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HBO and The Ringer's Bill Simmons hosts the most downloaded sports podcast of all time, with a rotating crew of celebrities, athletes, and media staples, as well as mainstays like Cousin Sal, Joe House, and a slew of other friends and family members who always happen to be suspiciously available.
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In this episode of In-Service, we sit down with a seasoned EMS leader who understands that great leadership begins in the field.
Assistant Chief Brian McNeeley oversees countywide EMS operations in Montgomery County, Tennessee — but his foundation was built in the back of an ambulance and on the front lines of patient care.
Chief McNeeley shares how his time as an Army medic shaped his leadership style and why he believes in keeping policies practical, people-focused, and rooted in real-world experience.
We explore what it means to manage tasks while truly leading people, how to stay proactive in operations, and how to build culture across generations in today’s evolving EMS workforce.
You’ll also hear insights on:
- Balancing confidence, humility, and patience in leadership
- Using data and consistency to stay ahead of problems
- Building peer support and communication into agency culture
- Leveraging technology like CAD/AVL systems and a countywide Motorola P25 radio network to strengthen operations
Chief McNeeley reminds us that leadership isn’t about control — it’s about connection. Whether you’re a new paramedic, a field supervisor, or a command-level officer, this episode delivers practical wisdom on leading with purpose while never forgetting the view from the ambulance.
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.
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