EMS Today

In this episode of The Chief’s Cadence, Shane Wheeler sits down with Dr. Anthony Minge, senior partner at Fitch and Associates, to explore the overlooked role of structured communication in EMS leadership. Dr. Minge discusses why communication should be as prioritized as budgets or staffing. He highlights practical strategies like rounding, scheduled huddles, and purposeful meetings to build trust...

The 2025 AHA Guidelines for CPR and Emergency Cardiovascular Care introduce significant updates, including a focus on on-scene resuscitation, cautious use of mechanical CPR devices, and prioritizing IV over IO access. While these changes aim to improve outcomes, they’ve sparked debate among seasoned paramedics like Jimmy Apple, the “EMS Avenger,” who highlights the challenges of implementation.  ...

In this candid episode of Just Little Salt, Nurse Stankk—an ER nurse and viral healthcare content creator—breaks down what really goes down behind hospital doors. He shares the tough realities of nonstop demands, overlooked tasks, and the emotional toll of burnout, especially dealing with difficult patients and tragic cases involving children. Yet amid the chaos, he reveals how healthcare humor an...

JEMS Development Editor Mike Brown sits down with Jason Nunn, the creator of Stetta Sleeves, a personal and innovative solution designed to protect healthcare workers from bites, scratches, and needle injuries. Drawing from over 20 years of experience in medical care, Jason shares the incident that inspired the product—his own injury during a hospital code involving an agitated patient—and highlig...

Dr. Richard Janka, CEO of the 911 Training Institute joins the podcast to talk about resilience. He talks about the mission of the training institute as well as what got him involved with the institute. The bulk of the podcast is spent discussing resilience and what it means for first responders, as well as the telecommunicators who have to take these calls. We talk about the key role leadership p...

In this heartfelt episode of Just a Little Salt, Chris Spaulding sits down with his son, Cody, to explore a lifetime shaped by fire service. Chris recounts how a family tragedy set him on this path over three decades ago, sharing stories that blend humor and hardship—from prank wars and raw chicken mishaps to the heavy toll of witnessing trauma. Father and son reveal the deep bonds that grow in fi...

Host Bram Duffee explores research on epinephrine’s role in traumatic cardiac arrest. The discussion features a trauma surgeon and researcher from a Level 1 trauma center who explains why epinephrine may not only lack benefit but could cause harm in trauma cases like car crashes or gunshot wounds. Drawing from a six-year study across seven trauma centers involving over 1,600 patients, the findings...

Rolling Sixes is a groundbreaking six-part documentary series spotlighting the combined police, fire, and EMS crews of Kalamazoo Public Safety—the largest integrated public safety agency in the U.S. Created by Zach Hamelton, a former TV and film producer turned public information officer, the series blends cinematic storytelling with immersive, real-world footage captured via GoPros and cinema cam...

The JEMS Report: How a Timid Soul Found Purpose in EMS Service   Eric Chase sits down with Jeffrey Hammerstein, a retired paramedic with over 40 years of experience in Wake County (NC) EMS. Jeffrey shares his journey from a fearful, shy child to a confident frontline responder who found meaning in offering reassurance and care during life’s most critical moments. He discusses the emotional toll of...

Just a Little Salt: Real Stories, Hard Truths and Humor with Fireman Lance   Fireman Lance opens up about the realities of life on the job—from brutal physical challenges and mental exhaustion to the tight-knit culture and unexpected humor at the fire station. Lance shares stories of rookie mistakes, intense calls and hilarious firehouse pranks involving ghostly dolls and prank sprays. He sheds li...

JEMS Product Pod: TRAUMAGEL is Revolutionizing Hemorrhage Control   JEMS Development Editor Mike Brown welcomes Joe Landolina, co-founder and CEO of Cresilon, alongside Sean Allen, Director of Education for TRAUMAGEL, to dive into a breakthrough in hemorrhage control technology. TRAUMAGEL, a plant-based, easy-to-use hemostatic gel, stops moderate to severe external bleeding within seconds without...

Not A-Fib: Criminal Liability and Legal Challenges for EMS Providers   This episode of the Not A-fib podcast looks into the increasing scrutiny EMS providers face from a legal standpoint, highlighted by high-profile cases like Elijah McClain's tragic death in Aurora, Colorado, and a recent Springfield, Missouri incident. Attorney and EMT Frank Flaspohler, who serves as legal counsel to Missouri am...

The JEMS Report: Tylenol Use in Pregnancy   Dr. Sarah Fabiano and Dr. Jeremy Cushman break down the recent FDA release linking acetaminophen (Tylenol) use during pregnancy to autism spectrum disorder.  They discuss the distinction between association and causation, highlighting how studies can show correlations without proving direct cause and effect. The doctors also address the complexity behind...

Just a Little Salt: Kevin Hazzard on the Reality of Emergency Medicine, Burnout, and Storytelling   In this revealing episode of “Just a Little Salt,” seasoned Atlanta paramedic and author Kevin Hazzard shares the unvarnished truth about life on the front lines of emergency medicine. Reflecting on his decade-plus of experiences, Kevin dives deep into the emotional challenges of responding to traum...

Just a Little Salt: Badge 502 on EMS, Dispatch and Viral TikTok Fame   In this candid episode of “Just a Little Salt,” the Salty Paramedic sits down with Badge 502— Anthony Christian an EMT, 911 dispatcher, CPR instructor and viral content creator. Anthony shares his journey from retail to first responder during the height of the COVID-19 pandemic, how creating humorous EMS videos started as a way...

The JEMS Report: ROSC and Roll   Cardiovascular perfusionist Brian Kress joins Mike Brown to dissect a high-stakes cardiac arrest case that underscores the critical moments following return of spontaneous circulation (ROSC). They walk through the fragile physiology of post-arrest patients and reveal how early, expert support in the field and hospital dramatically influences outcomes. From the impo...

Just a Little Salt: Firefighter Fenton on Leadership, Family and Humor in Firefighting   Firefighter Fenton opens up about balancing two decades of firefighting with family life, creative content creation and staying true to himself. From the harrowing experience of losing a fire truck amid a wildfire threatening homes—teaching him tough lessons in leadership and priorities—to the lighter side of...

Just a Little Salt: Patrick Pianezza on ‘Code 3,’ EMS Realism and Mental Health   In this debut episode of Just a Little Salt, former paramedic and co-writer Patrick Pianezza shares the story behind the upcoming film “Code 3,” releasing September 12. Drawing on over a decade in EMS, Patrick reveals how a college creative writing assignment transformed into a heartfelt, medically accurate portrayal...

Chief’s Cadence:  Ethical Leadership in EMS with Attorney Steve Wirth   In this episode of The Chief’s Cadence, Chief Shane Wheeler sits down with Attorney Steve Wirth, a pioneering paramedic turned attorney and EMS leader, to uncover the complexities of ethical leadership in emergency medical services. Drawing from decades of hands-on experience, Steve explores the hard choices EMS professionals...

The JEMS Report: Inside EMS Medical Direction and Rehab Strategies at Large-Scale Fire Incidents     Dr. Jeremy Cushman shares his journey from EMT to full-time EMS physician and regional medical director covering over 100 agencies in New York’s Finger Lakes and western regions. He talks about the evolving EMS physician role and the relationship between medical directors and first responders. The...

What is high-risk airway management (HRAM)? It is exactly the stuff nightmares are made of: Patients who present to us, outside of the hospital, with severe injuries and competing treatment priorities. Performing RSI on these patients is a lot like walking alone down a scary alleyway in the big city. Read the full article on EMS Airway .

Not A-Fib:  Mobile Integrated Healthcare, Advocacy and Mental Health in Missouri Chief Justin Duncan, CEO of Washington County Ambulance District in Missouri, shares insights on pioneering mobile integrated healthcare in a sprawling 1,500-square-mile rural area. Winning the $150,000 Building Bridges to Better Health challenge, his program blends community paramedics, telehealth, and partnerships w...

The JEMS Report: Practical Insights for Out-of-Hospital Birth Challenges   In this episode of the JEMS Report Podcast, managing editor Jeff Frankel sits down with Dr. Liz Travis, a maternal care researcher, to discuss the growing challenges EMS providers face with out-of-hospital births. They unpack the critical gaps in traditional EMS training, particularly as maternal care deserts expand, leavin...

Airway management in the prehospital environment is difficult just by virtue of where we are doing it and the lack of resources available to help us manage the difficulties. Add to that a patient with mangled facial anatomy or is dangerously peri-arrest due to hemorrhage and the danger can seem insurmountable. What the research tells us is that there are really three big buckets of problems in air...

Not A-Fib :Inside New Orleans EMS’s Body Worn Camera Program and Mass Casualty Response   In this episode of the Not A-fib podcast, Deputy Chief Christopher Keller of New Orleans Emergency Medical Services shares the origins and impact of their innovative body worn camera program. The program protects staff, supports quality assurance and aids patient care. Keller discusses navigating privacy conc...