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Breaking the system to make it stronger

Emergency management expert Mike Marsh explains why the best exercises are designed to expose weaknesses and prepare agencies for everything from America 250 or the FIFA World Cup to county fairs

This week on the EMS One-Stop podcast, Rob Lawrence sits down with emergency management and large-scale exercise expert Mike Marsh to explore what really goes into preparing agencies, communities and public safety partners for major events.

With the FIFA World Cup underway, America 250 upon us, and countless local events happening every weekend, the conversation focuses on the practical realities of planning, exercising and pressure-testing emergency response systems before the big day arrives.

| MORE: Training hard and fighting easy. Creating an effective tabletop training exercise for pre-planning MCI response

Drawing on decades of EMS leadership experience and his current work through Marsh EMS Consulting, Mike shares how agencies can move beyond “grant compliance exercises” and build meaningful operational readiness.

From tabletop exercises and ROC drills, to stakeholder coordination, communication failures and after-action reviews, Mike provides a masterclass in how to build resilient systems from the operator up.

His central premise is simple: exercises should be designed to break the system in a safe environment so weaknesses can be identified and corrected before a real incident occurs.
Whether you’re preparing for a World Cup match, a county fair, or simply reviewing your MCI plans, this episode offers practical lessons for agencies of every size.

Notable quotes

  • “Our team is hired to break your system and rebuild it together.” — Mike Marsh
  • “The scene will be bigger than they are. And it is OK to ask for help.” — Mike Marsh
  • “We don’t walk in and say, ‘You don’t understand ICS.’ Actually, you do understand ICS, you just don’t know that you’re using it.” — Mike Marsh
  • “Identifying and learning are two different activities; and they have to be cemented in.” — Rob Lawrence
  • “Trust your people, know that you can’t do it all, get a team together, train them, drill them, pressure them.” — Mike Marsh
  • “Prior preparation and planning prevents pathetic performance.” — Rob Lawrence

| MORE: 5 lessons for special events standby services and emergency response

Episode timeline

00:00 – Introduction and why major events require planning, exercises and preparation

02:25 – Mike’s journey from California EMS leadership to emergency management consulting in Texas

04:53 – The biggest misconceptions about exercises and tabletop planning

06:30 – What frontline EMTs and supervisors need to know when the incident is bigger than they are

08:07 – The first questions Mike asks when planning a major event

10:13 – Communication, stakeholder engagement and identifying operational gaps

12:16 – Translating ICS and NIMS concepts into practical operational language

17:08 – Planning a county fair exercise: where to start and why capability gaps matter

19:46 – Who should be at the planning table and why executive participation matters

21:23 – The role of public works, politicians, emergency managers and public information officers

22:29 – The best and worst exercises Mike has ever experienced

25:29 – How to challenge leaders who believe their plans don’t need testing

28:01 – Exercise planning for small and rural systems with limited resources

30:22 – After-action reviews and turning lessons identified into lessons learned

32:11 – Advice for agencies that have never exercised their plans before

33:54 – Mike’s biggest leadership lesson from a career in EMS and emergency management

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Previously on EMS One-Stop

Rob Lawrence has been a leader in civilian and military EMS for over a quarter of a century. He is currently the director of strategic implementation for PRO EMS and its educational arm, Prodigy EMS, in Cambridge, Massachusetts, and part-time executive director of the California Ambulance Association.

He previously served as the chief operating officer of the Richmond Ambulance Authority (Virginia), which won both state and national EMS Agency of the Year awards during his 10-year tenure. Additionally, he served as COO for Paramedics Plus in Alameda County, California.

Prior to emigrating to the U.S. in 2008, Rob served as the COO for the East of England Ambulance Service in Suffolk County, England, and as the executive director of operations and service development for the East Anglian Ambulance NHS Trust. Rob is a former Army officer and graduate of the UK’s Royal Military Academy Sandhurst and served worldwide in a 20-year military career encompassing many prehospital and evacuation leadership roles.

Rob is the President of the Academy of International Mobile Healthcare Integration (AIMHI) and former Board Member of the American Ambulance Association. He writes and podcasts for EMS1 and is a member of the EMS1 Editorial Advisory Board. Connect with him on Twitter.