This week, Kristin and I talk with Jason Pang, Director of EMS, and Joe Stoffolano, Division Chief of Community Risk Reduction in Miami Township, Ohio. These guys take us deep into the world of pre-hospital medicine. We’re talking how EMS is funded, why those funding streams vanish, the future of EMS, and much more.

We also break down how 911 dispatch actually works, how EMS decides what units to send, why response times vary so wildly across the country, and why dispatchers are the unsung heroes of every medical emergency.

If you’ve ever wondered what really happens before a patient hits the hospital doors, or why EMS systems are constantly fighting to stay funded, this is the episode.

Takeaways:

Why property taxes are the backbone of EMS and what scary legislation could wipe out funding overnight.
How pre-hospital blood transfusions actually work, who gets them, and why they’re becoming a game-changer.
What a lateral canthotomy in a helicopter looks like, and why an 11-blade scalpel is not invited.
The emotional weight of dispatchers, and why they’re the only person with you during the worst 10 minutes of your life.
Why EMS is “an ER on wheels”, and how they juggle advanced medicine, unpredictable environments, and community expectations.

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How Does EMS Actually Work Behind the Scenes? with Jason Peng & Joe Stoffolano