When conflict flares up in your organization, do you fuel the fire or douse it with empathy? In this week’s episode of the Inside EMS podcast, Chris Cebollero and Kelly Grayson break down how to handle interpersonal drama and tough conversations like a leader — with calm, clarity and tactical empathy. Tactical empathy isn’t about being soft; it’s about being smart. It’s the intentional art of listening, labeling emotions and showing people they’re seen — without letting things spiral into chaos ...
Jun 27, 2025•23 min•Ep. 713
In this episode of Inside EMS, Chris Cebollero unpacks what it really means to be a field training officer and, spoiler alert: it’s not just about ticking boxes or passing protocols. From the importance of professional modeling and emotional intelligence to the dangers of unchecked cynicism among senior field staff, Chris lays out why FTOs must be seen — and supported — as true leaders. He shares his own experiences as a clinical director, discusses how poor habits often trace back to lackluster...
Jun 13, 2025•28 min•Ep. 712
When most people see red tape, they stop. Darin Johnson saw an opportunity. In this episode of Inside EMS, Chris and Kelly welcome Darin — a paramedic, operations supervisor and now urgent care owner — to break down how he helped spearhead Utah’s House Bill 14. The goal? Allow paramedics to practice to their full scope outside of traditional EMS settings. What started as a frustrating moment working in mobile IV therapy spiraled into a full-on legislative effort that took over 3 years to realize...
May 30, 2025•26 min•Ep. 710
It’s EMS Week wrap-up time, and Chris Cebollero and Kelly Grayson are back in classic form in this episode of the Inside EMS podcast. From jokes about Sloppy Joe leftovers from Hospital Week to heartfelt gratitude for the medics still grinding it out day after day, this episode hits all the notes. Chris and Kelly talk about why EMS Week still matters; more than just stickers and slogans, it’s about recognizing the quiet pride, the commitment and the transformation that EMS professionals bring to...
May 23, 2025•18 min•Ep. 709
When it comes to taking criticism, EMS professionals are … not great. In this episode of Inside EMS, cohosts Chris Cebollero and Kelly Grayson get real about why criticism hits so hard and how we can start to deal with it like grownups (instead of defensive toddlers). They break down Chris’s recent article, “10 practical tips for responding to criticism,” sharing personal stories of defensiveness, arrogance and the long road to emotional intelligence. From learning to separate emotion from feedb...
May 16, 2025•29 min•Ep. 708
In this episode of the Inside EMS podcast, hosts Chris Cebollero and Kelly Grayson dig deep into one of EMS's most overlooked (and often forgotten) topics — toxidromes. You might remember the word from paramedic class, but today’s street calls demand more than a vague memory. With patients taking everything from grandma’s Ativan to street-made speed, understanding toxidromes is crucial for making quick, accurate clinical calls. The crew breaks down the five major toxidromes every medic should kn...
May 09, 2025•21 min•Ep. 707
This week on the Inside EMS podcast, hosts Chris Cebollero and Kelly Grayson tackle a metabolic monster that every EMS provider needs to master: diabetic ketoacidosis (DKA). They kick off with a common (but critical) 911 scenario: a 19-year-old with a history of Type 1 diabetes, confusion, vomiting and a blood sugar of 500. Sound familiar? Kelly dives into the physiology of DKA, explaining how glucose can be sky-high while cells starve, triggering fat breakdown and ketone production that spirals...
May 02, 2025•24 min•Ep. 705
What does accountability actually look like in EMS? In this episode of the Inside EMS podcast, cohosts Chris Cebollero and Kelly Grayson get into the gritty details — beyond the management-speak — and outline the 7 pillars of accountability that can make or break an EMS organization. From character and unity, to urgency and evolution, they explore how each pillar builds a culture that supports excellence, trust and growth in the field. The discussion gets into metrics that actually matter (and n...
Apr 25, 2025•24 min•Ep. 703
Guest host Rob Lawrence joins Kelly Grayson to reflect on the recent EMS on the Hill Day. Rob offers a behind-the-scenes look at his experience leading the California delegation and provides insights into how EMS professionals can influence policy on issues like Medicare reimbursement, community paramedicine and workforce development. Kelly questions whether EMS on the Hill Day efforts actually drive change, while Rob defends the impact of consistent grassroots advocacy. The episode highlights k...
Apr 11, 2025•29 min•Ep. 702
In this episode of the Inside EMS Podcast, co-host Kelly Grayson is joined by international guest host Rob Lawrence for a candid and timely conversation on one of the most pressing issues in EMS today: fatigue and its impact on provider safety and wellness. The discussion begins with a heartbreaking story out of Georgia, where a nurse, after working consecutive night shifts, fell asleep at the wheel, leading to a fatal crash. It’s a tragic reminder of the very real risks that come with long hour...
Apr 04, 2025•23 min•Ep. 701
Note: Thanks for following the Inside EMS podcast! Enjoy this special EMS One-Stop crossover episode with host Rob Lawrence, who will also join Kelly Grayson as a guest cohost during the month of April. In this episode of the EMS One-Stop podcast, Dr. Dave Williams discusses an exciting new master's-level course designed for EMS and fire leaders , focused on advanced improvement science. Along with Mike Taigman , Dr. Williams is leading this program, which aims to equip leaders with the tools an...
Apr 01, 2025•1 hr 2 min•Ep. 700
In honor of First Responder Wellness Week, Inside EMS hosts Chris Cebollero and Kelly Grayson go beyond the surface-level tips and dig into what true wellness looks like in this profession. Spoiler: it’s messy, personal and sometimes terrifying. Kelly shares his deeply personal journey from a spinal surgery and a near-fatal pulmonary embolism to dropping over 140 pounds and reclaiming his life. At his heaviest, he was 410 pounds. Today? He’s neck-and-neck with Chris on the scale, rocking a 40-in...
Mar 28, 2025•28 min•Ep. 699
Billions of dollars from opioid settlements are flowing into communities, but how does EMS get a slice of the pie? In this episode of the Inside EMS podcast, host Chris Cebollero is joined by Corey Carlson, EMS segment lead at Lexipol, to break it all down. Carlson simplifies the complex world of opioid settlement funding, sharing exactly where the money is, who controls it and how EMS agencies — both public and private — can apply. From funding for training, mental health support, AEDs, cardiac...
Mar 21, 2025•24 min•Ep. 698
Sitting for the National Registry exam might rank up there with colonoscopies in terms of excitement, but EMS educator Dan Limmer recently took the test. Why? To stay sharp, to keep his licenses and to see firsthand how the test has evolved. And guess what? He walked out impressed. In this episode of Inside EMS, Dan sits down with host Chris Cebollero to break down his experience, share study strategies and offer test-taking wisdom for new and seasoned medics alike. He highlights how the test is...
Mar 14, 2025•26 min•Ep. 696
In EMS, where the stress is high and space is tight, conflict is bound to happen. Whether it’s a personality clash with your partner, frustration over unclear responsibilities or a disagreement with leadership, knowing how to navigate workplace tension is a crucial skill. In this episode of the Inside EMS podcast, hosts Chris Cebollero and Kelly Grayson break down conflict resolution strategies . Whether you’re dealing with an overbearing supervisor, a partner who won’t pull their weight or just...
Feb 28, 2025•30 min•Ep. 693
New Year’s celebrations in New Orleans are always a spectacle, but this year, tragedy struck at 3:15 a.m. A truck barreled into the crowds, triggering what first responders feared was a vehicle-ramming attack. Within moments, New Orleans EMS was in full mass casualty mode — triaging, treating and coordinating with law enforcement amid the unfolding chaos. But things quickly escalated. As Chief Bill Salmeron recounts, responders soon discovered not only multiple critical patients, but also a shoo...
Feb 21, 2025•28 min•Ep. 692
In this episode of Inside EMS, hosts Chris Cebollero and Kelly Grayson are joined by Nick Maltby, chief of service for New Hartford Volunteer Ambulance Service, and a clinical psychologist specializing in anxiety and PTSD. Nick brings a unique perspective, blending frontline EMS experience with mental health expertise to tackle one of the biggest issues in EMS today — mental health support that actually works. Memorable quotes “Depression is a voice that whispers to you that you can't do all the...
Feb 07, 2025•30 min•Ep. 690
In this week’s episode of the Inside EMS Podcast, hosts Chris Cebollero and Kelly Grayson discuss some of the biggest news stories in EMS from the month. First up: A fire chief in Colorado is under investigation for running nearly 300 medical calls on an expired paramedic certification from 2019. What happens when leadership sets a bad example for their crews? The pair also discuss several mental health initiatives, including the University of Washington’s new first responder training program an...
Jan 31, 2025•26 min•Ep. 689
In this episode of Inside EMS, Chris and Kelly are joined by Tim Redding, founder and CEO of Emergency Education Consultants , to explore a topic that’s reshaping how we think about medicine: male-centric healthcare. Tim shares insights from Dr. Alyson J. McGregor’s groundbreaking book, “Sex Matters” , which explores how medical research and education have historically centered on white male patients, leaving women underserved and misdiagnosed. From cardiac care to drug research, Tim explains ho...
Jan 24, 2025•29 min•Ep. 688
Ever wonder what really happens inside the body during shock? This week, Chris Cebollero and Kelly Grayson dive into the renin angiotensin aldosterone system (RAAS). From vasoconstriction to fluid retention, they break down this complex topic with real-life examples, a sprinkle of humor and practical tips for how EMS providers can apply this knowledge in the field. Kelly shares the importance of understanding the “why” behind shock presentations, from recognizing when fluids won’t work to knowin...
Jan 17, 2025•25 min•Ep. 686
In this episode of Inside EMS, hosts Chris Cebollero and Kelly Grayson explore leadership insights drawn from a recent post by The Humbled Medic blog, which highlights lessons from the hit Apple TV show “Ted Lasso.” Known for its humor and heart, the show serves as a surprising but fitting blueprint for leadership, especially for EMS educators and professionals. The hosts discuss the importance of embracing the philosophy “be curious, not judgmental,” a guiding principle that urges EMS providers...
Jan 10, 2025•19 min•Ep. 685
This year, EMS brought more than its fair share of jaw-dropping moments, and as we wrap up 2024, we’re revisiting five of the craziest stories that made headlines. From a massive chemical plant fire in Texas prompting a shelter-in-place order, to a sand hole tragedy on a Florida beach, these events highlight the unpredictability of EMS work. Ever had a crash victim ejected so far from their vehicle, they landed on a roof? That’s exactly what happened in Michigan. Or a tractor-trailer cab danglin...
Dec 20, 2024•26 min•Ep. 684
EMS pay and retention – or the lack thereof – is at the heart of this week’s episode of Inside EMS. Hosts Chris Cebollero and Kelly Grayson tackle a news item out of Dougherty County, Georgia, where a recent exodus of EMS professionals spurred long-overdue pay raises and bonuses . The discussion then shifts to Pickens County, Alabama, where a lack of funding led to a total EMS shutdown . Chris and Kelly explore how underfunded systems collapse under the weight of low reimbursement rates, poor pu...
Dec 13, 2024•25 min•Ep. 683
In this week’s episode of the Inside EMS podcast, cohosts Chris Cebollero and Kelly Grayson dive into a vital topic: the culture of accountability in EMS. Sparked by FireRescue1’s Chief Marc Bashoor’s thought-provoking article, "Where is our culture of accountability?" , the hosts explore why change is so difficult to embrace, how leadership impacts culture and what steps agencies can take to help foster accountability across an organization. From managing expectations to addressing fairness in ...
Nov 29, 2024•28 min•Ep. 680
EMS agencies are facing mounting challenges, from staffing shortages and rising operational costs to increasingly complex compliance requirements. However, advanced data systems and integrated technology offer solutions to these persistent issues. In this episode of Inside EMS, Clinical and Business Consultants Jason Bartholomai and Chuck Sweeney of ZOLL Data Systems discuss how robust EPCR systems and streamlined workflows can reduce inefficiencies, improve patient care and ease the burden on E...
Nov 21, 2024•30 min•Ep. 679
This week, Chris Cebollero and Kelly Grayson host a virtual book club as they count down the top 10 essential texts that paramedics should have on their shelves – a mix of useful references, anatomy and physiology deep dives, and heartfelt memoirs that capture the essence of EMS work. From learning resources, to comic relief, there’s something for everyone in this list. Did our cohosts exclude a favorite EMS-focused book? Send your suggestions to editor@ems1.com for inclusion in a future article...
Nov 15, 2024•26 min•Ep. 677
How old are you in EMS years? Are you using clinical skills that should be put out to pasture? Listen as cohosts Chris Cebollero and Kelly Grayson debate the effectiveness of “retired” EMS skills, like nasal and digital intubation, and whether the value of those skills has held up over time. Memorable quotes “If you’re not proficient with all the tools in your box, what does that say about your training?” “I take a lot of pride in having a deep bag of tricks to pull from. And I can't count the n...
Nov 08, 2024•26 min•Ep. 676
Last week, Inside EMS cohosts Chris Cebollero and Kelly Grayson laid out the top 10 indications of a bad EMS supervisor (Did you miss it? Catch it here! ). This week they’re tackling the top signs of a bad employee, such as poor attendance, lack of initiative and a bad attitude – that’s not you, right? Listen as our duo reflects on each characteristic and where they have seen (or exhibited!) those traits in their career. Memorable quotes "If you’re emotionally intelligent and honest with yoursel...
Nov 01, 2024•29 min•Ep. 675
The What Paramedics Want in 2024 report , produced by EMS1 and Fitch & Associates, found respondents to the 2024 EMS Trend Survey ranked leadership No. 4 in the critical issues facing EMS today (behind only retention, funding & reimbursement, and career development). In this episode of Inside EMS, cohosts Chris Cebollero and Kelly Grayson expose the unpleasant side of EMS leadership by naming the top 10 signs of a bad manager. From communication breakdowns to micromanagement nightmares, ...
Oct 25, 2024•30 min•Ep. 674
Welcome to this special crossover edition of EMS One Stop and Inside EMS, recorded live at the EMS World Expo 2024 in Las Vegas. Hosted by Rob Lawrence and Chris Cebollero, this episode features insightful discussions with Dr. Ray Barashansky and Tracy Loscar, EMS Deputy Director at Matanuska-Susitna (MatSu) Borough Department of Emergency Services, Alaska. The episode covers key themes such as leadership development, emotional intelligence in EMS, and the importance of mentorship programs like ...
Oct 04, 2024•16 min•Ep. 673