Send us Fan Mail

Leadership in EMS is often associated with rank and titles, but Derek Hendren argues that true leadership is built on credibility, trust, and consistency. In this episode, Derek and Jason explore what it takes to earn respect in high-pressure environments where accountability matters. They discuss the importance of transparency, ownership, and follow-through, as well as the damage caused when standards are applied inconsistently or leaders fail to address problems honestly.

A central theme of the conversation is the gap between policy and reality. While policies provide structure, successful organizations must ensure those policies support operations rather than create barriers to success. Derek explains why leaders should seek to understand the root causes behind missed expectations before jumping to corrective action, focusing on system improvements and removing obstacles instead of simply assigning blame.

The discussion also examines culture and the often-overlooked impact of small issues on frontline crews. What appears minor to leadership can become a daily source of frustration for employees who experience it repeatedly. Derek emphasizes that organizations must remain connected to the realities of field operations and listen to the people closest to the work. Building trust requires leaders to address concerns, communicate openly, and demonstrate that crew priorities matter.

The episode concludes with a conversation about developing the next generation of EMS leaders. Derek shares why leadership starts long before a promotion and why future leaders should begin demonstrating accountability, professionalism, and problem-solving skills today. As EMS continues to evolve, he argues that the profession’s future will be shaped by individuals who focus less on titles and more on serving their teams, supporting their communities, and continually improving the systems around them.

Support the show

In-Service: The EMS Podcast is dedicated to the professional on the front lines of emergency care – in the field, the classroom and behind the scenes. Subscribe for new episodes featuring EMS leaders and innovators shaping the future of pre-hospital care.

Merchandise Store:  https://www.bonfire.com/store/in-service-ems-podcast/?utm_source=copy_link&utm_medium=store_page_share&utm_campaign=in-service-ems-podcast&utm_content=default

If you have suggestions for future guests email: [email protected]