EMS One-Stop

This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com.

“Tell me a time when you were stressed and how you dealt with it.”

You’ve like heard, answered or asked a variation of that question in one or more interviews during your career. But how can interviewers get more from their questions?

In this episode of Inside EMS, cohosts Chris Cebollero and Kelly Grayson discuss a recent article by Lexipol Editorial Director, Greg Friese, MS, NRP; “How to use ChatGPT for paramedic interviewing, selection.”

In the article, Greg outlines how leaders can use Chat GPT to craft panel interview questions, and a sample prompt:

I am interviewing applicants for a full-time job as a paramedic at a busy, private ambulance service that responds to 911 calls and interfacility transport requests. One component of the process is a panel interview with the operations supervisor, a field training officer and an experienced paramedic. Recommend five scenario-based questions the panel should ask each applicant. 

In this episode, Chris and Kelly put Greg’s prompt to the test and debate, should we be using AI in our daily work in EMS?

Tune in to this episode

Listen in as our hosts discuss:

• Other use cases for generative AI in EMS – from scenarios to deployment plans

And don’t miss a side debate: is there a case for prehospital ultrasound?

Memorable quotes

“When we think about interviewing, that’s when people really will put the dog on; they are giving us the very best of who they are and we are just getting answers to questions that may or may not be true, and we really have to try to decipher, but how do we challenge these people who are coming in?” — Chris Cebollero

“Our dean walked into the office and said, ‘I need you all to start thinking about how we can use ChatGPT and generative AI to enhance and augment our paramedic program.” — Kelly Grayson

“The better you are at writing prompts and giving it some specific direction, the better content it’s going to churn out for you.” — Kelly Grayson

Let us know how you’re using AI in EMS: contact [email protected].

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Catch a new episode of Inside EMS every Friday on Apple Podcasts, YouTube, PodBean, Amazon Music, Stitcher, Spotify, and RSS feed.

Enjoying the show? Please take a moment to rate and review us on Apple Podcasts. Contact the Inside EMS team at [email protected] to share ideas, suggestions and feedback, or if you’d like to join us as a guest.

“Instead of responding to the majority of 999 calls we receive every day, we want to flip that so we only go to those patients who really, really need a double staffed paramedic emergency ambulance quickly.”

This episode of EMS One-Stop With Rob Lawrence is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com.

It’s very clear that Ryan Reynolds and Rob McElhenney have raised the profile of the country of Wales with their “Welcome to Wrexham” football (soccer) team and series, but one Welsh organization – the Welsh Ambulance Service NHS trust – has a vision and world class level of service delivery that should receive equal attention. In this audio and video edition of the EMS One-Stop podcast, Host Rob Lawrence speaks with Professor Jason Killens, Chief Executive of the Welsh Ambulance Service. 

As the 999 emergency system that serves over 3 million Welsh citizens emerges into a post-pandemic world, Jason describes service delivery, the training and education of its medics and the fact that it is a about to operate without a medical director – in itself a move that identifies that clinical and academic paramedicine has come of age.  As Jason tells Rob, “We are transforming the way we deliver our service here in Wales, looking to tip the service model on its head essentially. Instead of responding to the majority of 999 calls we receive every day, we want to flip that so we only go to those patients who really, really need a double staffed paramedic emergency ambulance quickly … car crashes, broken legs, falls from height, cardiac arrest; and the rest we would service by the means of telephone or video advice, upstream with clinicians in our contact center or with advanced practice clinicians in the community.”

TOP QUOTES FROM THIS EPISODE

When a patient calls 999, “you could see a traditional road ambulance, but increasingly here in Wales and in other services across the UK, you could see a disposal which includes telephone or video triage and advice from our clinicians in our contact centers – they could be either nurses or paramedics … and we are closing now here in Wales about 15% of all of our emergency calls every day by way of telephone or video consultation without turning a wheel or sending an ambulance” — Jason Killens

“If we do respond to the scene, it could be a traditional ambulance or increasingly it could be what we call an advanced paramedic practitioner, so that is an experienced paramedic, who has a degree, who has gone on to masters/education – those advanced paramedic practitioners with a master’s degree, increasingly we are seeing a non-conveyance rate some 35-40% higher than a regular paramedic crew, so what that means is we are able to safely close episodes of care in the community and not respond with a double staffed ambulance/not convey the patient to the emergency department.” — Jason Killens

“Fire Brigades and Departments in the UK aren’t associated with medical response – It is the exception in the UK rather than the rule.” — Rob Lawrence

“We are not transport organizations anymore, we do transport, but increasingly, we are providers of great clinical care in our communities … but we are looking to stretch and grow so we provide better outcomes for all patients here in Wales, and only convey them to the emergency department when we really need to and we think the solution to that is advance practice in communities with our own people.” — Jason Killens

“We have just agreed with our board that when our medical director retires at the end of this year, we will not replace him. We will be the first ambulance service in the UK not to have a medical director on the governance board. Instead, here, we will have our senior clinician leadership provided by our executive director of paramedicine and we are the first ambulance service in the UK to have that role on the board. And we have taken that point of view simply because the paramedic profession has developed over the last two decades, to the point now where we believe we have sufficiently experienced senior clinicians in the paramedic workforce that are able to provide that senior level governance leadership, and direction for our clinical strategy. It is an important signal and message to our paramedic workforce that the glass ceiling is broken and paramedics to join us at 21/22 years old from university can absolutely see a pathway through to senior leadership, to a director on the board, and ultimately to jobs like mine as a paramedic if that’s what they aspire to.” — Jason Killens

EPISODE CONTENTS

1:10 –  Introduction of Professor Jason Killens

3:30 – Recruiting Australian paramedics to work in London

4:30 – Explaining EMS organization and control in England, Scotland, Northern Ireland and Wales

8:30 – In the UK, healthcare is free at the point of delivery

11:30 – Geographical distribution of ambulance services in Wales

12:38 – The provision of helicopter emergency medical services (which are mostly charity based, relying on donations to operate)

14:30 – What happens when a citizen calls 999 – how call taking and response is organized

15:30 – Hear and treat and advanced paramedic practitioners

21:10 – The journey of continuous service improvement

23:00 – Paramedic degree and advanced degree education, and career pathways

27:49 – Co-responding agencies including police, fire, the military and citizen responders

29:59 – Future plans for the Welsh Ambulance Service

31:00 – Senior clinical leadership provided by paramedics and not a medical director

34:00 – Fantastic people doing fantastic stuff

ABOUT OUR GUEST

Professor Jason Killens has spent his career working in Ambulance Services in the UK and Australia. He progressed through the ranks in London Ambulance Service from an EMT to executive director of operations. He was appointed as the chief executive of the South Australia Ambulance Service in 2015 before joining the Welsh Ambulance Service as chief executive in September, 2018.

He is an honorary professor at Swansea University’s College of Human and Health Sciences, and the chief executive lead for operations at the Association of Ambulance Chief Executives.

About Welsh Ambulance Services NHS Trust

Welsh Ambulance Services NHS Trust (WAST) provides healthcare services for people across Wales, delivering high quality and patient-led clinical care, wherever and whenever needed

Services include:

• The blue light emergency ambulance services: including call taking, remote clinical consultation, see-and-treat, and, if necessary, conveyance to an appropriate hospital or alternative treating facility.

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Get better every shift with stress management and leadership insights from Aaron Zamzow and Janelle Foskett

This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com.

In this special episode of Inside EMS, Host Chris Cebollero welcomes the dynamic hosts of the Better Every Shift Podcast, Aaron Zamzow and Janelle Foskett. In Better Every Shift, Zamzow, a Madison (Wisconsin) firefighter; and Foskett, editor-in-chief of FireRescue1, spotlight the passion and perseverance of firefighters and EMS providers, as they dig into what drives responders to improve themselves, their crew, the service as a whole. Listen in to get better every day, every call, every shift.  

In this episode, they discuss:

• Getting out of your comfort zone

Foskett also shares insights from the FireRescue1 "What firefighters want in 2023 report," into firefighter stress. Foskett notes among respondents, 46% reported considering leaving their fire department – mostly due to staffing – and a staggering 42% of firefighters are considering leaving the fire service due to their stress levels.

Memorable quotes

“In order to be a better whatever – paramedic, firefighter, EMT, podcaster – you need to get out of your comfort zone.” — Aaron Zamzow

“We’re really starving for leadership, but in the same breath, we’re looking in the maybe the wrong places, whereas we should be starting in the mirror and then looking out.” — Aaron Zamzow

“People are craving leadership and when there is a lack of leadership, that doesn’t mean all is lost; you have options, you have solutions, and you can take ownership of that and be proactive.” — Janelle Foskett

“There are some of those fire houses, they don’t turn a wheel in a 24 hour period; there are other ones that don’t get to see their beds in a 24 hour period. It’s one of the things that we now have to start to think about. We’re still running models for EMS and fire that we were running 40 years ago.” — Chris Cebollero 

Learn more

• Follow Better Every Shift on Apple Podcasts, Spotify, Google Podcastsor wherever you listen to your podcasts

This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com.

In this episode, Chris and Kelly discuss the recent spotlight on public access defibrillation after high profile cardiac arrests in young athletes, as well as the growing danger of assaults in the field for EMTs.

Together, they discuss:

• Bronny James, USC freshman and son of Lakers star LeBron James, was resuscitated after a cardiac arrest at USC basketball workout

Memorable quotes

“Children and athletes and young adults can go into cardiac arrest, and I would wager that the only thing that saved Bronny James’s life is that second link in the AHA chain of survival, which is prompt, early access to defibrillation, and it’s a shame that public access to defibrillation in so many places is still a pipe dream or poorly implemented such that it’s not really public access.” — Kelly Grayson

“Public access to defibrillation means just that: public access to defibrillation. It’s not a special thing for special people to use. The whole point of public access to defibrillation is that it can be readily accessed by anyone.” — Kelly Grayson

“As an EMS leader … that has to be first and foremost concern of mine:  to make sure that the workforce goes home at the end of their shift. And I’m losing faith in that we are keeping our providers safe.” — Chris Cebollero

“We’ve been on calls that have been very benign, that have escalated verbally, that have escalated behaviorally.” — Kelly Grayson

“Keep your heads on a swivel. Always be alert, always have your eye on your patient.” — Kelly Grayson

Learn more

• Damar Hamlin: A pass or fail exam for the EMS profession

This episode of EMS One-Stop With Rob Lawrence is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com.

In this EMS One-Stop international edition, Host Rob Lawrence welcomes Dr. Linda Dykes, an emergency medicine physician from the UK, and Rom Duckworth, fire captain and paramedic EMS coordinator for Ridgefield (CT) Fire Department.

The discussion begins with the demise of the U.S. ET3 program, and then the group examine how community paramedicine is thriving in the UK and the lessons to be taken away.

Rob and Linda also discuss the EMS World Expo “International Roundup” session they have jointly delivered together for the last 7 years and how they extract best practices from all international attendees. Rob, Rom and Linda then discuss the similarities and differences in emergency management tactics, techniques and procedures, and identify trans-Atlantic lessons already being exchanged.

About our guests

Dr. Linda Dykes

Dr. Linda Dykes qualified from Newcastle (UK) Medical School in 1996, trained in the northeast and Mersey regions, and is one of only a handful of doctors in the UK who are dual-qualified in both Emergency Medicine & Primary Care/General Practice. Even fewer remain active in both specialties, and she is believed to be the only dual-qualified EM/GP in the UK who has also gained experience working in acute community geriatrics, in a "Hospital at Home" service. Linda also spent 2 years working regular shifts in Ambulance Control, and has dabbled in the development of telephone algorithms via a short secondment to NHS111 Cymru/Wales.

Equipped with this unique skillset – plus a track record of successfully building up services – Linda sees the NHS through a unique lens, and loves to work at bridging the gap between hospital and community services.

Rom Duckworth

Rom Duckworth is a dedicated emergency responder, author and educator with more than 30 years of experience working in career and volunteer fire departments, hospital healthcare systems, and private emergency medical services. Rom is currently a career fire captain and paramedic EMS coordinator for Ridgefield (CT) Fire Department, the founder and director of the New England Center for Rescue and Emergency Medicine; and is the recipient of the American Red Cross Hero award, Sepsis Alliance Sepsis Hero award, and the JEMS EMS 10 Innovators award.

As the author of chapters in more than a dozen EMS, fire, rescue and medical textbooks, as well as over 100 published articles in firefighting and EMS magazines and websites, Rom is working to advance leadership in modern emergency services education.

Learn more

Rob, Linda and Rom will also be delivering an international seminar: “Major Incidents & Disasters – an International Masterclass” on Saturday August 5.  

For most emergency services personnel, major incidents are a rare event – maybe a handful at most in a career; maybe none. Few will become experts from personal experience alone, so learning from events that have gone before is crucial to preparedness at national, organizational and individual levels.

This unique webinar brings you five world-class speakers, each of whom has operational, tactical and/or strategic experience (and some of them all of the above!) of major incidents from the UK, U.S., and Lebanon. Between them, they have responded to incidents ranging from boots on the ground at 9/11, to coordinating the pandemic response for an entire country, and everything in between … bus crashes, train derailments, gas explosions, bioterrorism, forest fires, floods, and hurricanes.

This is an event where theory, research and first-hand experiences come together. Our speakers will share not only what they’ve learned from their personal experiences, but what they wish they’d known beforehand and what crucial points they now find themselves passing to others.

This webinar is aimed at those who may have to plan for, and/or respond to, major incidents. As well as the obvious emergency service personnel, think also of hospital staff outside ED, council workers, undertakers, utility companies, coroners’ teams and many more. The event is also open to the general public, and promises to be a fascinating and absorbing morning.

This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com.

In this episode of Inside EMS, Cohosts Chris Cebollero and Kelly Grayson dive into critical thinking. They point out the need to teach EMT students how to make the leap from linear to critical thinking, and the key critical thinking skills needed to make decisions:

1. Being curious: Asking the question why

Memorable quotes from this episode

“Critical thinking is all about the discipline of being able to take in information to experience what’s happening, to have a good observation of what’s happening and to reason and make the best decisions that we can.”

“I think one of the hallmarks of intelligence is intellectual curiosity.”

“This is a missing component of critical thinking. Just because we’ve gotten some information doesn’t mean that information is acted on without good analysis.”

“When you can divorce yourself emotionally from the information that you’re processing, it makes it much easier to analyze.”

Together, they discuss:

• Linear thinking vs. critical thinking

This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com.

After 30 years in EMS in Louisiana, the past 15 as a critical care paramedic, Kelly Grayson is leaving the Bayou state – and the rig – for a full-time paramedic educator role in New York.

Kelly will begin his position as the lead instructor as the lead instructor for the new CoAEMSP-accredited paramedic program at Clarkson University in Pottstown, New York, in August.

Chris and Kelly discuss what motivated Kelly to make this leap, and what happens when you change jobs and have to prepare for the next chapter.

Memorable quotes from this episode

“I can render no higher praise for an EMS agency than to say they let me do my job without handcuffs.”

“When we lose a longtime member of the workforce – it hurts – and I hate to be the one to do that.”

“You never want to burn a bridge. Even if you hate the place you work, you never know that you may have to go back to them one day and say, you know, ‘are you looking for any help?’”

“If I make a commitment to a place, I’ll follow their rules, cheerfully.”

“Make yourself valuable to prospective employers. If you’re not happy where you are, you can make a good living at EMS, you can have career satisfaction in EMS. You might not be able to have those things at the place you are currently.”

“It’s an employee’s market right now.”

“Vote with your feet.”

Together, they discuss:

• When it’s time to make a career change

This episode of EMS One-Stop With Rob Lawrence is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com.

Ambulances for Ukraine lead Chris Manson returns to provide an update on the program that is now not only sending ambulances, but also fire trucks and SUVs to Ukraine. To date. U.S. Ambulances for Ukraine has delivered 38 ambulances and 6 fire trucks to Ukraine. A further 12 ambulances, 2 fire engines and several SUVs are to be shipped in July.

Host Rob Lawrence and Chris recap the program so far and the tasks that the donated vehicles are be put to in country. Sadly, some of the ambulances donated earlier in the year have been destroyed due to hostile action. Chris issues a further call to action for donating ambulances, fire trucks and SUVs. Ukraine has now moved from defensive to offensive operations, and every vehicle is needed. As Chris describes, “If anyone gives me an ambulance, a fire engine or an SUV, I will get that vehicle into the fight.”

In the video edition of this episode of EMS One-Stop, Chris has provided photos of the vehicles on their way to Ukraine as well as images and video of the vehicles in action and the brave crews on the front lines that operate them.

 TOP QUOTES FROM THIS EPISODE

“The reality is the Russians in this conflict are targeting first responders, and it is one of the things they like to do. They will shell an area, cause havoc in an area with some sort of military strike, and then they will wait until the first responders respond, and when they do, they will target them.”

“Like any firefighter in any city department, what’s the first thing you want to do when a kid wanders around the fire truck? You want to sit them in the seat or put the helmet on right? So we put the first kid in, got them out, put the second kid in, I turned around and 20 kids are lined up. I went through those 20 kids and the 20 turned into 100, it felt like the entire town came out.”

“I feel fairly confident now, that several of those vehicles have been destroyed.”

“If anyone gives me an ambulance, a fire engine or an SUV, I will get that vehicle into the fight.”

EPISODE CONTENTS

0:30 – Rob intro

01:17 – Introduction Chris Manson

01:38 – U.S. Ambulances for Ukraine backstory

04:53 – Why would we give serviceable ambulances to Ukraine if we still have a shortage in the U.S.?

06:38 – Current stats of vehicles donated

07:30 – The logistics of shipping a vehicle to Ukraine

10:34 – The road drive from Germany and through Poland

11:21 – Tracking ambulances – a big no-no!

12:40 – Distribution of vehicles in Ukraine

14:36 – The moment Chris arrives to hand over a vehicle down range

16:50 – Vehicles in military units liveried into camouflage paint

19:00 – The need for fire trucks and SUV/patrol vehicles

22:01 – Call to action – we need ambulances, fire trucks and SUVs – now!

24:00 – Where the fire trucks are deployed

25:15 – The Ukrainians can fix anything (so it doesn’t matter if the donated vehicle has a few faults)

27:55 – Final thoughts

ADDITIONAL RESOURCES ON THIS TOPIC

ABOUT OUR GUEST

Chris Manson is the vice president of government relations for OSF HealthCare, a 15-hospital health system operating out of Peoria, Ill. He is a former firefighter from California and he served in the U.S. Marine Corps Reserves.

CONNECT WITH OUR GUEST

U.S. Ambulances for Ukraine @ambulancesU 

This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com.

“My first reaction was, what the hell. My second reaction was, well, I guess if there’s not going to be any participation agreement, then we’re not bound by confidentiality anymore, and I’ll just email the Booz Allen presentation to every member of Congress, and say, ‘here’s the savings to the Medicare program, please pass the TIP and TAD language. And I honestly think we should do that, and we probably will.” — Matt Zavadsky

In this crossover episode of Inside EMS and EMS One-Stop, Matt Zavadsky, MS-HSA, EMT, chief transformation officer at MedStar Mobile Healthcare (an ET3 participant), joins cohosts Chris Cebollero and Rob Lawrence to discuss the recently announced end of the ET3 program.

Top quotes from this episode

• “That must be a mistake … I was just dumbfounded, absolutely dumbfounded.” — Matt Zavadsky

In addition to why CMS didn’t see the savings they were anticipating, and the hoops agencies had to jump through to participate in the ET3 program, the group focuses on what’s next for reimbursement reform.

Together, they discuss:

• How the national associations (NAEMT, AAA, IAFC, IAFF) are working to get legislation introduced in Congress to get treatment in place and transport to alternate destinations (TIP and TAD) covered

Enjoying the show? Please take a moment to rate and review us on Apple Podcasts. Contact the Inside EMS team at [email protected] to share ideas, suggestions and feedback, or if you’d like to join us as a guest.

Steve Grau, Anna Liotta and Steve Wirth join hosts Rob Lawrence and Chris Cebollero at the American Ambulance Association Annual Conference 2023

This episode of EMS One-Stop With Rob Lawrence is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com.

In this EMS One-Stop/Inside EMS crossover podcast, Chris Cebollero teams up with Rob Lawrence to report on the 2023 American Ambulance Association Annual Conference from the MGM Grand, in Las Vegas. Rob and Chris discuss their own personal highlights and Rob’s leadership session, delivered with Acadian Ambulance President, Justin Back.

Rob and Chris are joined by Page, Wolfberg & Wirth Founding Partner, Steve Wirth, Esq., and discuss bias, the topic of Steve’s conference session.  Rob then interviews AAA keynote speaker, Anna Liotta, together with Royal Ambulance President Steve Grau, as they discuss:

• Generational codes in the workforce

TOP QUOTES FROM THIS EPISODE

“In dealing with bias, self-awareness is absolutely critical – you have to do an inventory of your life and say ‘where are these things that I’ve experienced and how do they affect my decision making today and my interaction with other people,’ so self-awareness is really the first step.” — Steve Wirth

“When you go to a conference, go up to somebody. The reason that you have a nametag, with your first name in very large font is so that I can say, ‘Hello Chris, I’m Rob, pleased to meet you. What do you do?’ and that’s how a network occurs.” — Rob Lawrence

“Having this culture of a high-level of engagement is really focusing on our employees as our primary customer and making sure that we understand what their goals, ideals, passions are, and how to meet them.” — Steve Grau

“Just by the way they answered a simple question ‘so, what do you do?’ I could tell if they had been working there 2-3 weeks if they answer with a bright sparkle, ‘I work at Amazon.’ But if they had been there 2-3 months, they would pause, ‘well … I work at Amazon,’ And 6 months, they would drop a codeword, ‘I currently work at Amazon.’” — Anna Liotta

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Watch for more

https://www.ems1.com/leadership/articles/the-10-commandments-of-servant-leadership-OkBq610vz8C12Gb1/

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EPISODE CONTENTS

Part 1: Rob Lawrence and Chris Cebollero – Serving to lead

00:30 – Rob and Chris introduction

1:30 – Car seat safety (not rated for ambulances)

3:30 – Rob’s leadership session with Acadian President Justin Back on the principles of leadership, serving to lead

05:30 – Chris discusses leadership as a science

06:30 – What we want from our leaders

Part 2: Steve Wirth – Overcoming bias

07:30 – Welcome Steve Wirth

08:00 – Steve discusses his conference session, “We are all prejudiced” delivered in partnership with Macara Trusty (GMR)

11:30 – The importance of networking and meeting professional friends

14:56 – Chris talks about his leadership series on EMS1

Part 3: Anna Liotta and Steve Grau – Retaining your primary customer

16:00 – Introduction: Anna and Steve

17:00 – Generational difference - Have you seen a “Star Wars” movie?

17:30 – Anna: Common sense is not that common

18:30 – The Royal Ambulance (award winning) Career Bridge Program

20:00 – Generational codes in the workforce

22:50 – The revolving door of employment

24:00 – Creating the milestones of forward progression

25:00 – Anna’s Experience with Fortune 500 companies

25:30 – Understanding that your talent and people are your primary customer

26:00 – Creating an arc of experience

28:00 – Not allowing yourself to say “that’s how I did it”

29:00 – Fostering the whole human

30:00 – Pulling talent forward

31:00 – Rob and Chris close

ABOUT OUR GUESTS

Anna Liotta

Anna Liotta, creator of Generationally Savvy Communication Solutions, is an award-winning speaker, business consultant and author. She engages audiences with her practical strategies for attracting, growing and retaining top talent and loyal clients from every generation.

Anna integrates communications, sociology, business psychology and demography to unify workplaces and dramatically improve company performance. Her expertise and insight have helped such companies as Pike Place Market, Intel, Wells Fargo, Microsoft, Amazon, the PGA, NBA and United Way.

Steve Grau

Steve Grau and his family emigrated from Ukraine in 1989, arriving in San Francisco with $80 to their name. He became interested in healthcare 15 years later, when he took a hands-on role caring for his grandfather after a series of debilitating strokes. Witnessing how emotional support impacted physical healing, Steve was inspired to leave the tech industry to start an ambulance service that focused on patient experience.

Steve Wirth

Steve Wirth is a founding partner of Page, Wolfberg & Wirth. In a distinguished four-decade public safety career, Steve has worked in virtually every facet of EMS – as first responder, firefighter, EMT, paramedic, flight paramedic, EMS instructor, fire officer and EMS executive. He was one of central Pennsylvania’s first paramedics. Steve brings a pragmatic and business-oriented perspective to his diverse legal practice, having served for almost a decade as senior executive of a mid-sized air and ground ambulance service, helping to build the company from the ground up.