Editor鈥檚 note: This episode of EMS One-Stop With Rob Lawrence is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit
In this special, on-site episode of EMS One-Stop, host Rob Lawrence takes us to the 2024 North Carolina EMS Expo in Greensboro, North Carolina, a well-attended conference with over 1,200 attendees.
Rob spent time with several conference faculty.
- EMS lawyer Matt Streger joins Rob to discuss just culture, HR issue spotting, leadership communication and employee engagement.
- Kevin Collopy joins Rob to discuss the outstanding prehospital training being delivered to medics in Ukraine and also discusses this years 鈥淪tand and Deliver鈥� new speaker event (a now annual event held as EMS World Expo).
- Rob discusses whole blood and its national rollout with Dr. Randall Schaeffer and David Grovdahl.
- To close, Peter Dworsky of the National EMS Safety Conference provides an overview of the current top EMS industry safety themes.
Top quotes from this episode
鈥淒evelop your personal board of directors. Honestly, it鈥檚 a Ray Baranski line. But he鈥檚 the one who pointed out that phrase, and I use it in every one of my programs. The people that are successful have surrounded themselves with people who give them the hard advice.鈥� 鈥� Matt Streger
鈥淪o, Ukraine is probably one of the most beautiful countries. The people are some of the most passionate and positive and resilient individuals you could possibly meet. I was there for 10 days in the country. During that time, I was woken up at night because of country air raid sirens five times. I felt the fatigue on me in a week. The folks I was teaching, the folks I was teaching how to teach our program, have been dealing with that for 2 years, and they鈥檙e still positive. They鈥檙e still looking out for their country. They still believe in maintaining their independence, and they will do anything to help each other.鈥� 鈥� Kevin Collopy
鈥淲hole blood saves lives. There is no doubt about that. And so, it is probably the greatest improvement in trauma care in the civilian world. And so, we are trying to spread the message as far as we possibly can from coast to coast.鈥� 鈥� David Grovdahl
鈥淯nfortunately, we have a lot of blood deserts. So, in states where paramedic scope of practice does not allow them to initiate a blood transfusion, that is a barrier that needs to be overcome. But there are states that are successfully overcoming that barrier. And then others are facing challenges with getting blood sourced. So, we have had some amazing blood centers step up, hospitals step up and support EMS. But unfortunately, that鈥檚 not happening across the country.鈥� 鈥� Dr. Randall Schaeffer
鈥淭he mortality rates from trauma are very high in the rural areas just because of access to hospitals and access to care. So, we are getting blood into those areas where it is most critically needed. And so, North Carolina has really made some great strides in a very short amount of time.鈥� 鈥� David Grovdahl
鈥淚t takes commitment, and I would say that this is the only clinical intervention that EMS does that requires so many stakeholders to get accomplished. You have got to talk to your hospital. You have to talk to your blood centers. If you have a regional Advisory Council, get them involved, you know, if David buys a new defibrillator, he doesn鈥檛 have to go to the hospital and ask permission and have cardiology oversee it. You just do it, right? Right. But you can鈥檛 do that with blood. It鈥檚 a team sport. You鈥檝e got to get a lot of stakeholders involved.鈥� 鈥� David Grovdahl
鈥淭o effectively reduce light and siren usage, we need to start changing the mindset of three groups of people. I think the people actually driving the ambulances ... we need to get administrators on board with the knowledge that they鈥檙e going to get some pushback from the community and the politicians that we鈥檙e not driving fast to calls, and then we have to change the patients鈥� perspective of, just because you call for an ambulance, does it mean it needs to be there in 10 minutes? You鈥檝e had this problem for several hours now. It鈥檚 OK to wait 5 more minutes. What I would teach safety classes and I would teach providers, is it does you no good to get halfway there really fast and then crash.鈥� 鈥� Peter Dworsky
Episode contents
00:25 鈥� Live from the North Carolina EMS Expo
01:00 鈥� Matt Streger on leadership
04:00 鈥� Kevin Collopy
05:00 鈥� Ukraine training
05:30 鈥� Need for trauma training in Ukraine
07:30 鈥� Handing on to the Ukrainian faculty
08:00 鈥� Stand and Deliver
09:00 鈥� Stand and Deliver winner Rebecca Carmody
11:00 鈥� Stand and Deliver call to action, call to all new future speakers
12:30 鈥� Whole blood with Doctor Randall Schaeffer and David Grovdahl
14:00 鈥� Whole blood saves lives!
14:40 鈥� Tracking 150 ground agencies using whole blood, new paramedic scope of practice, a rate determining step in rolling out whole blood
15:30 鈥� North Carolina whole blood programs
16:00 鈥� Whole blood to areas where it is most needed
16:50 鈥� If we all do blood, that鈥檚 a whole lot of blood we need
17:30 鈥� Blood supply, sources, rotation
18:00 鈥� Public safety providers as donors
19:30 鈥� Blood earlier reduces products used in hospital
20:40 鈥� Reimbursement for blood, including blood in CMS reimbursement
22:30 鈥� Peter Dworsky and the national EMS safety conference
24:00 鈥� Highlighting safety in EMS
24:30 鈥� The culture of safety, driver safety, lights and sirens reduction
25:00 鈥� Collisions, crashes and thefts
27:00 鈥� Changing the mindset of drivers, administrators and the patient
29:30 鈥� The 2025 national EMS safety conference
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