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The first voice on a 911 call carries a lot more than a headset. In this candid, unfiltered conversation with veteran dispatcher and recovery coach Lisa Trusas, we pull back the curtain on what really happens at the console: juggling multiple emergencies at once, coaching panicked parents through CPR, catching danger in a whisper, and making judgment calls with lives on the line. Lisa’s story reframes dispatch as the heart of public safety—where police, fire, and EMS meet—and where the weight of uncertainty often lingers after the line goes dead.
We dig into the human cost of the work and the culture that shapes it. Lisa lays out the “double stigma” dispatchers face—expected to be as tough as sworn personnel while being dismissed as civilians when they seek help. We compare how fire and police approach debriefs and mental health, why dispatchers are too often left out of critical incident reviews, and how Massachusetts’ mandatory behavioral health training is a step forward. Along the way, we discuss the “300-call syndrome,” the risk of missing red flags after too many routine hang-ups, and the practical skills that matter most: active listening, reading background noise, trusting instincts, and knowing when to insist on a second unit.
This conversation also honors the rare moments of closure that keep people going—the infant saved over the phone who grows up and stays in touch—and the quieter calls that reveal unmet needs, like elders who call because they’re lonely. If you care about first responder mental health, emergency communications, crisis intervention, and trauma-informed practice, this is a grounded, real-world look at where help truly begins: the first call. Subscribe, share with a colleague, and leave a review to support more honest conversations about the people who hold the line before anyone arrives.

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