The H&H Impact

Emergency Medical Services in the U.S. is changing fast, and the old models are breaking under pressure. In this episode of The H&H Impact, Stephen Hartz sits down with EMS leaders Todd Sheridan and Fred Wurster for a candid conversation about where EMS is today and what must change by 2030. They unpack the realities behind workforce shortages, funding gaps, ambulance deserts, and the growing push to redefine EMS as an essential service. The discussion goes beyond operations and finance to focus on leadership, quality, partnerships, and the shift toward mobile integrated health and community paramedicine. This episode is a grounded look at what’s working, what’s failing, and what EMS leaders, boards, and communities must do now to build sustainable, high-quality EMS systems for the future.