EMS Today

When many EMS workers first enter the field, their focus is entirely on helping patients in crisis. However, as time goes on, the relentless demands of the job often push self-care to the backburner. Meals become whatever can be grabbed on the go, energy drinks replace proper hydration, and exercise falls by the wayside. This gradual decline in self-care takes its toll, as long, unpredictable shifts and high-stress environments leave little room for prioritizing personal health.

EMS Editor-in-Chief Dr. Ted Lee talks with Dr. Kristin McCabe-Kline, a board member with the American College of Emergency Physicians and Chief Christopher Way, president of the National Association of EMTs. They explore the vital intersection between emergency medicine and EMS as they kick off EMS Week, discussing its significance beyond mere appreciation gestures like pizza and cake. The conversation emphasizes the transformation of EMS into a critical healthcare provider within communities, particularly amid rising demands and budgetary constraints. They call for stronger advocacy to ensure EMS receives the recognition, funding and support it requires to thrive.

In the latest episode of the Not A-fib podcast, host Mark Flauter welcomes back attorney Kevin Fairley to explore the tumultuous landscape of Medicaid funding and its impact on Emergency Medical Services (EMS). With a looming budget shortfall and proposed cuts to provider taxes, states face potential financial crises that could significantly impact healthcare delivery. The discussion delves into the complex interplay between state-directed payments, federal oversight, and the growing scrutiny from agencies like the Office of Inspector General (OIG). Fairley highlights the need for EMS leaders to adopt a proactive approach to compliance, emphasizing the importance of understanding the nuances of cost-reimbursement structures and maintaining accountability. As Medicaid faces critical changes under the new political landscape, this episode offers valuable insights for healthcare stakeholders to prepare for the uncertainties ahead. Tune in to stay informed about the evolving Medicaid policies affecting EMS agencies nationwide.

In honor of Women’s History Month, EMS P.O.D. host Chief Doug Randell sits down with Dr. Owusu-Anshan, associate professor of Pediatrics & Emergency Medicine University at Pittsburgh School of Medicine. She is a trailblazer for women who has improved the lives of patients and creates opportunities for those who otherwise would not. This interview gives you a chance to learn of many of the exciting activities she’s involved with, including “The Pitt” now streaming on MAX.

JEMS Report host Dr. Ted Lee interviews Jeremy Mast, CEO of Tri-County Ambulance Service, to discuss the pivotal role of leadership during challenging situations in EMS. Drawing upon his 30 years of experience in fire and EMS, Mast shares invaluable insights on preparing for unforeseen events, fostering a supportive organizational culture and ensuring crew well-being. He emphasizes the importance of strong leadership visibility during crises to reassure teams and facilitate effective decision-making. Through their conversation, they explore strategies for building robust community connections and the impact of training and mentorship on individual growth within the EMS landscape.

Moving Toward Safer Pediatric Transport Care in EMS Insights from Dr. Nick Cochran-Caggiano’s Research on Pediatric Transport and Resuscitation By Bram Duffee, PhD, EMT-P Transporting children in ambulances presents unique challenges that EMS providers face every day. Issues like the correct use of safety equipment, performance of life-saving procedures like CPR, and the absence of universal standards can make pediatric care in emergency settings more difficult than necessary. Dr. Nick Cochran-Caggiano, an emergency physician and researcher, has taken a deep look into these challenges through two pivotal studies that every EMS worker should know about. Both studies were discussed on the latest podcast episode of “EMS Research with Professor Bram.” The Unsafe Reality of Pediatric Transport in Ambulances One of Dr. Cochran-Caggiano’s studies, published in Pediatric Emergency Care (2023), examined how children are secured during ambulance transport. The study reviewed over 3,000 cases by observing video footage of ambulances arriving at a pediatric emergency department. The findings reveal a troubling reality:  Just 53.5% of children were transported using the correct safety device for their weight.  A staggering 77.1% of transport restraints were not used properly, putting children at significant risk.  Commercially made pediatric restraints were found to be the best option, yet these were still improperly used half the time.  For many patients, ambulance cots were the default method of transport, but this was only the correct choice in 18.2% of cases. Dr. Cochran-Caggiano shared his thoughts on this alarming data during a recent interview, emphasizing that the absence of consistent safety standards puts children at unnecessary risk. "Having some sort of ability to transport children safely is a must," he said. He also pointed out the pitfalls of the current patchwork approach to pediatric safety in EMS. "There’s no appropriate way to secure [a child’s car seat] to an ambulance stretcher. You can make a good faith effort, but that’s really all it is." Why This Matters Improper restraint practices don't just violate safety protocols—they create scenarios where otherwise preventable injuries become inevitable. Reflecting on the need for systemic change, Dr. Cochran-Caggiano pushed for a proactive approach, stating, "Let’s make a difference before

EMS Improv Podcast host Eric Chase welcomes Bonnie Rumilly, LCSW, EMT-B, EMDR therapist. In this conversation, Bonnie shares some personal experiences as well as offers insights and actionable takeaways. Bonnie shares her personal story of resilience, highlighting her journey from a challenging childhood to becoming a compassionate caregiver for her community. As they explore topics such as dysregulation, trauma bonding and the importance of addressing mental health, listeners gain valuable insights into recognizing the signs of trauma and seeking help. Bonnie emphasizes the critical role of early processing and trauma-informed care, offering hope and actionable steps for those navigating their healing journey.

EMS Improv Podcast host Eric Chase welcomes Jason Bazelow, a flight paramedic turned patient advocate. Jason shares his experience of surviving an aortic dissection, during which he faced a reality of clinical death for an astounding 34 minutes. Through vulnerability and transparency, he narrates the profound emotional, psychological and physical toll of his journey, not only on himself but also on his family. As Jason reflects on his transition from being a healthcare provider to becoming a patient, he emphasizes the importance of patient advocacy, mental health awareness and genuine communication within the healthcare system. Hear how Jason's story not only resonates with survivors and healthcare professionals but also serves as a beacon of hope and understanding for those navigating their own health challenges.

In this episode of the JEMS Report, Dr. Ted Lee and Jonathan Epstein from the American Red Cross discuss critical developments in prehospital resuscitation education, especially surrounding Heart Month. Epstein highlights the Red Cross's longstanding commitment to lifesaving training, evolving from traditional community-focused programs to a comprehensive suite that includes Basic Life Support, Advanced Life Support and the newly launched Neonatal Advanced Life Support. The conversation emphasizes the importance of tailored educational offerings for both public and healthcare professionals, aiming to bridge the gap in emergency medical response across diverse communities. The Red Cross’s innovative Mission CPR project looks to improve bystander CPR rates in underserved areas, underscoring that every second counts during cardiac emergencies. For EMS providers and healthcare professionals, this initiative represents a significant step forward in achieving better patient outcomes and preparedness in life-threatening situations.

In episode 18 of the Not AFib podcast, host Mark Flauter talks with paramedic Rachel Belcher to explore the often-overlooked topic of "duty-bound grief," a unique form of grief experienced by first responders. Looking into their shared experiences, Rachel discusses how cumulative exposure to traumatic events leads to emotional overwhelm, revealing the intricacies of compartmentalization and its long-term impacts on mental health. Through her advocacy for comprehensive mental wellness education, she emphasizes the importance of self-assessment, regular mental hygiene practices, and the value of peer support networks. Rachel’s personal journey to recovery from trauma and her call for systemic change underscore the urgent need for robust resources tailored to the needs of first responders. This episode serves as a vital reminder that acknowledging grief and seeking help is an act of courage, fostering resilience within those who dedicate their lives to serving others.

JEMS Editor-in-Chief Dr. Ted Lee speaks with Dr. Kate Tataris, EMS director for Chicago EMS System and Chicago Paramedic-in-Charge Chris Powers about cardiac arrest and heart programs.

JEMS Editor-in-Chief Dr. Ted Lee speaks with Dr. Christine McGuire-Wolfe, the director of Infection Control for Emergency Responders (ICER) Collaborative and Training Hub. Read more about the program and how you can help by clicking here.

Eric Chase has a conversation with Shane Stephens, the EMS specialist for leadership development with the Commonwealth of Pennsylvania. Stephens talks about how his position and personal experiences help grow collaboration.

Chief Douglas Randell speaks with Dr. Remle Crowe and Dr. Jamie Kennel about following the data in EMS research.

In this special episode of the EMS Handoff Podcast, hosts Bradley Dean and David Blevins are honored to welcome the legendary Dr. Paul Pepe, a trailblazing EMS medical director whose groundbreaking work has shaped the foundation of modern-day EMS. Dr. Pepe’s influence spans decades, and his passion for advancing prehospital medicine continues to inspire generations of EMS professionals. Join us as we take a deep dive into the fascinating history of EMS medical direction, exploring how this critical component of prehospital care evolved into what it is today. In This Episode A look back at the early days of EMS and how medical direction began. Dr. Pepe’s personal journey and contributions to prehospital medicine. How medical directors bridge the gap between field providers and the healthcare system. Insights into the challenges and successes of shaping EMS protocols and education. Lessons learned and advice for current and aspiring EMS leaders and medical directors. Whether you're a seasoned EMS professional, a new provider, or simply passionate about the history and future of prehospital care, this episode is packed with valuable insights and inspiration. About Dr. Paul Pepe Dr. Paul Pepe is renowned for his pioneering work in EMS systems development, resuscitation science, and disaster response. With a career dedicated to improving patient outcomes through innovation and collaboration, Dr. Pepe remains a cornerstone of EMS advancement worldwide.

Hennepin EMS in Minnesota is breaking new ground in prehospital care with the introduction of a clinical pharmacist consulting role, designed to tackle complex challenges and foster collaboration between paramedics and pharmacists through hands-on support and cutting-edge research. The clinical pharmacist acts as a bridge between hospital and field operations, ensuring prehospital teams have the support they need to improve patient outcomes. A critical part of the pharmacist’s responsibilities includes hands-on engagement. From participating in ambulance ride-alongs to hosting open-door consultations, this role prioritizes practical and actionable solutions. At the heart of this initiative is Holly Drone, PharmD, Hennepin EMS’s clinical pharmacist. Not only has Holly been integral to placing this program into action, but she’s also contributing to the field through her research. Her studies focus on essential topics such as Sodium Nitrate Overdose management, the initiation of Buprenorphine in prehospital settings, and the use of Oral Risperidone by EMS providers in the field. To learn more about this innovative role and hear directly about her experiences and research, check out her recent interview on the podcast “EMS Research with Professor Bram.” Holly provides unique insights into the evolving relationship between paramedics and pharmacists as well as the critical role clinical pharmacy plays in improving prehospital care.

JEMS Editor-in-Chief Dr. Ted Lee speaks with Dr. Michael J. Carr about how telemedicine is saving lives in Georgia. Carr, the executive director of Prehospital & Ambulatory Virtual Emergency Services (PAVES) at Emory University, says patients in rural counties now have access to doctors and specialists even before they reach the hospital.

Join hosts Bradley Dean and David Blevins as they sit down with Dr. David Tan to explore the evolving role of medical direction in EMS. Together, they dive deep into the challenges and opportunities shaping EMS systems and the clinicians who drive them forward.

Dan Burke, EMS safety director for the Center for Patient Safety (CPS), joins the podcast to discuss CPS. We discuss the mission of the CPS and how it's grown in the last 25 years. We also discuss the benefits of joining the CPS and how EMS agencies become better focused on patient safety. Finally, we discuss his time as state EMS director for the District of Columbia and the challenges, and benefits, of guiding EMS in our nation's capital.

In this episode of The EMS Handoff Podcast, host Bradley Dean welcomes Janet Taylor, a seasoned flight nurse, educator and national EMS speaker, to discuss the seismic shifts in EMS education brought about by the COVID-19 pandemic. Together, they explore what it means to be a “COVID provider,” the challenges of addressing knowledge gaps in the post-pandemic era, and the importance of going the extra mile to ensure the success of EMS professionals in a rapidly evolving healthcare landscape. With her extensive background in nursing, flight medicine, and education, Janet shares her insights into how educators and providers can adapt and thrive, even in the face of unprecedented challenges. From innovative teaching strategies to practical advice for today’s EMS providers, this episode is a must-listen for anyone involved in EMS education or practice. Key Topics Covered in This Episode The COVID-19 Impact on EMS Education: How the pandemic changed the way we teach and learn in EMS. Understanding the “COVID Provider” Phenomenon: What defines a provider trained during the pandemic era, and what unique challenges do they face? Addressing Knowledge Gaps: Practical strategies for bridging gaps caused by disrupted training and clinical experience during the pandemic. Going the Extra Mile: Why resilience, creativity, and commitment are more critical than ever for EMS providers and educators. The Role of Technology in EMS Education: Exploring innovative tools and methods that emerged during the pandemic and their lasting impact on training programs.