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Is your EMS agency all talk, no accountability? Here’s how to fix that

If you’re tired of a toxic culture, this episode lays out a blueprint for EMS agency growth

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 field.

The discussion gets into metrics that actually matter (and no, “we’re doing fine” isn’t a metric), urgency that respects both speed and precision, and how to develop a reputation that earns trust from coworkers and ED staff alike.

Whether you’re in a leadership role or still riding the bench seat, this episode is a masterclass in personal and organizational accountability.

Memorable quotes

  • “Integrity is how you behave when no one’s looking.” — Kelly Grayson
  • “You don’t let anybody dictate your own professionalism.” — Chris Cebollero
  • “If you can’t measure it, you can’t improve it.” — Kelly Grayson
  • “Do you want speed or accuracy? I want both.” — Chris Cebollero
  • “If you’re practicing EMS like you did 5 years ago, you’re behind the times.” — Kelly Grayson

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Catch a new episode of the Inside EMS podcast every Friday on Apple Podcasts, SoundCloud,  Amazon Music, Stitcher, Spotify, and RSS Feed. Enjoying the show? Please take a moment to rate and review us on Apple Podcasts. Contact the Inside EMS team at theshow@ems1.com to share ideas, suggestions and feedback, or let us know if you’d like to join us as a guest.

EMS1 is using generative AI to create some content that is edited and fact-checked by our editors.

The Inside EMS podcast is a regular expert discussion of hot topics, clinical issues, operational and leadership lessons for EMTs, paramedics and chiefs