Inside EMS

Inside EMS

Keeping you on the pulse of what’s happening inside the EMS community. Catch up with Chris Cebollero and Kelly Grayson weekly as they discuss EMS life through good-natured banter and expert perspectives. Their vehicle for delivering the news and know how is that of two medics sitting on the truck between calls. Their mission is to make all listeners, EMS insiders.

Episodes

May 9, 2025 21 mins

In this episode of the Inside EMS podcast, hosts Chris Cebollero and Kelly Grayson dig deep into one of EMS's most overlooked (and often forgotten) topics — toxidromes. You might remember the word from paramedic class, but today’s street calls demand more than a vague memory. With patients taking everything from grandma’s Ativan to street-made speed, understanding toxidromes is crucial for making quick, accurate clinical calls.

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This week on the Inside EMS podcast, hosts Chris Cebollero and Kelly Grayson tackle a metabolic monster that every EMS provider needs to master: diabetic ketoacidosis (DKA). They kick off with a common (but critical) 911 scenario: a 19-year-old with a history of Type 1 diabetes, confusion, vomiting and a blood sugar of 500. Sound familiar?

Kelly dives into the physiology of DKA, explaining how glucose can be sky-high while cells st...

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What does accountability actually look like in EMS? In this episode of the Inside EMS podcast, cohosts Chris Cebollero and Kelly Grayson get into the gritty details — beyond the management-speak — and outline the 7 pillars of accountability that can make or break an EMS organization. From character and unity, to urgency and evolution, they explore how each pillar builds a culture that supports excellence, trust and growth in the fi...

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Guest host Rob Lawrence joins Kelly Grayson to reflect on the recent EMS on the Hill Day. Rob offers a behind-the-scenes look at his experience leading the California delegation and provides insights into how EMS professionals can influence policy on issues like Medicare reimbursement, community paramedicine and workforce development.

Kelly questions whether EMS on the Hill Day efforts actually drive change, while Rob defends the i...

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In this episode of the Inside EMS Podcast, co-host Kelly Grayson is joined by international guest host Rob Lawrence for a candid and timely conversation on one of the most pressing issues in EMS today: fatigue and its impact on provider safety and wellness.

The discussion begins with a heartbreaking story out of Georgia, where a nurse, after working consecutive night shifts, fell asleep at the wheel, leading to a fatal crash. It’s ...

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Note: Thanks for following the Inside EMS podcast! Enjoy this special EMS One-Stop crossover episode with host Rob Lawrence, who will also join Kelly Grayson as a guest cohost during the month of April.  

In this episode of the EMS One-Stop podcast, Dr. Dave Williams discusses an exciting new master's-level course designed for EMS and fire leaders, focused on advanced improvement science.

Along with Mike Taigman, Dr. Williams is le...

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In honor of First Responder Wellness Week, Inside EMS hosts Chris Cebollero and Kelly Grayson go beyond the surface-level tips and dig into what true wellness looks like in this profession. Spoiler: it’s messy, personal and sometimes terrifying.

Kelly shares his deeply personal journey from a spinal surgery and a near-fatal pulmonary embolism to dropping over 140 pounds and reclaiming his life. At his heaviest, he was 410 pounds. T...

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Billions of dollars from opioid settlements are flowing into communities, but how does EMS get a slice of the pie? In this episode of the Inside EMS podcast, host Chris Cebollero is joined by Corey Carlson, EMS segment lead at Lexipol, to break it all down. Carlson simplifies the complex world of opioid settlement funding, sharing exactly where the money is, who controls it and how EMS agencies — both public and private — can apply...

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Sitting for the National Registry exam might rank up there with colonoscopies in terms of excitement, but EMS educator Dan Limmer recently took the test. Why? To stay sharp, to keep his licenses and to see firsthand how the test has evolved. And guess what? He walked out impressed.

In this episode of Inside EMS, Dan sits down with host Chris Cebollero to break down his experience, share study strategies and offer test-taking wisdom...

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In EMS, where the stress is high and space is tight, conflict is bound to happen. Whether it’s a personality clash with your partner, frustration over unclear responsibilities or a disagreement with leadership, knowing how to navigate workplace tension is a crucial skill.  

In this episode of the Inside EMS podcast, hosts Chris Cebollero and Kelly Grayson break down conflict resolution strategies. Whether you’re dealing with an ove...

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New Year’s celebrations in New Orleans are always a spectacle, but this year, tragedy struck at 3:15 a.m. A truck barreled into the crowds, triggering what first responders feared was a vehicle-ramming attack. Within moments, New Orleans EMS was in full mass casualty mode — triaging, treating and coordinating with law enforcement amid the unfolding chaos. But things quickly escalated. As Chief Bill Salmeron recounts, responders soo...

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In this episode of Inside EMS, hosts Chris Cebollero and Kelly Grayson are joined by Nick Maltby, chief of service for New Hartford Volunteer Ambulance Service, and a clinical psychologist specializing in anxiety and PTSD. Nick brings a unique perspective, blending frontline EMS experience with mental health expertise to tackle one of the biggest issues in EMS today — mental health support that actually works.

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In this week’s episode of the Inside EMS Podcast, hosts Chris Cebollero and Kelly Grayson discuss some of the biggest news stories in EMS from the month.

First up: A fire chief in Colorado is under investigation for running nearly 300 medical calls on an expired paramedic certification from 2019. What happens when leadership sets a bad example for their crews?

The pair also discuss several mental health initiatives, including the U...

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In this episode of Inside EMS, Chris and Kelly are joined by Tim Redding, founder and CEO of Emergency Education Consultants, to explore a topic that’s reshaping how we think about medicine: male-centric healthcare. Tim shares insights from Dr. Alyson J. McGregor’s groundbreaking book, “Sex Matters”, which explores how medical research and education have historically centered on white male patients, leaving women underserved and mi...

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Ever wonder what really happens inside the body during shock? This week, Chris Cebollero and Kelly Grayson dive into the renin angiotensin aldosterone system (RAAS).  From vasoconstriction to fluid retention, they break down this complex topic with real-life examples, a sprinkle of humor and practical tips for how EMS providers can apply this knowledge in the field.

Kelly shares the importance of understanding the “why” behind shoc...

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In this episode of Inside EMS, hosts Chris Cebollero and Kelly Grayson explore leadership insights drawn from a recent post by The Humbled Medic blog, which highlights lessons from the hit Apple TV show “Ted Lasso.” Known for its humor and heart, the show serves as a surprising but fitting blueprint for leadership, especially for EMS educators and professionals. 

The hosts discuss the importance of embracing the philosophy “be curi...

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This year, EMS brought more than its fair share of jaw-dropping moments, and as we wrap up 2024, we’re revisiting five of the craziest stories that made headlines. From a massive chemical plant fire in Texas prompting a shelter-in-place order, to a sand hole tragedy on a Florida beach, these events highlight the unpredictability of EMS work.

Ever had a crash victim ejected so far from their vehicle, they landed on a roof? That’s ex...

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EMS pay and retention – or the lack thereof – is at the heart of this week’s episode of Inside EMS. Hosts Chris Cebollero and Kelly Grayson tackle a news item out of Dougherty County, Georgia, where a recent exodus of EMS professionals spurred long-overdue pay raises and bonuses.

The discussion then shifts to Pickens County, Alabama, where a lack of funding led to a total EMS shutdown. Chris and Kelly explore how underfunded system...

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In this week’s episode of the Inside EMS podcast, cohosts Chris Cebollero and Kelly Grayson dive into a vital topic: the culture of accountability in EMS. Sparked by FireRescue1’s Chief Marc Bashoor’s thought-provoking article, "Where is our culture of accountability?", the hosts explore why change is so difficult to embrace, how leadership impacts culture and what steps agencies can take to help foster accountability across an org...

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EMS agencies are facing mounting challenges, from staffing shortages and rising operational costs to increasingly complex compliance requirements. However, advanced data systems and integrated technology offer solutions to these persistent issues.

 

In this episode of Inside EMS, Clinical and Business Consultants Jason Bartholomai and Chuck Sweeney of ZOLL Data Systems discuss how robust EPCR systems and streamlined workflows can r...

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