Mike McCabe sits down with Brian MacLean, Assistant Chief of Cooper County (Missouri) Ambulance, to explore the realities of rural EMS. Serving 569 square miles in central Missouri, MacLean’s team manages thousands of calls each year—with transport times stretching up to 90 minutes since their local hospital closed.

MacLean shares why rural EMS demands sharp clinical skills, resilience, and total confidence in your equipment. He offers candid insight into fleet decisions, explaining why his agency chose Crestline ambulances for their cost-effectiveness, faster delivery, smart layout, and safety-focused design. Drawing on personal experience from an ambulance-involved crash, he underscores how vehicle design and properly secured equipment can make all the difference.

Sponsored by Crestline Ambulances

Rob Lawrence hosts this special episode of the EMS World Podcast. The Injury Prevention Alliance of Phoenix (Arizona) is the winner of the 2025 Nicholas Rosecrans Award, which recognizes individuals, teams, or organizations who make a significant impact in preventing injury and illness before they even happen. The award is named for Nicholas Rosecrans, a young boy who tragically drowned in 1996, spurring local paramedics to commit to increasing injury and illness prevention. The Injury Prevention Alliance of Phoenix won the award for their teen driver safety program.

In addition to members of the Alliance, Nicholas's mother, Lynn Artz, and brother, Noah Rosecrans, join the episode.

Sophie Fuller, Jaime Wesley, and Aubrey Lukis, hosts of the Life and Sirens podcast, join Managing Editor Kristin Carroll on the floor of EMS World Expo 2025 in Indianapolis. They discuss their roles as EMS influencers, being women in EMS, and more.