Editor’s Note: Welcome to the What Paramedics Want podcast, sponsored by Pulsara. Whether replacing radio reports, alerting specialty teams, or managing mass casualty incidents, Pulsara simplifies communication. One Tool. Every Day. Regardless of Event.

This week on the Inside EMS Podcast, Chris Cebollero and Kelly Grayson dive deep into the What Paramedics Want in 2025 industry report — and let’s just say, it’s not all sunshine and stable shifts.

The report, created in partnership with Fitch & Associates and sponsored by Pulsara, lays bare the hard truths: burnout is at an all-time high, staffing gaps are holding steady at crisis levels and confidence in leadership is lukewarm at best.

Chris and Kelly get real as they discuss some of the shocking stats — such as, only 59% of agencies report having enough staff to answer 911 calls, and 76% of respondents now cite burnout as a critical issue. But this isn’t just about fatigue; it’s about leadership gaps, lack of support and workplaces that are driving out even the most seasoned medics.

From the “mandatory overtime spiral” to why communication isn’t just nice — it’s a necessity — this episode tackles how broken systems are eroding morale and what leaders can (and must) do to change course. You’ll hear why stay interviews matter more than exit interviews, how marijuana use is creeping up as a stress escape, and the simple steps agencies can take to rebuild trust and retention.

“If one-quarter of your work workforce says ‘we don't enjoy our jobs anymore’ and ‘we don't enjoy working for you anymore,’ you got a hell of a problem on your hands.” — Kelly Grayson

“This isn't just burnout because of the things we're seeing.  This is because of staffing shortages. This is because of lack of funding. This is because of working overtime. This is because agencies are mandating overtime. And that's gonna lead to burnout.” — Chris Cebollero

“What we have is a shortage of people who are willing to work for chump change and horrible working conditions.” — Kelly Grayson

Pulsara scales to meet your dynamic communication needs. From routine patient alerts to managing large-scale emergencies, every responder and clinician connects seamlessly. Familiar yet powerful, Pulsara streamlines your response, from routine transfers to regional disasters. One Tool. Every Day. Regardless of Event. Discover more at Pulsara.com.

Enjoying the show? Contact the Inside EMS team at [email protected] to share your feedback and suggest future guests.