The JEMS Report

Mike Brown talks with Dr. Kathleen Adelgais and Dr. Manish Shah during EMS Week 2026’s EMS for Children Day for a conversation about where pediatric readiness in EMS stands, and where it still needs to go. Drawing on findings from the 2024 Pediatric Readiness Project national assessment, they examine the progress agencies have made, the persistent gaps that remain, and the practical steps EMS leaders can take now to better prepare for pediatric patients. With more than 7,000 of roughly 15,000 U.S. EMS agencies participating, the survey produced an overall readiness score of 66, highlighting strengths in equipment and supplies, medication and patient safety, and pediatric protocols, while also revealing continued challenges in family-centered policies, pediatric quality improvement, and disaster preparedness.

Mike Brown hosts an EMS Week Safety Day conversation with Dr. Douglas Kupas, president of the National Association of EMS Physicians, on practical strategies to protect providers and transform EMS into integrated healthcare. Topics include evidence on reducing lights-and-sirens use; rising ambulance thefts and simple vehicle interlocks; low-cost countermeasures like 3D‑printed stretcher buckle covers and pager-sized CO detectors in first-due bags; training options for managing assaults and the shift toward treat-in-place, mobile integrated health programs; and reimbursement reform. This talk offers practical, field-tested ideas for agencies, medical directors, and EMS providers who want safer, smarter EMS operations.

On today’s EMS Week Education Day episode, Mike Brown speaks with Dr. Navin Ariyaprakai and Michael Kaduce about how national partnerships, accreditation, and modern learning strategies are reshaping prehospital care. They explain why accreditation lifts program standards, improves outcomes, and strengthens medical director involvement; and give examples where evidence changes field practice. They cover the difference between initial and continuing education, the value of timely, collegial feedback from medical directors, and pragmatic uses for microlearning and emerging micro‑credentials in continuing education.

In this special 2026 EMS Week episode of the JEMS podcast, Mike Brown hosts Gamunu “Gam” Wijetunge from NHTSA’s Office of EMS and Dr. Nicholas Cozzi, an emergency physician from Chicago. The conversation centers on a significant shift in emergency medicine: moving high-level clinical interventions like blood transfusions directly to the point of injury. With roadway fatalities hovering around 40,000 annually, NHTSA is prioritizing "post-crash care" by aggressive funding through the Safe Streets and Roads for All grant program.

Beyond the equipment, the guests discuss the power of data linkage between dispatch centers and hospitals to measure bystander intervention and long-term patient survival. Dr. Cozzi highlights the human element, sharing how simple acts—like sending letters of praise to field clinicians—boost morale and strengthen the bond between medical directors and front-line providers. From grant deadlines on May 26th to Save a Life Day demonstrations in D.C., this episode outlines how federal advocacy and local clinical excellence are converging to save more lives in the field.

Dr. Jonathan Warren discusses practical uses, evidence, and implementation challenges for prehospital ultrasound. We cover lung ultrasound for acute heart failure and B line quantification, trauma FAST exams, cardiac arrest applications including focused pulse checks and transesophageal echocardiography, and how prehospital transfusion and early diagnostics change diagnostic momentum on ED arrival. Dr. Warren also outlines real-world barriers to sustained uptake—cost, training, tech issues, clinical workflows—and describes a national survey from the ACEP prehospital/austere ultrasound subcommittee aimed at identifying why adoption often dwindles after initial implementation.

At FDIC International 2026, our panel of EMS providers and critical‑care physicians break down ventilation during cardiac arrest: what the science supports, where practice still fails, and practical fixes you can use tomorrow. We cover why bag‑valve‑mask ventilation is a high‑risk skill (and best performed as a two‑person procedure), how over‑ and under‑ventilation change intrathoracic pressure and cardiac output, and why properly opening the airway and achieving a seal are fundamental. We discuss supraglottic airways, intubation pitfalls, CPAP and high‑flow strategies, the pros and cons of mechanical ventilators in the field, and the role of objective feedback devices. The panel emphasizes regular, low‑cost simulation training, equipment readiness, pit‑crew coordination, and the hard truth: patients die from poor ventilation more often than from the absence of intubation.

Dr. Brandon Morshedi, a paramedic turned emergency physician and EMS medical director, joins Eric Chase to map a practical path toward EMS 3.0. He explains his driving “why”: improving the systems of care he and his family rely on. The conversation ranges from training paramedics as clinicians and the realistic role of degrees, to on call decision making—when to contact your medical director versus a receiving hospital. Dr. Morshedi outlines priority research areas (resuscitation science, prehospital transfusion, and low acuity treatment in place), federal traction for alternative reimbursement models, and a ten-year horizon for the paramedic practitioner credential.

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This episode of the Not a-Fib Podcast features Dr. Sarah Jahnke, someone who spent over a decade researching the health of first responders. The conversation moves past the usual surface-level advice to tackle the deep-seated cultural issues that lead to burnout and chronic disease. Jahnke challenges the "badge of honor" mentality surrounding sleep deprivation, citing evidence that shift work itself is a likely carcinogen.

The discussion also reframes mental health through a unique lens, comparing it to hypertension—a condition that requires constant monitoring rather than just emergency intervention. While the statistics on depression and PTSD in the fire service remain high compared to the general population, Jahnke highlights the protective power of the fire service's unique camaraderie.

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JEMS Development Editor Mike Brown interviews Hannah Herbst, founder and CEO of Golden Hour Medical, about a compact, automatic tourniquet designed to guide anyone through life‑saving hemorrhage control. The device uses audio‑visual prompts and a simple three‑step interface to let a bystander or first responder apply, monitor, and adjust pressure on arm or leg wounds. It initially inflates to 300 mmHg and can be increased in roughly 20 mmHg increments; an internal sensor monitors pulse absence and informs reassessment. The cuff detaches for multi‑patient use, and the unit recharges via USB‑C — batteries last about two years between charges with monthly status updates. Golden Hour pairs the product with online training and a small trauma first‑aid kit.

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Dr. Alexandra Jabr, a longtime paramedic-turned-educator and founder of Emergency Resilience, tells the story how therapy reshaped her life and purpose. She explains practical boundaries and vulnerability, why collaboration beats competition in EMS education, and how clinicians can support peers after moral injury and critical incidents. Alexandra walks through emerging options for treatment—emphasizing ketamine-assisted therapy only when delivered in a medically supervised, ethically framed model with skilled therapists and integration work—and describes immersive retreats that combine somatic modalities, group therapy, and clinician-led psychedelic-assisted sessions for women first responders. This conversation blends lived experience, clinical nuance, and concrete guidance for providers seeking mental-health resources, workplace culture change, and pathways back to joy.

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