By Jason Pack
A Look Back at How EMS Began
There was a time when if you called for help, a hearse from the undertaker showed up. In the early days of emergency response, ambulances were often station wagons run out of the local funeral home. If the driver thought you had a chance, they took you to the hospital. If not, they might pull around back and wait. That was pre-hospital care in much of America. There was no oxygen, no trained personnel, and no medications. It was simply a fast ride and a quiet hope.
How a TV Show Changed a Nation
Things started to change in 1972 when the television show Emergency! aired across the country. The show followed Los Angeles County Fire Department paramedics Johnnie Gage and Roy DeSoto as they responded to wrecks, heart attacks, and disasters. They carried defibrillators, started IVs, and talked to doctors by radio from the scene. For many viewers, it was the first time they had seen medical care delivered outside a hospital.
The show was not flashy. It did not rely on dramatic love stories or big cliffhangers. Instead, it planted a seed. It showed that you did not need to be a doctor to save a life. You only needed to show up, stay calm, and do the job. As a result, people listened. A new generation signed up to become EMTs and paramedics. Communities began building real EMS systems. The ambulance stopped being just a ride. It became a rolling emergency room.
The Reality of EMS Today
Today, Emergency Medical Services is one of the most vital areas of public safety. From big cities to small rural towns, EMTs and paramedics are the first to arrive when the unthinkable happens. They walk into the unknown every day. They lift patients from twisted metal, crawl through floodwaters, hold pressure on bullet wounds, and try to resuscitate babies who are not breathing.
They work at three in the morning, in the pouring rain, while being screamed at, covered in bodily fluids, or thanked with quiet tears. They miss holidays, family dinners, and sleep. Although the work is heavy, they keep going because someone has to.
Why EMS Week Still Matters
This week, we honor them. National EMS Week began in 1974 when President Gerald Ford set aside time to recognize the professionals who respond to life’s worst moments with skill and compassion. Even so, many people still do not understand what EMS teams do or what it takes to do it well.
Too often, EMTs and paramedics are still called “ambulance drivers.” That phrase does not reflect the complexity of their work. They assess strokes and heart attacks in minutes. They manage airways, deliver babies, and make split-second choices that can mean life or death. They work in chaos, moving quickly in tight spaces, on busy roads, and in homes full of fear.
The Challenges They Face
Unfortunately, the field is struggling. Fewer people are stepping into the job. Burnout is high and pay is low. Some communities rely on volunteers because they cannot afford full-time services. Hospitals are crowded, and EMS teams often wait in hallways with their patients because no beds are available. During those waits, they cannot respond to the next emergency.
Technology is advancing, and telemedicine is growing. Even so, no machine can replace the hands of a medic holding a bleeding wound or the calm voice that tells a mother her child will be all right. You cannot program empathy, and you cannot code courage.
A Call to Serve and a Message of Gratitude
That is why this week matters. It reminds us that behind every siren is a human being. It also challenges us to consider serving our communities. EMS is not easy work, but it is meaningful. When a heart stops or a child cannot breathe, you are the one they call.
To those who already serve, thank you. Whether you are a thirty-year medic, a rookie on your first shift, or a volunteer balancing this calling with a day job, your courage is seen and appreciated.
As I prepare for my next shift, I am lifting up every EMT and paramedic answering the call this week. You are the hands and feet of grace in people’s darkest hours. You are the heartbeat of your community. This week, we see you. And we thank God for you.