establishing a memorial. Additionally, Tim reveals the routes and dates of the five 2022 routes covering the East Coast, southern route, Midwest, Colorado and West Coast.

Mar 03, 2022
12 onboarding strategies for new hires with Maria Beermann-Foat
29:40

In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson are joined by Maria Beermann-Foat to discuss her recent article, "The first 90 days: 12 strategies for laying a foundation for a rewarding career while onboarding new employees," part of EMS1's special coverage package, "Year one: Creating a career path for new EMTs."

The conversation covers Beermann-Foat's 12 strategies, as well as tips for how to make the best impression possible on new employees over the first 90 days and a discussion on how this strategy assists with developing a strong employee culture. 

Read more of the EMS1 special coverage:   
Feb 28, 2022
Multi-state EMS solutions, combatting assault on EMS providers
26:03

In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss the most interesting industry news of the week.

First, our co-hosts discuss a story about the creation of an EMS council attempting to pool resources to develop a mult-state EMS solution. 

"Good on these states for trying something new and trying to get it done," Cebollero said. "We need role models because there are going to be other states and other counties that need to look at this type of model to sustain for the future."

Next, our co-hosts discuss two stories that focus on safety in EMS and assault on providers by patients. 

Join the discussion: Listen to the episode and share your thoughts in the comments below. 

Feb 25, 2022
Top of mind: EMS trends, retirement benefits, emergent response
26:39

In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss the importance of the 2022 EMS Trend Report and how every voice in EMS matters as to the future of our field.

"It is our responsibility to leave the profession better than we found it," Cebollero said. 

The conversation then transitions to retirement and how EMS professionals can take advantage of the retirement benefits at every agency they work.

Finally, our co-hosts discuss a recent position paper released by 13 industry groups regarding the use of lights and sirens by first responders. The document lays out the challenge of emergent response, who is being hurt, and gives 10 suggestions on how to change the culture. 

Feb 18, 2022
Advancing the EMS legislative agenda
45:47

In this edition of EMS One-StopRob Lawrence chats with NAEMT President, Bruce Evans about the upcoming virtual EMS on the Hill Day

The online event, which consists of virtual meetings with members of congress, spans the week of April 4-8 with groups organized by state and scheduled into Zoom meetings.

Rob and Bruce discuss the NAEMT legislative agenda and the requests that attendees will be asked to make in their meetings.  Bruce also discusses the collaboration taking place between a number of national associations and the lobbying value that it brings.

Also included: information on the forthcoming workshop to be held at the Pinnacle conference where NAEMT will provide guidance on how to run for public office.  Bruce's aspiration is to have at least one EMS professional in each state house, if not more.

Feb 14, 2022
Upgrading EMS education: Goodbye skill sheets, psychomotor exam
21:51

In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss the launch of the EMS Trend Survey 2022, which will provide the data for the 7th annual EMS Trend Report. During the conversation, the hosts emphasize the importance of field providers participating in the survey

"This is their opportunity to have their voices heard," Cebollero said.

Grayson echoed his sentiment. "This is a chance to take stewardship of our profession," he said. 

The pair also discuss Grayson's recent article, "Whatever will we do without the skill sheets?" regarding NREMT's plan to sunset skill sheets for paramedic certification, and what other changes are needed in EMS edcuation.

Cebollero and Grayson also discuss a recent news item from Lexington, Kentucky, that found a nearly 7% decrease in call volume due to the area's robust community paramedicine program. 

Feb 11, 2022
How to accurately listen for heart tones, lung sounds with Eko Health’s Dr. Saltman
34:18

This episode of Inside EMS is sponsored by Eko. Learn how CORE stethoscope technology helps EMS providers make confident split-second decisions by clicking here.

In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson are joined by Dr. Adam Saltman, chief marketing officer for Eko Health. The discussion centers on tips and best practices for accurately using a stethoscope to listen to heart tones and lung sounds. According to Dr. Saltman, data gleaned from stethoscopes help providers chart the best path for patient treatment. 

Listen to the group discussion and leave your thoughts in the comments below. Have a comment or suggestion? Send an email to theshow@ems1.com. 

Feb 04, 2022
Cyber alert: Public safety systems are currently under attack
30:42

This episode of EMS One-Stop With Rob Lawrence 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.

On Jan. 29, 2022, FirstWatch took an exceptional step in issuing a cyberattack warning as cyber and ransomware attacks in the U.S. were peaking. FirstWatch’s systems identified public safety infrastructure and sites were included in this round of direct attacks.

In this rapidly recorded EMS One-Stop podcast, Rob Lawrence first chats with Mike Taigman as to why FirstWatch decided to send out a far-reaching alert.

He is then joined by FirstWatch cyber security specialist, Bill Ott who discusses the types of attacks observed as well as the up-to-the-minute situation as attempts on public safety systems are continuing.

By way of further example, Bill also discusses the ransomware attack that occurred in Durham, North Carolina, and extracts lessons learned from that event that can be used as strategies in the current elevated threat environment. 

Feb 02, 2022
’The great debate’: Are degrees necessary in EMS?
22:06

In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson are joined by Reuben Farnsworth, clinical/operational coordinator for Delta County Ambulance District and EMS1 columnist, to discuss his latest article, "Do we really need degrees in EMS?"

"Bettering yourself and having those letters behind your name gives you a little confidence, gives you a little bit more opportunity to grow, gives you a bit more focus," Cebollero said of pursuing an undergraduate program. 

What are your thoughts? Do you think there should be degree requirements in emergency services?

Jan 28, 2022
Informing physical, mental and emotional safety
26:15

In this episode, Lexipol Editorial Director, Greg Friese, MS, NRP, joins cohosts Chris Cebollero and Kelly Grayson to kick off the eighth year of tackling the hot topics in the Inside EMS podcast.

Friese offers some insight into what EMS1 will be focusing on in the year ahead, from physical, mental and emotional safety and wellness, to continuing to provide timely, accurate, relevant and actionable information relevant to topics like COVID-19, clinical recommendations and legal issues.

The conversation also includes a discussion on the alarming frequency of ambulance and apparatus crashes resulting in injury or death, and what is needed to keep patients and providers safe. From engineering controls, to fatigue and workload management and continuing education, Friese identifies two main buckets from which to improve ambulance safety:

  1. Provider mindset: making a commitment to staying seated and belted when in motion
  2. Safety monitoring: implementing a monitoring and reporting system to measure compliance

Finally, the group discusses provider burnout, and how the EMS Trend Survey seeks to identify pressure points that are challenging providers, and the actions leaders can take to recruit and retain talent. As Grayson puts it, this is your chance to lend your voice, and your hand to “steer the ship.”

Coming soon: The EMS Trend Survey, which informs the EMS Trend Report, will be released this month. Check back at www.ems1.com/ems-trend-report/ to help guide future coverage and provide insight into the status of EMS and workforce needs

Jan 14, 2022
Communicating across 20 deployment areas
35:47

This episode of EMS One Stop is sponsored by Blink; the mobile app helping EMS providers to better communicate with their field staff. Learn more about how Blink's two-way communications features are helping to reduce first responder turnover at www.joinblink.com.

Communicating is the subject of this edition of the EMS One-Stop podcast. Host Rob Lawrence welcomes UK-based George Monk, from Blink, and Ron Quaranto, a board member of the American Ambulance Association and co-chair of the AAA Workforce Board.

Quaranto is executive vice president for operations of Cataldo Ambulance, based in Boston. 

Cataldo is the largest 911 provider in Massachusetts, and the discussion focuses on the challenges of leading a large organization in the pandemic including retention and recruiting, vaccines and mandates, and – above all – communicating with the workforce, in Cataldo’s case, now spread across 20 deployment areas.

Jan 10, 2022
From the battlefield, to The White House, to the boardroom
27:51

This is a special edition of the Inside EMS Podcast – enjoy a crossover post from Chris Cebollero's Ultimate Leadership Podcast.

In this episode, Cebollero is joined by speaker, author and coach Bo Brabo. Bo stops by to share his leadership expertise regarding the importance of after-action reviews and how they are essential for the growth of a team and organization.

He discusses how best to cultivate a value-based organization and the keys to use those values to inspire and motivate the workforce. Bo shares his thoughts about his book, "From the battlefield, to the White House, to the boardroom."

Bo had the opportunity to work at The White House during President Bush's and President Obama's administrations. What was the biggest lesson Bo took from that experience? Join the discussion to find out.

Jan 05, 2022
2021 hot takes: Counting down the top 5 comment-generating EMS1 articles
26:57

This episode of Inside EMS is sponsored by Eko. Learn how CORE stethoscope technology helps EMS providers make confident split-second decisions by clicking here.

In the final episode of Inside EMS for the 2021 season, co-hosts Chris Cebollero and Kelly Grayson count down the top five stories that generated the most debate and buzz by readers this year. Did you miss any of these high-engagment articles? Listen to the podcast and read for more.

Dec 27, 2021
Trauma treatment: Fluids vs. pressors
29:04

This episode of Inside EMS is sponsored by Eko. Learn how CORE stethoscope technology helps EMS providers make confident split-second decisions by clicking here.

In this week's episode of Inside EMS, Kelly Grayson is joined by guest host Rob Lawrence.

The subject of the week is trauma, and Rob and Kelly discuss the origins and meaning of the Trimodal Distribution of Death and the advances in trauma treatment. Kelly then answers the key trauma treatment question of fluids versus pressors.

Dec 22, 2021
Serving to lead
44:08

This episode of EMS One Stop is sponsored by Blink; the mobile app helping EMS providers to better communicate with their field staff. Learn more about how Blink's two-way communications features are helping to reduce first responder turnover at www.joinblink.com.

In the final EMS One-Stop podcast of the year, the tables are turned on host Rob Lawrence as Lexipol/EMS1 Editorial Director Greg Friese, MS, NRP, takes over the mic and welcomes Rob as the guest.

Rob is about to celebrate 30 years in EMS leading both military and civilian prehospital ambulance services and Greg drills into Rob’s views on leadership.

Having served in the British army and many deployments in the early ’80s, Rob was selected for officer training and entered Britain’s Royal Military Academy Sandhurst. On receiving the Queen’s Commission as a second lieutenant, he joined the Royal Army Medical Corps and the rest – as they say – is history. 

Rob and Greg discuss the influences of Sandhurst on Rob’s leadership style and how that is carried forward to this day. Topics discussed include pride, integrity, learning, humor, service, courage, communication, trust, training and serving to lead.

Dec 22, 2021
A 2021 look-back: Unpacking the stories and trends affecting EMS and fire
41:25

This episode of Inside EMS is sponsored by Eko. Learn how CORE stethoscope technology helps EMS providers make confident split-second decisions by clicking here.

In this special crossover episode of Inside EMS, host Chris Cebollero speaks with Chief Marc Bashoor, host of the Side Alpha Podcast, about the major news and trends impacting EMS and fire in 2021.

Cebollero and Bashoor unpack issues related to apparatus and ambulance safety, the COVID-19 vaccines, ET3 and telehealth, the use of ketamine, mayday training, and staffing shortages. 

Dec 15, 2021
PSOB expansion, ATCEMS‘ first female tactical medic & EMS medical marijuana use
19:48

This episode of Inside EMS is sponsored by Eko. Learn how CORE stethoscope technology helps EMS providers make confident split-second decisions by clicking here.

In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss top industry headlines. Grayson kicks the conversation off with highlights of the bill signed by President Joe Biden to expand the Public Safety Officers Benefit, which aims to improve the function of the program.

Our hosts also celebrate the promotion of Micah Morgan, who became the first female to be assigned to the elite Tactical Paramedic Team at Austin-Travis County EMS. The duo also discuss a decision by ATCEMS to remove a question related to marijuana use from their career application. 

Dec 10, 2021
Ambulances held hostage
36:13

This episode of EMS One Stop is sponsored by Blink; the mobile app helping EMS providers to better communicate with their field staff. Learn more about how Blink's two-way communications features are helping to reduce first responder turnover at www.joinblink.com.

In the light of the series of articles on ambulance patient offload times and hospital bed delays by Page, Wolfberg & Wirth, host Rob Lawrence is joined by PW&W Attorneys Doug Wolfberg, Esq.; and Steve Wirth, Esq. A solid discussion takes place on the EMS legal and ethical obligations to patients at the ED, and strategies to combat hospital bed delays, as well as the downloadable tip sheet also available at EMS1.

Dec 07, 2021
The resurgence of prehospital vasopressors: What providers need to know
26:14

This episode of Inside EMS is sponsored by Eko. Learn how CORE stethoscope technology helps EMS providers make confident split-second decisions by clicking here.

In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss the article by Jonathan Lee "Understanding prehospital vasopressors: Dopamine, epinephrine or norepinephrine?" The hosts discuss the resurgence of vasopressors in the EMS field, particularly when it comes to treating sepsis. The conversation follows what vasopressors are used for, how they work, and some of the things to look out for when administering vasopressors to patients. 

Dec 03, 2021
How ESD11 achieved 110% staffing in the era of shortages
32:39

This episode of EMS One Stop is sponsored by Blink; the mobile app helping EMS providers to better communicate with their field staff. Learn more about how Blink's two-way communications features are helping to reduce first responder turnover at www.joinblink.com.

In this edition of EMS One-StopRob Lawrence catches up with Harris County ESD11 EMS Chief Executive Doug Hooten. ESD11 is now at day 80 of being a new service provider – get an inside look at their progress.

Doug provides background on ESD11’s fleet of hybrid Ford Ambulances and the challenges of building a full fleet before the go live date, and also comments on his recruiting initiatives, which – even in the current era of shortages – sits at 110% staffed.

Rob and Doug also discuss operation enhancements and initiatives, from offering staff a doggy daycare, to the creation of a Resilience Officer post to look after the wellbeing of all staff.

Nov 19, 2021
Is it time for an EMT role expansion?
25:12

This episode of Inside EMS is sponsored by Eko. Learn how CORE stethoscope technology helps EMS providers make confident split-second decisions by clicking here.

In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss a hot topic in the EMS1 community: EMT placement of a supraglottic airway in the field. The conversation touches on the future of EMS, the expanded role of EMTs and how training should adapt. 

Nov 19, 2021
Giving the gift of life
26:03

This episode of EMS One Stop is sponsored by Blink; the mobile app helping EMS providers to better communicate with their field staff. Learn more about how Blink's two-way communications features are helping to reduce first responder turnover at www.joinblink.com.

In this edition of EMS One-Stop, Rob Lawrence chats with Christine Fiechter, executive director of the 501c3 Charity EMS Gives Life, and live liver doner Will Lindbergh, whose selfless act spurned the creation of the charity.

Cambridge, Massachusetts’ Pro EMS CEO Bill Mergendahl was inspired to launch EMS Gives Life after seeing the personal example set by one of his paramedics, Will Lindberg, who made the life-giving decision to become an anonymous liver donor.

Will was inspired to learn more about liver donation after responding to an emergency call from a patient with liver failure. In February, 2020, Will underwent a laparoscopic procedure to remove a portion of his liver, which helped save the life of 3-year-old Ian Charles, who was suffering from a rare type of liver cancer that can affect babies and young children.

Listen in to learn more about Will’s story, and why EMS Gives Life encourages first responders to give a small piece of themselves to give someone else a new chance at life – and help address the chronic unmet need for life-giving organ donations.

Nov 12, 2021
The current challenges of EMS education
30:43

This episode of Inside EMS is sponsored by Eko. Learn how CORE stethoscope technology helps EMS providers make confident split-second decisions by clicking here.

In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson tackle the topic of EMS education. The National Registry of EMTs recently announced it was doing away with skill sheets for EMS providers, setting up an issue for educators to determine the best way to teach the skills. The discussion also touches on teaching tools that hinder rather than help instructors in the classroom. 

 

Nov 12, 2021
Matt Zavadsky on the EMS staffing shortage
36:47

This episode of Inside EMS is sponsored by Eko. Learn how CORE stethoscope technology helps EMS providers make confident split-second decisions by clicking here.

In this episode, host Chris Cebollero is joined by guest co-host Matt Zavadsky, the chief strategic integration officer for MedStar Mobile Healthcare in Fort Worth, Texas, and the immediate past president of NAEMT. 

Zavadsky breaks down three reasons for the current EMS staffing shortage, and outlines what agencies can do to reserve resources, as well as how to compete with other work opportunities. Zavadsky also touches on the topic of vaccine mandates and the repercussions some responders are facing for not complying. The discussion concludes with a debate about EMS redesign and the importance of partnering with local officials. 

Nov 04, 2021
Mental health checkup: Change what you can, forget what you can‘t
28:46

This episode of Inside EMS is sponsored by Eko. Learn how CORE stethoscope technology helps EMS providers make confident split-second decisions by clicking here.

In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss an article by Mike Taigman centered on mental health, "A 5-step wellness checkup," with tips for learning to focus on the things you can change and forgetting the those you can't. 

The conversation turns to the recent fatal shooting by actor Alec Baldwin on the set of his upcoming movie, "Rust." Baldwin was handling a prop gun when multiple shots were fired, injuring the movie's director and killing the film's cinematographer. Our co-hosts discuss what providers need to know about firearm safety. 

Oct 29, 2021
Taking a stand: Calling out unacceptable behavior by a colleague on duty
33:16

This episode of Inside EMS is sponsored by Eko. Learn how CORE stethoscope technology helps EMS providers make confident split-second decisions by clicking here.

In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss the top EMS news of the week, starting with Kelly Grayson's most recent EMS1 contribution, "Top 10 apps to make you a better EMT." Our hosts also dicsuss a news story concerning a Dallas paramedic caught on video allegedly assaulting a homeless man. 

The conversation then turns to the topic of vaccine mandates in New York and Maine. The FDNY recently announced all members will be required to receive the COVID-19 vaccine, placing those who refuse on unpaid leave, a policy that has proved effective for EMS agencies in Maine.

Oct 22, 2021
Host Kelly Grayson details upcoming surgery, EMS disability process
29:55

This episode of Inside EMS is sponsored by Eko. Learn how CORE stethoscope technology helps EMS providers make confident split-second decisions by clicking here.

In this episode of Inside EMS, co-host Kelly Grayson shares a personal story after getting hurt and preparing for an upcoming surgery. He shares his experience working through the disability process, and what others should know about its complexities. The conversation touches on his mental health status, his concern over taking pain medications and the importance of EMS providers in similar situations talking through these emotions. 

Oct 15, 2021
Vaccination: The rights of employers and providers
33:02

In this edition of EMS One-Stop, Rob Lawrence sits down with EMS attorneys Steve Wirth, of  Page, Wolfberg & Wirth, and Scott Moore. With vaccination mandate deadlines looming, the discussion focuses on current vaccination requirements, accommodations – including the increase in numbers of those with deeply held religious beliefs.

They also examine the right of the employer to require vaccination in return for employment and pay, as well as the free choice of the employee to celebrate their liberty and freedom and move on elsewhere if they feel they can’t comply.

Oct 13, 2021
Point, counterpoint: The great vaccine debate
31:36

This episode of Inside EMS is sponsored by Eko. Learn how CORE stethoscope technology helps EMS providers make confident split-second decisions by clicking here.

Should healthcare professionals lose their jobs if they refuse a COVID-19 vaccine?

In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson enter into a lively discussion on the topic of nurses being relieved of duty secondary to refusing a COVID-19 vaccine.

Oct 08, 2021
Dangerous assumptions
25:04

This episode of Inside EMS is sponsored by Eko. Learn how CORE stethoscope technology helps EMS providers make confident split-second decisions by clicking here.

In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss the death of firefighter trainee Peyton Morse, and Greg Fries’s recent analysis, “Respond to ‘I can’t breathe’ like it’s a mayday – because it is.”

Oct 01, 2021
5 Tips for developing a healthier you
28:11

This episode of Inside EMS is sponsored by Pulsara. Learn more about how you can build a regional system of care for free by clicking here.

This is a special edition of the Inside EMS Podcast – enjoy a crossover post from Chris Cebollero's Ultimate Leadership Podcast.

In this episode of the Ultimate Leadership Podcast, we flip the script a bit, we are not talking about professional development, but instead the 5 tips you need to know about keeping yourself as healthy as possible. Host Chris Cebollero is joined by Dr. Nick Barnes. In this crazy time of the pandemic, what is the best way to keep ourselves healthier? Dr. Barnes shares his expertise on developing a nighttime routine, clean eating, the power of movement and how hydration aids the body in cell nutrition. Get insight into how to become the best version of yourself. Come and join the discussion.

 
Sep 24, 2021
The future of EMS with Pulsara‘s Corey Ricketson
30:43

This episode of Inside EMS is sponsored by Pulsara. Learn more about how you can build a regional system of care for free by clicking here.

In this episode of Inside EMS, cohost Chris Cebollero is joined by guest co-host Corey Ricketson, vice president of national accounts for Pulsara, who shares his experiences visiting multiple EMS agencies throughout the country. The discussion focuses on the role of EMS during the pandemic and how EMS needs to adapt for the future, as well as how interoperability, connection and communication should be part of the main focus for EMS agencies.

Sep 24, 2021
‘Politics won out over EMS being able to do their job’
25:04

This episode of Inside EMS is sponsored by Pulsara. Learn more about how you can build a regional system of care for free by clicking here.

In this episode of Inside EMS, cohost Chris Cebollero is joined by NAEMT President, Chief Bruce Evans, MPA, CFO, SEMSO, NRP. Evans is the fire chief for the Upper Pine River Fire Protection District, located in Bayfield, Colorado.

The duo discuss the recent indictment of paramedics Jeremy Cooper and Peter Cichuniec, and what the charges mean for EMS.

Sep 17, 2021
Public safety leaders reflect on the 20th anniversary of 9/11
44:41
In this special episode of the Inside EMS podcast, fire, EMS and law enforcement leaders from across the Lexipol media sites come together to reflect on the 20th anniversary of the September 11, 2001, attacks. Inside EMS host Chris Cebollero looks back on the industry-altering event with Side Alpha Podcast host Fire Chief Marc Bashoor, EMS One-Stop host Rob Lawrence, and Policing Matters podcast host Jim Dudley. This special episode of the Inside EMS podcast is sponsored by Verizon.
Sep 08, 2021
Legal matters: Chemical restraint
29:10
In today’s episode of EMS One-Stop, host Rob Lawrence sits down with EMS attorneys Stephen R. Wirth, Esq., EMT-P; and Douglas M. Wolfberg, Esq., EMT-B; of Page, Wolfberg and Wirth, to discuss the legal analysis of the charges brought against Colorado firefighter-medics in the Elijah McClain case. Wolfberg and Wirth discuss their analysis articles as well as wider issues arising from the recent ketamine bill, signed into law governing the appropriate use of chemical restraints on a person (HB21-1251).
Sep 08, 2021
Robbie MacCue and Lisa Giruzzi on the EMS Leadership Academy
33:47
In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson are joined by Robbie MacCue and Lisa Giruzzi of the EMS Leadership Academy. Robbie and Lisa share an overview of the EMS Leadership Academy, how it got started and the resources associated with the organization. The conversation then transitions to the upcoming EMS Leadership Summit scheduled for next week. This is a free, four-day event that will have over 30 speakers from all over the world sharing their leadership expertise.
Sep 03, 2021
Caller‘s questions answered: Leadership, EMS instructor advice
28:12
In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson are joined by loyal listener Ronnie Hill, who flips the script on the traditional guest dynamic and asks his own questions of the Inside EMS hosts. Hill questions Cebollero about the leadership path, asking for advice when it comes to a lack of support from upper management, as well as how to be successful and how to grow in their role. Turning to Grayson, Hill asks questions about EMS classroom management, how an instructor maintains inspiration and how to teach to the best of their abilities.  Have a question for the Inside EMS hosts? Send us your thoughts to theshow@ems1.com.
Aug 27, 2021
Pinnacle 2021 talk: Which areas of EMS need an update?
26:13
In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss EMS1 columnist Rob Lawrence's article covering Dr. Bryan Bledsole's presentation at Pinnacle 2021 on the areas of EMS that need to be changed. Chris and Kelly share their thoughts on the topics Lawrence touched on his article: the use of lights and sirens in EMS response and transport; the need for ALS response and air ambulance utilization; and, finally, using more BLS responders for care than paramedics.
Aug 20, 2021
Fitch, Friese and Lawrence: Pinnacle 2021 highlights
24:50
At the recent Pinnacle EMS Leadership Forum, Rob Lawrence sat down with Jay Fitch, PhD, founding partner of Fitch and Associates; and Greg Friese, MS, NRP, Lexipol editorial director. The trio discussed the Pinnacle gathering, its value to EMS leaders, and the key takeaways and memorable moments. Greg also highlights the Pinnacle Quick take articles he has produced and published during the conference, and Jay identifies his favorite and most memorable sessions.
Aug 20, 2021
Kelly Grayson explains: Advanced airway management via the SALAD method
30:46
In this episode, co-hosts Chris Cebollero and Kelly Grayson discuss advanced airway management, specifically the SALAD methodology. Grayson breaks down what exactly the SALAD methodology is, how to perform it, and the importance of practicing this skill when dealing with secretions and vomitis in the airway. To end the episode, the duo share their top tips on developing great skills when it comes to airway management.
Aug 13, 2021
Pediatric cardiac arrest: It‘s on providers to strengthen skills
33:22
This episode of Inside EMS is sponsored by Pulsara. Learn more about how you can build a regional system of care for free by clicking here. In this episode, co-hosts Chris Cebollero and Kelly Grayson discuss the topic of pediatric cardiac arrest following two recent articles on EMS1 that tackle the topic from different angles. Is it time to change the practice of how we handle out-of-hospital pediatric cardiac arrest? According to our hosts, the days of scooping and running are over, and EMS providers need to become more comfortable in staying on scene and delivering care before transport. During the discussion, Cebollero asks listeners, if providers know that pediatric calls are a personal weakness, "What are you doing to turn that into a strength?" He adds that "leaders are cupable if calls go bad" if they are not encouraging and working with providers to strengthen those skills.
Aug 06, 2021
Heart matters: What providers need to know about congestive heart failure
38:06
This episode of Inside EMS is sponsored by Pulsara. Learn more about how you can build a regional system of care for free by clicking here. In this episode of the Inside EMS Podcast, co-hosts Chris Cebollero and Kelly Grayson discuss how best to treat patients with congestive heart failure (CHF). Our hosts give an overview of the pathophysiology of CHF, and outline some of the causes. The discussion also touches on the medications that CHF patients may be taking, and the standard of care treatment for CHF.
Jul 30, 2021
The cost of recruitment vs. the budget for retention
27:58
In this episode of EMS One-Stop With Rob Lawrence, Rob welcomes guest Scott Moore of Moore EMS Consulting and HR consultant to the American Ambulance Association. Rob and Scott discuss the results of the third annual American Ambulance Association (AAA)/Newton 360 Ambulance Industry Employee Turnover Study. The Turnover Study findings reveal the cost of replacing EMS providers and that a third of recruited EMS workers move on in the first year. Rob and Scott discuss: •How to retain staff throughout the first year •The cost of recruitment versus the budget for retention •The value of an exit interview, versus a retention interview for those who are not leaving
Jul 28, 2021
Real talk about the Delta, Lambda variants and body-worn cameras in EMS
30:36
This episode of Inside EMS is sponsored by Pulsara. Learn more about how you can build a regional system of care for free by clicking here. In this episode of the Inside EMS Podcast, co-hosts Chris Cebollero and Kelly Grayson discuss how the COVID-19 virus is making a resurgence in the form of the Delta variant. In addition, the Lamda variant was discovered at a hospital in Texas. The duo then switch to discussing a story out of North Carolina, where one county has instituted the use of body-worn cameras for EMS providers. Cebollero and Grayson take a pro/con approach to the conversation in terms of institution, the effect on training, and how they could be abused by EMS leaders.
Jul 22, 2021
EMS Chief Mark Logemann on creating an internal paramedic academy
26:48
This episode of Inside EMS is sponsored by Pulsara. Learn more about how you can build a regional system of care for free by clicking here. In this episode of the Inside EMS Podcast, co-hosts Chris Cebollero and Kelly Grayson are joined by New Castle County EMS Division Chief Mark Logemann, who discusses his agency's internal Paramedic Academy, which is currently accepting applications for its new cohort. Chief Logemann discusses the culture of the academy, how it got started, and the application process. According to the chief, one of the great benefits of having your own paramedic program is the ability to set the culture, and not only train the next generation of paramedic, but also grow the type of employee you want to see in the future.
Jul 16, 2021
News of the week: Ketamine, bullying and harassment
27:05
In this episode of the Inside EMS Podcast, our co-hosts, Chris Cebollero and Kelly Grayson, discuss the news of the week as requested by listener emails. The first topic of discussion is the new Colorado law that has gone into effect that will restrict ketamine use by paramedics on agitated people outside a hospital setting. Signed by Gov. Jared Polis this week, the law on the appropriate use of chemical restraints on a person dictates when and how the drug should be used. The discussion then shifts to sexual harassment and workplace bullying. In a settlement with the city of Chicago, five female paramedics will receive $1.825 million. The five women, whose names have not been revealed publicly, filed a 2018 suit alleging the fire department "ignored sexual harassment complaints and failed to conduct meaningful investigations of alleged sex discrimination." Our hosts discuss an article written by Linda Willing that outlines how EMS chiefs have to be the catalyst for stopping harassing behavior in the workplace.
Jul 09, 2021
Tips to stop bullying at work
22:45
This is a special edition of the Inside EMS Podcast - enjoy a crossover post from Chris Cebollero's Ultimate Leadership Podcast with guest Coach, Speaker and Author, Jeanie Cisco-Meth. When Jeanie was young, everyone knew she was different. When she got into school, the labeling began. She had so many learning disabilities and physical differences, she stood out. She had dyslexia, she couldn’t talk very well, she was legally blind, she was six feet tall by the eighth grade, she was a cancer survivor, and the list goes on. Jeanie has made it her crusade to stop bullying, not only working in the corporate world, but taking her message right into the schools. In this episode of The Ultimate Leadership Podcast, Jeanie discusses why people bully, how to confront bullies, and she shares some insight from her two books. Subscribe to the Ultimate Leadership Podcast at ultimateleadership.blubrry.com for more.
Jul 08, 2021
An international effort to assist, counsel Fla. Collapse responders
20:51
Dov Maisel advises on 5 elements of disaster response as United Hatzalah’s Psychotrauma and Crisis Response Unit team responds to Florida A month ago, they responded to domestic and terror-related mass casualty incidents in their own country. Now, they’ve deployed overseas to provide their expertise to the tragic building collapse in Surfside, Florida. Members of the Psychotrauma and Crisis Response Unit (PCRU) from United Hatzalah of Israel flew into Miami to provide psychological support and stability to the families and neighbors of those injured, killed or affected by the tragedy.
Jul 07, 2021
Chief Gary Ludwig on managing a massive incident
26:23
In this episode of the Inside EMS Podcast, our co-hosts Chris Cebollero and Kelly Grayson discuss the Surfside, Florida condo collapse near Miami with Chief Gary Ludwig. The group discusses how many people are working the scene, developing logistics and how to manage a scene this big. Ludwig is fire chief of the ISO Class 1 Champaign (Illinois) Fire Department and past president of the International Association of Fire Chiefs.
Jul 02, 2021
Dr. Peter Antevy talks head-up CPR, whole blood use by EMS
25:27
On this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson welcome back returning guest Dr. Peter Antevy, who serves as the EMS medical director for Coral Springs-Parkland (Fla.) Fire Department, Davie Fire Rescue and Palm Beach County Fire Rescue. Dr. Antevy is also the founder and chief medical officer of Handtevy – Pediatric Emergency Standards, Inc.  Dr. Antevy recounts the recent Gathering of the Eagles conference in Fort Lauderdale, Florida, and the safety procedures put in place for the event. During the five-day conference, attendees discussed a variety of topics, from head-up CPR to the use of whole blood in the field. Dr. Antevy also delves into EMS' role in combatting human trafficking, and what the next two years look like for the EMS industry.
Jun 25, 2021
A legal view of the medical marijuana debate in EMS
34:18
On this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson tackle a hot button issue: medical marijuana and its use by public safety members. Our hosts discuss a firefighter from Buffalo, New York, who was discharged from his position for using marijuana, despite being having a prescription, and are joined by attorney David C. Holland to discuss the event from a legal angle.  The conversation delves into the responsibility of leadership, how the Collective Bargaining Agreement factors into the debate and how EMS should address the issue in the future.
Jun 18, 2021
Scott Moore, Esq., on what the law says about mandatory vaccinations
27:35
As we head out of the depths of the pandemic and adjust to the “new normal,” the vaccination status of the workforce – in order to protect both coworkers and patients alike – is a major consideration. This week, a judge rejected a lawsuit from Houston hospital workers who had been suspended for not being vaccinated. This issue is an emotive one, and to unpick these issues, our host, Rob Lawrence, speaks to employment and HR Lawyer, Scott Moore. Scott helps us understand the issues of mandatory vaccinations, declaration of vaccination status and more.
Jun 14, 2021
School‘s open: Getting back in the EMS classroom
18:57
On this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss getting back into the classroom and training students again. Grayson is working with a group of high schoolers to become EMRs, and plans to conduct a PLUCK lab and use pig organs to teach the anatomy of the body. Students will have the chance to dissect the different organs and see them up close.
Jun 11, 2021
The rise in EMS assaults and how the industry should handle it
20:36
On this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss a recent pattern of reported assaults on EMS providers, and what leadership can do to ensure the safety of their members. The duo also revived a long-standing debate on the idea of armed providers.  "My job is to deliver the highest quality of patient care, but if you make me defend myself, it is a different story," Cebollero said.
Jun 03, 2021
Building an EMS system from the ground up
37:03
In this edition of EMS One-Stop podcast, our host, Rob Lawrence, interviews Doug Hooten, CEO of the brand-new Harris County Texas, ESD 11 EMS Agency, who was presented with the challenge of creating an ambulance service and building it from the bottom up – to be up, running, staffed and equipped within 365 days.
Jun 03, 2021
Welcome to Louisiana: NAEMT President-elect Susan Bailey on rural EMS, pandemic challenges
30:25
With Chris Cebollero still out on vacation, co-host Kelly Grayson takes guest host Rob Lawrence and listeners home to Louisiana to meet and chat with state EMS director and president-elect of NAEMT, Susan Bailey. They discuss Bailey's current position, how Louisiana is credentialed, and the perseverance of state providers who have risen to both the challenges of the pandemic and a number of natural, weather-related events.  The group also discusses the current challenges to delivering EMS in a rural setting and the issues that are making industry news in terms of rural, finance, staffing and viability.
May 28, 2021
NHTSA OEMS Director Dr. Jon Krohmer joins the podcast for an EMS Week chat
32:59
With Chris Cebollero away, stand-in host Rob Lawrence and regular presenter Kelly Grayson welcome Dr. Jon Krohmer, director of the NHTSA Office of EMS, for an EMS Week chat. Dr. Krohmer explains the role and tasks of the Office of EMS, as well as its interaction with the Federal Interagency Committee on Emergency Medical Services (FICEMS) and National EMS Advisory Council (NEMSAC). Rob also raises the issue of data and the team discusses the NEMSIS weekly "by the numbers" product.
May 21, 2021
Dov Maisel on Israel’s MCIs, emergency response
27:29
United Hatzalah volunteer emergency response Director of Operations Dov Maisel speaks to EMS1 from Jerusalem about resiliency in the face of recent mass casualty responses and the ongoing response to rocket attacks
May 18, 2021
The realities, challenges and funding of rural EMS with Justin Grohs
24:47
In this episode of EMS One-Stop With Rob Lawrence, Rob is joined by Justin Grohs, manager at Great Falls Emergency Services, Montana. Grohs also serves the American Ambulance Association as chair of the Rural Task Force. Together, they discuss the realities, challenges and funding of rural EMS, where staffing and financial stressors have been further exacerbated by the pandemic.
May 18, 2021