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A message to rising EMS leaders

Carly Strong, COO, SEMSA/Riggs Ambulance: “Take every opportunity’

Carly Strong got her start in EMS about 20 years ago. She was considering medical school when she went on a ride along with Berkeley City Fire. After responding to a vehicle accident, and seeing the difference that someone can make in such a very short amount of time, “It absolutely swept me up,” she said.

She redirected her career path and decided to go into emergency services. After obtaining her EMT certification, she was accepted for a paramedic program with National University and West Med College/ Riggs Ambulance.

She decided to grow with the program after getting her paramedic license. When she felt supervisors were not truly understanding the challenges the crews faced, she began joining committees. “I thought I rather than complaining about the problem, I wanted to be part of the solution,” she recalled.

Thus began her start in leadership – trying to improve the organization by getting involved and helping staff and management to work together.

Strong rose through the ranks, spending about 2 years each as an FTO part-time supervisor, then operations manager. Now the chief operating officer of SEMSA, which covers Riggs Ambulance, a 911 operation in Lassen County, a wheelchair transport service in Merced County, as well as in Reno, and an ADM with air methods in Lassen, Strong oversees about 32 ambulances and two helicopters, and all of the staff and leadership that go along with it.

Here, she offers her tips to young leaders or staff interested in becoming a leadership. “We need you,” she encourages.


Carly Strong and Danielle Thomas dive into people managing in EMS

Carly Strong is a seasoned EMS executive with over two decades of experience spanning field operations, system leadership and organizational transformation. She currently serves as chief operating officer for LifeLine EMS in Southern California, where she oversees operations, communications and strategic growth initiatives across a complex, high-volume service area.

Carly began her career as a firefighter-EMT with the U.S. Forest Service and progressed through the ranks as a paramedic, field training officer and operations leader. She also served as a tactical medic; becoming the first female tactical medic on her team — further expanding her experience in high-acuity, high-risk environments. Her career reflects a deep understanding of both front-line care and executive-level decision-making, allowing her to bridge operational complexity with human-centered leadership.

Prior to joining LifeLine, Carly served as chief operating officer for SEMSA/Riggs Ambulance Service, where she led large-scale system improvements, implemented innovative deployment models, and played a key role in high-profile EMS contract strategy and performance optimization.

Known for her ability to bring clarity to complex systems, Carly focuses on aligning operational excellence with culture, accountability and purpose. She is passionate about developing leaders, strengthening workforce engagement, and building sustainable EMS systems that deliver both high performance and meaningful employee experience.

Carly is an active voice in the EMS industry as a columnist for EMS1, a board member of the California Ambulance Association, and a national speaker on leadership, system design, and organizational transformation. She was recognized as an American Ambulance Association “40 Under 40” honoree and holds an MBA in Rural Healthcare.