12/29/2025
EMS Leadership Starts With Communication
Every call, every handoff, every disagreement on scene is shaped by how we communicate.
In EMS, we typically see four communication styles:
Passive communication avoids conflict.
It stays quiet when something feels off.
It sounds like, âWhatever you think is fine,â even when patient safety is on the line.
Aggressive communication demands control.
It talks over partners, issues commands instead of collaborating, and creates tension on scene â often escalating stress instead of solving problems.
Passive-aggressive communication hides behind sarcasm.
It agrees on scene, complains later, eye-rolls instead of speaks up, and slowly erodes trust within the team.
And then thereâs assertive communication â the goal.
Assertive communication is:
⢠clear
⢠calm
⢠direct
⢠respectful
⢠patient-focused
It advocates for the patient and the team without backing down or bulldozing others.
Hereâs the truth:
Most of us donât live in one style all the time. Stress, fatigue, hierarchy, and burnout can push even good providers into unhealthy communication patterns.
Leadership in EMS isnât about being the loudest voice on scene â
itâs about being the clearest one.
Growth starts with awareness.
And culture changes when communication changes.
For more EMS education, leadership development, and real-world conversations from behind and on the scene, visit our website or listen wherever you get your podcasts.
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