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Insider analysis: The risks of 24-hour shifts

EMT Stephen Walsh’s death sparks a call to action for wellness initiatives and the reevaluation of long-standing shift structures

What happened: Stephen Walsh, a 60-year-old EMT and veteran of the Air National Guard, tragically passed away after completing a 24-hour shift. Walsh was a dedicated EMS professional and an advanced EMT student. His passing highlights critical concerns surrounding the health and safety of EMS providers, particularly the impact of long work shifts on cardiovascular and overall health.

| More: N.Y. EMT dies while working a 24-hour shift

Highlights:

Watch as Ed Bauter, MBA, MHL, NRP, FP-C, CCP-C; and Daniel Schwester, MICP, discuss the implications of Walsh’s passing, including:

  • The risks of extended shifts. Research shows prolonged work hours, especially in high-demand roles, can exacerbate health conditions, disrupt sleep and lead to increased cardiovascular risks.
  • The need for enhanced wellness initiatives. Preventative medical screenings and robust health programs could mitigate risks and promote the long-term health of EMS professionals.
  • The call to rethink 24-hour shifts. Given the disproportionate health challenges faced by EMS personnel, many argue that 24-hour shifts should be re-evaluated, particularly in high-volume systems.

The path forward

Stephen Walsh’s passing serves as a sobering reminder of the physical toll EMS work can exact. Agencies should consider prioritizing health-focused initiatives, including mandatory screenings for older personnel, promoting preventative care, and reassessing the viability of 24-hour shifts. By taking proactive measures, the EMS community can honor Walsh’s memory while safeguarding its members.

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Ed Bauter, MBA, MHL, NRP, FP-C, CCP-C

Ed is a managing partner and chief executive officer of Overrun Productions, LLC; and co-host of The Overrun Podcast. Ed is a recovering medical student and paramedic.

His academic interests are in healthcare policy, team leadership and development, resuscitation and EMS medicine. Before attending medical school, he was a field preceptor and EMS educator for 10 years.

A second-generation paramedic, Ed works to inform the public about the importance of EMS and strives to encourage other EMS providers to move the profession forward using the most up-to-date data and technology.

He is a fan of old movies, the New Jersey Devils and the Philadelphia Eagles.

Daniel Schwester, MICP

Daniel Schwester has been a paramedic since 2000. He has served in a variety of roles including education, field training, clinical supervision and active practice as a paramedic.

He is the managing partner of Overrun Productions, LLC; and a co-host of The Overrun Podcast.

He is married to Jennifer, and is father to Caroline and William. He resides in Toms River, New Jersey.