After more than 43 years in EMS, Steve Cohen still thinks like a street medic—even when he’s working in leadership, education, or behind a microphone.
Steve joins Chris to talk about the heart attack that unexpectedly led him into EMS, the mentors who shaped him, and why good leadership must begin with understanding the person sitting in an ambulance at 3 a.m.
They dig into the damage caused by “we’ve always done it this way,” supervisors who humiliate people publicly, leaders who ignore misconduct, and organizations that demand loyalty without protecting their crews. Steve also explains how leaders can introduce change without steamrolling the people expected to carry it out.
The conversation turns toward burnout, responder suicide, difficult calls, and why “I’m fine” should never end a mental-health conversation. They also discuss Steve’s Medic2Medic Podcast, landing Randolph Mantooth as a guest, producing hundreds of episodes without a team, and why sharing people’s stories still matters more than downloads.
At the center of this episode is one blunt truth: leadership does not begin behind a desk. It begins in the back of the ambulance, beside the people still answering calls while everyone else sleeps.
⚠️ This episode discusses burnout, trauma, suicide, and first-responder mental health.
Need support right now? Call or text 988 or visit 988lifeline.org. You’re not alone—not in this job, not in this fight.
Chapters
00:00 – Who Steve Cohen Really Is
05:27 – The Person Sitting in the Truck at 3 A.M.
07:08 – The Heart Attack That Led Steve Into EMS
12:53 – Leadership Starts in the Back of the Ambulance
18:28 – Difficult Calls, Mental Health, and Speaking Up
21:30 – When Leadership Looks the Other Way
23:11 – “We’ve Always Done It This Way”
26:29 – Disagreement, Respect, and Introducing Change
30:14 – Mentorship and Building Better Partners
35:44 – Having Your Crew’s Back
38:32 – How the Medic2Medic Podcast Began
42:54 – Landing Big Guests and Taking the Chance
46:04 – Podcasting as a Mental-Health Outlet
47:14 – Why Steve Brought Medic2Medic Back
51:40 – Are We Doing Enough to Prevent Responder Suicide?
57:13 – What Quietly Disappearing Responders Need to Hear
1:00:24 – “I’m Fine” Isn’t the End of the Conversation
1:06:02 – Where to Find Steve and Medic2Medic