Inside FDNY's push to unify fire and EMS

Better Every Shift · Oct 30, 2026 · 38m

FDNY wants EMS to be a destination, not a waiting room for the next job. That’s the pitch from Chief of Department John Esposito, who says too many medics leave over pay before they build the experience that makes them great. In this crossover episode hosted by EMS One-Stop’s Rob Lawrence, Esposito — who came up through fire operations — also makes the case for treating fire and EMS as “one department,” starting with a rescue paramedic assigned to every rescue company. And he lays out what’s behind rising response times: a nearly 10% EMS vacancy rate and hospital turnarounds averaging 42…