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 Advisory Council,
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 central theme of t
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 leaders are forced to m
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 conversation sets the stage for
Recent Episodes
31
Sept. 5, 2026
Rethinking EMS: Innovation, Leadership, and the Four-Minute Community | Patrick Flaherty
What if EMS stopped treating every 911 call the same and started addressing why someone needs help? Patrick Flaherty, Division Chief of EMS and Training for the Sandy Springs Fire Department, joins the In-Service EMS Podcast to discuss how his department is rethinking emergency medical care. Drawing on a career that began in 1991, Patrick shares lessons from his work as a firefighter, paramedic, educator, Marine Corps veteran, tactical medic, police officer, and EMS leader. He recounts a call
30
Aug. 19, 2026
Inside Flight Paramedicine & Helicopter EMS: What Every EMS Provider Should Know | Ricky Bias
What really happens when a patient leaves the ground and enters the world of flight medicine? In this episode of In-Service: EMS Podcast, we take a practical look inside helicopter EMS—from the perspective of a flight paramedic and air base manager who has worked across rural EMS, fire-based EMS, ground operations, and critical care transport. We break down what actually makes someone a flight patient and challenge the idea that a helicopter is simply a faster ambulance. The conversation cove
29
Aug. 2, 2026
Training for Chaos: Stress Inoculation and High-Performing EMS Systems | Sam Oxford
In this episode, nationally registered paramedic and certified flight paramedic Sam Oxford explores what it takes to deliver excellent prehospital care when the stakes are high. Drawing on more than a decade in emergency response, critical care transport, flight medicine and clinical operations, Sam explains how preparation, sound judgment and teamwork shape patient outcomes. Sam shares an early-career call that exposed the limits of his paramedic-school training and transformed his approach
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 Advisory Council,
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 central theme of t
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 between technicians an
Recent Blog Posts
Aug. 20, 2026
Flight Paramedic & Helicopter EMS: What Every EMS Provider Should Know
Flight Paramedic & Helicopter EMS: What Every EMS Provider Should Know When a medical helicopter lands on an EMS scene, it immediately changes the environment. The aircraft arrives, the flight crew steps out, the patient is transferred, and within …
Aug. 11, 2026
Training Paramedics for Chaos: Stress Inoculation in EMS
Training for Chaos: Stress Inoculation and High-Performing EMS Systems Emergency medical services professionals routinely enter environments defined by uncertainty. The information is incomplete, resources may be limited, and the patient’s conditio…
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…
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.