by emsonestop
Explore the forefront of EMS leadership with Rob Lawrence on the ”EMS One-Stop” Podcast. Tackling critical issues like staffing, service delivery and operational challenges, each episode delves into the latest in patient care enhancement, EMS technology advancements; and emerging trends like AI, telehealth, quality improvement and alternate destinations with industry experts. Rob Lawrence brings to the table his extensive expertise from decades of service spanning the American Ambulance Association, AIMHI, Richmond Ambulance Authority, Pro EMS, Prodigy EMS Education and the East Anglian Ambulance NHS Trust. Stay informed with the latest EMS industry news, organizational updates and inspiring agency success stories. Tune in to the ”EMS One-Stop” Podcast for a deep dive into the challenges and triumphs of EMS leadership in today’s dynamic prehospital care landscape.
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April 3, 2025
In this episode of EMS One-Stop, recorded live from the ABC 360 and XI Conference, host Rob Lawrence chats with keynote speaker Catherine Kuhlmann, a firefighter-paramedic with over 26 years of experience. Kuhlmann discusses the importance of understanding both internal and external customer service in EMS, emphasizing the need for a healthy organizational culture to ensure the best patient care. She reflects on the profound impact that first responders can have on individuals, drawing from her own experiences and personal tragedies to highlight the emotional resilience required in the profession. Rob also speaks with Page Wolfberg & Wirth’s PWW/AG Principal Doug Wolfberg, long-time EMS lawyer and educator, about lessons learned from working in and around law enforcement during patient care. Wolfberg provides actionable insights into how EMS professionals can better collaborate with police officers, ensuring that patient care remains a priority while navigating complex, high-stress situations. Together, Kuhlmann and Wolfberg offer invaluable perspectives on fostering better patient advocacy, maintaining professional integrity and refining EMS protocols to adapt to new challenges. MEMORABLE QUOTES “How many careers, professions are there that, more often than not, you can make somebody's worst day their best?" — Catherine Kuhlmann "If you want to know what's going on in your hospital, ask housekeeping. Patients will not remember that you worked your butt off for 45 minutes to restart their heart … but they will remember that you tucked their feet in with a blanket underneath it." — Catherine Kuhlmann "You have to have a healthy department in order to continue to be healthy. And a lot of times when people think that they have problems with an individual and their agency, sometimes it’s not actually a problem with the individual, it’s with the agency." — Catherine Kuhlmann "We have a duty to the patient. We're not there to help the police. We're there to advocate and treat the patient." — Doug Wolfberg "EMS cannot subordinate judgement to law enforcement. If a police officer says give this guy some juice and put him to sleep, we first have to do an assessment and figure out if clinically that's the right thing." — Doug Wolfberg ADDITIONAL RESOURCES ABC 360 and XI Conference is Page Wolfberg & Wirth Advisory Group’s all-day workshop for EMS leaders, chiefs, HR managers and compliance professionals. Vodcast: Lessons from the McClain case: Protecting first responders and improving EMS practices Balancing care and collaboration: Key lessons from EMS and law enforcement interactions TIMELINE 00:37 – Catherine Kuhlmann introduces herself, detailing her extensive background in EMS, law enforcement, and as a justice of the peace. Rob then highlights the key themes of Kuhlmann’s keynote speech, which revolves around the importance of understanding the "why" in EMS. 02:16 – Kuhlmann discusses the importance of organizational culture in retaining quality personnel and how many individuals leave — not due to the work itself — but because of the agency's culture. Kuhlmann talks about the personal fulfillment that comes from EMS work, sharing a story about a young girl she saved who later became a doctor. 06:13 – Kuhlmann introduces the concept of "Murphy," a problematic employee in the agency, and suggests that sometimes these individuals may reflect a deeper organizational issue. 08:12 – Kuhlmann emphasizes the importance of communication, advising that EMS leaders should hold honest, one-on-one conversations with problematic staff before resorting to exit interviews. 12:04 – Kuhlmann reflects on the small gestures that have a lasting impact on patients, highlighting how seemingly minor acts of compassion can leave a lasting impression. 14:03 – Rob and Kuhlmann discuss the concept of bedside manner in EMS, stressing the importance of treating patients with dignity and respect. Kuhlmann closes with
April 1, 2025
NOTE: Be sure to check out the Inside EMS podcast this month where Rob Lawrence will be joining Kelly Grayson as a guest cohost for Chris Cebollero. In this episode of the EMS One-Stop podcast, Dr. Dave Williams discusses an exciting new master's-level course designed for EMS and fire leaders, focused on advanced improvement science. Along with Mike Taigman, Dr. Williams is leading this program, which aims to equip leaders with the tools and methods necessary to achieve results-driven improvement in their EMS systems. Over the course of 12 months, attendees will work on real-world projects, gaining the skills needed to make data-driven decisions and improve patient care outcomes within their organizations. Dr. Williams also dives into the core concepts of improvement science, including understanding of variation and the importance of creating organizational systems that support sustainable improvements. He shares insights into the curriculum, the significance of benchmarking and how the course will help EMS leaders tackle systemic challenges by applying proven improvement methodologies. This conversation also touches on the future of EMS leadership and how innovation in data management, process design and leadership will shape the profession moving forward. Timeline 02:22 – Dr. Williams explains the background of the course, highlighting how it builds on improvement science to drive better results in EMS systems. He and Mike Taigman aim to teach EMS leaders to use data and evidence to improve patient care outcomes. 06:16 – Quality improvement: Dr. Williams discusses the gap in EMS leadership regarding quality improvement, emphasizing that quality needs to be integrated into the leadership team’s responsibilities, not treated as a separate function. 11:01 – Why data matters: The conversation shifts to the importance of data in EMS improvement efforts. Dr. Williams highlights how collecting and analyzing data helps organizations understand system performance and drive change. 15:43 – The fleet management example: Rob shares a fleet management story where data was used to improve vehicle downtime, highlighting the real-world impact of using improvement science to solve practical challenges. 19:29 – Project-based learning in the course: Dr. Williams elaborates on the project-based nature of the course, explaining how each participant will bring a real-world project that directly impacts their organization and use improvement science to solve it. 23:09 – Practical applications: Dr. Williams talks about how the course will blend online learning with in-person workshops, providing practical tools and methods that participants can apply to their projects throughout the year. 31:08 – Course logistics: Dr. Williams discusses course deadlines and important dates, including the application deadline of April 18, 2025; and the course's first workshop in September 2025. 54:05 – ROI and the course's value: Dr. Williams emphasizes the return on investment for attending the course, explaining that solving organizational problems through improvement science will ultimately save money and improve results for EMS services. 1:00 – Final thoughts: Rob and Dr. Williams close the conversation by reiterating the uniqueness of the course and its potential to reshape EMS leadership through the application of improvement science. ADDITIONAL RESOURCES Next-level improvement science: New master-level course equips EMS and fire leaders with advanced improvement science skills Course application deadline: April 18, 2025 Course start date: July 22, 2025 Workshop dates: September 2025; February 2026 Mastering data and EMS performance metrics with Mike Taigman: Exploring how data informs change, improves clinical outcomes and drives leadership decisions Improve EMS quality with a model that works: The simple yet powerful Model for Improvement holds the key to making real changes to an EMS organization
March 27, 2025
In this episode of EMS One-Stop, host Rob Lawrence is joined by Dr. Dan Patterson, a clinician-scientist specializing in safety in emergency care settings. Dr. Patterson’s work centers around critical factors in EMS safety, such as sleep health, shift work, fatigue and their combined effects on clinician well-being. Timeline of key discussion points 00:00 – Introduction to Dr. Dan Patterson Dr. Patterson’s background and how his clinical experience as a paramedic informs his research on EMS safety and sleep health 04:30 – The Impact of Shift Work and Fatigue on EMS Providers Discussing the direct effects of fatigue on EMS professionals, including medical errors, cognitive performance and decision-making 10:00 – The Science of Sleep in EMS Why sleep is critical for EMS personnel and the unique challenges they face in getting adequate rest during shift work 15:00 – Development of Safety Measurement Tools Dr. Patterson explains the creation of safety tools to track fatigue, sleep health and workplace injury rates in EMS settings 20:30 – Experimental Studies and Interventions Overview of studies testing novel approaches to mitigating fatigue, including practical solutions and interventions in EMS environments 25:00 – Creating a Safety Culture in EMS The role of leadership and teamwork in reducing fatigue-related errors and fostering a culture of safety in EMS organizations 30:00 – Key Takeaways and How Agencies Can Implement Changes Final thoughts on how EMS agencies can integrate Dr. Patterson's findings and create healthier, safer work environments for their teams
EMS World
Long Pause Media | FlightBridgeED
Ross Orpet, Paramedic turned EMS Physician
Montgomery County Hospital District
Alert Medic 1
Long Pause Media | FlightBridgeED
Mike Carunchio
Long Pause Media | FlightBridgeED
Dr. Ken Milne
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