In-Service EMS Podcast
In-Service is a podcast for EMTs, paramedics, and EMS leaders who want to stay informed, inspired, and ready for anything. Hosted by a 30-year veteran of emergency medical services, this show covers EMS leadership, field operations, clinical best practices, and real-world challenges faced by first r...
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Real conversations about clinical care, leadership, workplace culture, and the future of EMS. Pick an episode, press play, and get in service.
28
June 30, 2026
The Expanding Scope of EMS: The Future of Paramedicine | Dr Jon Allen & Chad Huff
As EMS evolves, the conversation often centers on new procedures, new medications, and expanding scope of practice. But are we asking the right question? In this episode, Dr. Jon Allen and Chief Chad Huff argue that the future of EMS isn’t just about adding more skills—it’s about developing the clinical judgment to know when those skills should, and shouldn’t, be used. Dr. Jon Allen, an emergency physician, EMS medical director, and member of the state’s EMS Medical Directors...
27
June 16, 2026
Credibility Isn’t Given—It’s Earned: The Reality of EMS Leadership | Derek Hendren
Leadership in EMS is often associated with rank and titles, but Derek Hendren argues that true leadership is built on credibility, trust, and consistency. In this episode, Derek and Jason explore what it takes to earn respect in high-pressure environments where accountability matters. They discuss the importance of transparency, ownership, and follow-through, as well as the damage caused when standards are applied inconsistently or leaders fail to address problems honestly. A...
24
April 25, 2026
Toxic EMS Culture: Ethical Drift, Burnout & Leadership Failures | Dave DiNapoli
This episode digs into the real-world side of values, ethics, and culture in EMS—where the decisions are rarely clean and the consequences are never theoretical. Dave DiNapoli brings the conversation out of the classroom and onto the truck, exploring how values show up in patient care, how ethics can drift under pressure, and how providers are tested when policy, judgment, bias, and human emotion collide. We talk through the uncomfortable places where EMS providers and leader...
23
April 8, 2026
The Clinical Expansion of EMS: Blood, Ultrasound, and RSI | Michael Henry & Eric Falvey
This episode of In-Service: The EMS Podcast dives into the evolving edge of prehospital care, exploring how advanced interventions like RSI, blood products, and ultrasound are reshaping what it means to be a paramedic. Jason sits down with Michael Henry and Eric Falvey to unpack not only the clinical tools driving modern EMS, but the operational realities of delivering that care in a high-volume, high-acuity environment with massive seasonal population surges. The conversatio...
Recent Episodes
28
June 30, 2026
The Expanding Scope of EMS: The Future of Paramedicine | Dr Jon Allen & Chad Huff
As EMS evolves, the conversation often centers on new procedures, new medications, and expanding scope of practice. But are we asking the right question? In this episode, Dr. Jon Allen and Chief Chad Huff argue that the future of EMS isn’t just about adding more skills—it’s about developing the clinical judgment to know when those skills should, and shouldn’t, be used. Dr. Jon Allen, an emergency physician, EMS medical director, and member of the state’s EMS Medical Directors...
27
June 16, 2026
Credibility Isn’t Given—It’s Earned: The Reality of EMS Leadership | Derek Hendren
Leadership in EMS is often associated with rank and titles, but Derek Hendren argues that true leadership is built on credibility, trust, and consistency. In this episode, Derek and Jason explore what it takes to earn respect in high-pressure environments where accountability matters. They discuss the importance of transparency, ownership, and follow-through, as well as the damage caused when standards are applied inconsistently or leaders fail to address problems honestly. A...
26
June 2, 2026
Beyond the Protocol: From Technician to Clinician in EMS | Hoffman & Manavi
In this episode of In-Service: EMS Podcast, Jason Falvey sits down with veteran paramedics Brinker Hoffman and David Manavi for an honest and wide-ranging discussion about the realities of modern EMS. Drawing from decades of field experience, they explore what today’s EMS education system is producing, why soft skills matter as much as clinical skills, and how providers can continue to grow long after they earn their certification. The conversation examines the difference bet...
25
May 14, 2026
More Than Lights and Sirens: Redefining EMS as Healthcare | Israel Contreras
In this episode of In-Service: EMS Podcast, Jason sits down with Israel Contreras for a deep conversation about the future of EMS and the growing shift from a transportation-based model to a true healthcare delivery system. Israel, currently serving in EMS Transformation and Innovation, explains why the traditional “you call, we haul” approach is no longer sustainable in modern EMS. Together, they explore how systems across the country are beginning to rethink response models...
24
April 25, 2026
Toxic EMS Culture: Ethical Drift, Burnout & Leadership Failures | Dave DiNapoli
This episode digs into the real-world side of values, ethics, and culture in EMS—where the decisions are rarely clean and the consequences are never theoretical. Dave DiNapoli brings the conversation out of the classroom and onto the truck, exploring how values show up in patient care, how ethics can drift under pressure, and how providers are tested when policy, judgment, bias, and human emotion collide. We talk through the uncomfortable places where EMS providers and leader...
23
April 8, 2026
The Clinical Expansion of EMS: Blood, Ultrasound, and RSI | Michael Henry & Eric Falvey
This episode of In-Service: The EMS Podcast dives into the evolving edge of prehospital care, exploring how advanced interventions like RSI, blood products, and ultrasound are reshaping what it means to be a paramedic. Jason sits down with Michael Henry and Eric Falvey to unpack not only the clinical tools driving modern EMS, but the operational realities of delivering that care in a high-volume, high-acuity environment with massive seasonal population surges. The conversatio...
Recent Blog Posts
July 22, 2026
EMS Blood, Ultrasound & RSI: Expanding Prehospital Care
The Clinical Expansion of EMS: Blood, Ultrasound, and RSI with Michael Henry and Eric Falvey EMS is changing. Paramedics are no longer defined solely by how quickly they can transport a patient or how closely they can follow a protocol. In progress…
July 21, 2026
The Future of EMS: Why Clinical Judgment Matters More Than Procedures
Beyond the Procedure: Why Clinical Judgment Will Shape the Future of EMS Dr. Jon Allen and Chad Huff discuss Georgia’s evolving EMS scope of practice—and why good judgment matters more than simply adding new procedures. “I could teach anybody—wi…
July 18, 2026
Beyond the Protocol: What Makes an Exceptional EMS Clinician?
Beyond the Protocol: Brinker Hoffman and David Manavi on Becoming an Exceptional EMS Clinician Emergency medical services can teach a provider how to obtain vital signs, interpret a cardiac rhythm, manage an airway, administer medications, and foll…
About the Host
Jason Falvey
Host
Jason Falvey, NRP, is an EMS Battalion Chief and the creator and host of the In-Service EMS Podcast. With more than 30 years in emergency medical services, he has built a career spanning frontline paramedicine, clinical quality, countywide operations, regulatory compliance, business development, and executive leadership across multiple states.
Jason’s experience in high-stakes environments began well before his EMS career. As an accomplished sailor and divemaster, he participated in underwater search-and-recovery and salvage operations in the North Atlantic. That perspective now informs In-Service, where he brings EMS professionals together for candid conversations about leadership, clinical judgment, innovation, workplace culture, and the realities of prehospital care.